NYC-WTC_000166105

NYC 9/11 Public Portal Document Kevise(t I I. vy • q)Urtalll: t(Caa (I!! il1S1fYICUOllS nefore Compr('rllig forum tlepuiiiilg Pei 1UU; (•toiti JttIIUttiy t to tJct.eiltuel J 1, .(A7 1 16V , vt ( • tn.ljw

NFI YO,RK Name 5I~IOHCI~I SNtrN 3aR~u6Y HOtot.UhS ~ I,V C g Name cSQtyrtcu.~ rtrq >3.it~uEY Photte6_r ~_7)'ic 3• ~Gc CITY '-- Right-to-Know Strcct 7 iCJORtn rRAoc C.E,UrER k Mail Address- _ / _+ ____ _ FACILITY = City iVe , _/j2 . State Aly_ Zip+4 /009$ - It q6 _ INVI:N•i'ORY 'i'elepltone(ztz )_753-7alo,_County NameEpu4aa _- C'41Pt3Et.LTitle Pecrr_~_~T //i,AC-F FORM ' SIC bear & Brad. 'I'I I:R 'I \VU Code 6~ l l / 6 3 _- G€, y Day Phone z r__ 7 53 -53' 2 24 -hr p hon :-WPII Nanlber m 0 1 ® / y S Name ro 0. HE W/As Title A_ r. ,,__-f _

Day Phone z1z) 7R3 zJ24-hrphone; PI 1 17 U/%i('itll U.se Urr/t': IDtt Date Received: .-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-. Physical and Storage Codes and Locations Health (Non-Confidential) C hem IcaI Description Hazards Invefltoty Slot•ageLocations Check tin that apply AS m I rade a Fire 10 L C ck box Secret a if

o 105PC(LSE 2Ss' AIC0,03(DCtbE 6LI)cAtzAL ®E 1►,f ! C. Cttt -3o- 3 ❑ Sudden Release orPrt.•ssure Max Aniotolt (code) 4 _ fN • P LOO (Z P_ A _ T infomlation submitted D 0 Z is Identical F J Reactivity to last year t: Ate►. Amount (code) U C u'l•k all th(il uf)plt'. Immediate (acute)

Dcta 'ed(cttmnic) ~r—t—~

No. ofDays Present == - ________________________________________________

( ] Purc (r4Mix L i Solid [vl' Liquid [ ] Gas ( j EIIS CAS Trade x ~~ m Secret Fin Sudden Release 0 12 I Max Amount (code) I y + r- o O (Z P L 4~ _ ifCheck information J111 OS(' s g 2 S7k t C Qg t3 t OC t DF Of Pressure submitted 0 is identical ZJ f 2(S(ii`t A(ho~C`i rtEttiti t Reactivity O to last year a, JJiSQOVx 0AU /' lt2. tt-4) %g. tlloulit (code)

U 17 /i FO .HAi.D~iJ`rt)Ef>'0-~0• 0 C~'h( c'(•k all that (y)l)(N: I! hmncdiate (acute) ~~ 3 6 No. of Days Present I = [EEl' ( ] Pure [ t~]' IVIix [ I Solid [vj'Liquid [ ] Gas [ ] EHS © Dclayed(chmnic) LAS Trade a ❑ H_I _I I Secret Fire Sudden Release t~° ] Max tAmount (code) 1 ' -I / '7 Tll t=L a R f x `~ information O iLEA_____ Sri _____ ___ ______Lot2 t -It Or Pressure '4 submitted v $2(% 76 E1-sz- tsidentical U .E Reactivity to last year E S 0 tart < c O• _ "~ daunt (code) (131 o -'73-2. Immediate (acute) Z U 6 J C'hcck rill that appl►': (~ Delayt-d(cinvnic) N0. of Days Present I Pure (i4Mix I I Solid [r/jLiquid [ ] Gas [ ] EFIS U Crti/icalion (Rehrl antl sign after (:ompleting all sections) OPTIONAL I cci lily wider penalty of law that 1 liave personally examined and am familiar with the infonnation submitted in pages one thruugh , and that based I have attached a Ill lily inquiry of ' those individuals responsible for obtaining the infonnation, I believe that the submitted information is true, accurate and complete, site plan { TQO ,_ ___I I AA IZ4 SOAj FI~SI V' t Cl- I2 it EJI ❑

N;u to and of icinl Imile ul'uwner/operator Olt owner/operator's authorized representative Signature _ Date signed

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NYC-WTC 000166332