NYC-WTC_000166105

NYC 9/11 Public Portal Document lu•t•tswl 1 1. •.-, mnrmnr: rtnrlfi fill ULr11'llLI1r1118 newre CUIIIl1IPIUIY 1O1•ln i t nurtink Deriuu: 1'1u111 January 1 to Livccluuer . 1, Lcraw rtlge '- UI ,. • ptigus

NFI YQRK Name SALOMOU SH rru QACkJa I . E Name cr Phone(!_.) lI let CITY n Mail Address _ SAFIE Right-to-Know Street 'y h,c,~Le T2Al~.Z C u-t; fL ----- FACILITY City kle" yo_ - State u Y Zip+•4 (Ooi8-,P7. INVI NTOR'I' 'I•elepitone(Z►2- County Name i5 aaVAtZ6 J CAH!'36ec . Title['~i~,Lry f(,AA1AG__=ri- 783. O F0ItM .S/C.' D!u! & l)rad. Day Phone Z 1 Z 7 &. ~-J;2j_ 24-hr phone PII TIER TWO C'nrh I_ 121_JiLl Number O I (' 3 .i l I Niwnc -' r-o Ci' NtEs- r Title •!"z 3 24-hr Day Phone L f L) 7 3.r phone; PII / r!• 0 fici„l Use Onh': I Dr! Date Received: Physical and I Storage Codes and Locations Health (Non-Confidential) Chemical Description Hazards Inventory Storage Locations Chdrk fill that npp(r l r\S i rade Fire I Check box ~~~ ❑ © Secret 4 o la eAV'1 n y rY SPe A'f C LeAAi € (Z ❑ .G ' ❑ Sudden Release of Pressure May Antowit ('colt'.) l U informution submitted is Identical 0°. -QvrcrC1FtFtdUot (tll-7 Reactivity In last year SOt IVII # Ate. Amount (code) z U ~_IWunLAnlN Cheek all that app/n: r4l_&j -t~OtifCr l imntcdialc(ncutc)

/Dct:rycd(chmnic) 3 `

No. ofDays Present [ J I'ure [vfMix [ i Solid t4l.iquid [ ] Gas [ ] ElIS l~l CAS Trade i C x ~ ~ ❑ I_I~ ❑ Secret ❑ Iu `--- Sudilcn Rctcnse Max Amount (code) _ r" ! 4 C! J -7 tf-_ Lo O information _ IusTAur wI , LDEkI &rAW PSWV 9- ❑ Of Pressure submitted n isiastyearl (o-ro^/ aAY42( 2-I~.rj ~ -to~'4S.iaun Reactivity O I to last year U fOocNwl-tTE1691-r2-~f (o-r'/,30 ~tvn a Vg Amount (code) ar ~, Immediate (acute) ❑~_ ❑ u S~rCu , CAr=Q0u Ar f(V r1 ~-l:i r 0TNr(~ J 3 Cheek ti/It/roll app/V: No. ofUays Present [ j Pure (t Mix [ i Solid [ 'Liquid [ ] Gas [ j EHS ❑ Ociayed(ctnunie) CAS ~-- Trade C e< x I_l l l 1 I❑ Secret ❑ Q Fire Sudden Release Max Amount (code) R Z 4 3 't fH w o__ ti it information • LAA .4eII Ur•r6RY: bo'/a LEAD(7439-r?i•1) ❑ orrressure --` submitted tos ear 6 utrMo__ o. 6-c •2 ARSEr1__7 Reactivity c to last year ____i_Vn_74Yo•Ji-t _____ ____ 1L ___ vg, /nouns (code) a.' © immediate (acute) ~7i~ 4-ti3 9,10`/, srUlou 3~ottn,tc (6cb7b 9~ ) b Check till that apply: I)claycd(chlonie) No. of Days Present [ l Pure [4VIix 'Solid I ] Liquid [ ) Gas [ ] EEIS ____ l:erti%tcarion (Read (aid sign after eon:/>leting all sections) OPTIONAL I eci lily under penalty ul' law that I have personally examined and tun familiar with the infonuatiun submitted in pages one through , and that based I have attached a on Illy inquiry of those individuals responsible for obtaining the inforination, I believe that the submitted information is true, accurate and complete, site plan

JoK_►~_M_AZkSOrJ- Fi lZST VIc Pi S l~Ely l — ❑ Nni to and of icial title ol'uwner•/operator OR owner/operator's authorized representative Signature Date signed

23

NYC-WTC 000166335