NYC-WTC_000166105

NYC 9/11 Public Portal Document t1 'evis! I !, 97 . .Ipoitanl: ite(al an nlstracnon.c uefure curnjnerurg Jurm 1%cpuI 1 . 1V111 Jauiun, y 1 Iv V\.V\.IIIVa.1 J I, awv — _ uba. L' v_

CIF,v YORK Narne ~Aloyou SHtrr-, aA,IZa~ y Ho~.~gU c, r , ,— C Name S~;onoJ f ~rl. f3„Iz,, -y Phone (?! 2j ' - 71'r✓c CITY Street '7 wcR c) T(ZND (L t_ Cu; r Mail Address--_ SA H t __ Right-to-Know FACILITY City N~~YorwL State 1 Zip+4 1OO4i3-+l 3 INVENTORY zi Telephone ( -Z t 2- j `7 b 7 - 7o0o County -- NanveLbt.,a.7) f. CA'N t, t- Title r(A. n c-, S'1C at Brad. ❑ Dun ❑❑ Day Phone z 12 ) 7:i 3 - r t-2 3 24-hr phond PII I'II:R 'fW O C'odr G 2 ( Numbber Q( l 1 kI I Name _I rfp L . HFSIAS Title) ._r"_`_`_` _rti Day Phone z- r z )`7 2>3 -1- 1- 23 24-hr phone` PII_ I•'or O(rciol Use Only: 1011 Date Received: Physical and Storage Codes and Locations Health (Non-Confidential) Chemical Description Hazards Inventory Storage Locations Check all that apply LAS ❑ ❑ r ❑ trade Fire Check box I I Secret if Sudden Release Max Amount (coda) 1f+ Fwo? /IC.C(- 1- ~J AC 1- DNI U'7 / 4i ,z- u❑ Of Pressure infonnation submitted y Zt3% P2r&ySlUH (. £)4 (I.VOf, Reactivity 0 3 is identical to Iasi year a% CJaDHrt)m O,(IoE, (l?C iQaI A . Amount (code) Immediate (acute) zx U Er Cheek till that apply: Delayed(chmnic) No. ofDays Present I I Pure i %lix f.4Solid 1 1 Liquid 1 1 Gas 1 1 El IS

i l l i i m ❑ Secret ❑ ❑ Fin: Sudden Release Max Amount (code) if

w.~ ❑ 01'Pressure information submitted

v ❑

❑ Reactivity

hnmediate (acute) EIg. Amount (code) is identical to last year

'— U Cluck all that apply: I I 1 1 No. of Days Present l 1 Pure I I Mix [ I Solid [ I Liquid [ J Gas [ I EHS ❑ Delayed(ctunnic) CAS ❑ ❑ Trade ❑ ❑ Fire if Secrcret o o ❑ Sudden Release Of Pressure Amount (code) information submitted

zU - ❑

❑ Reactivity

Immediate (acute) Pvg.Qow;1 (code) is identical to last year

Check all that apply: 1~..1 I ] ❑ Dctnyed(chmnic) [ I Pure 1 1 Mix i I Solid [ ] Liquid [ 1 Gas [ 1 Fl-IS No. of Days Present Cer lifcatian (Read and sign after contpleling at/ sections) OPTIONAL I certify under penalty of law that I have personally examined and am familiar with the infonnation submitted in pages one through _, and that based I I have attached a on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate and complete. site plan

Q1 !J-- f f 4lc IC-t I (2S i VI GF t'(ZESt15i -------- -. - ❑ Nat to and official title of owner/operator OR owner/operator's authorized representative Signature Date signed

23

NYC-WTC 000166337