Hazardous Substance Filing Notice, Fire Department, undated

NYC 9/11 Public Portal Document

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Sudden Release O I

Max Antount (code,) ! ~~ C if box

p ❑ Of Pressure infomtalion Quro~C4 ru~r.i t /I/ ~- ) 1.~ 0 m submittal • Reactivity is onI i ial ____ n k ____ _____ ______ ) ( 2 r'/ A► . Amount (code) to last year z Ea_NWnLAnw.L ~14i- 43 - r), ottl E04 'Inimediatc(acute) Check aN►pal (11)/Ill'.' Ddaycd(chmnic) ( I Pure [✓rMix [ I Solid [✓jl.iquid [ ] Gas [ ) El IS No. of Days Present CAS Trade ❑ Secret Fire 10 l box ❑ Sudden Rcicase if Max Amount (code) N 4 '.- n tAt$tAIJT I'tiLDEh! .iTAlAJ A tlrrtG_ ❑ of Pressure information submitted ~4:y°_'J (L~-17a2-1-1•l f-le)%I.>DI✓r1 ❑ Reactivity CJ is identical g N r ~764t _r2-q~r ~ nlvM tig• ►no11n1 (code) to last year

= ❑ (; tnmedialc (acute) zU U st~rau,c,.r;aoux,£(rJ1•~i~_vJ,"_ orwr(LJ L...1 3 (a J Check all that a/)/hl: - ____________________________________ [ I Pure [O"Mix [ ( Solid ['Liquid [ ) Gas [ EIIS ❑ No. of1)a•►'s Present ) Delayed(chn,nic)

(1 I Secret ❑ IJ Firc ~ if x Lt:d~ ACr4?3AirERY: tiO'/ Sudden Release Max Aurotmi (code) Z 4 3 +H y ASecr 9- s•t) 1~O r~ _ p Of Pressure infomlation ut't11oii 7y40• L-~ • L •/, ARSE nC 7 submitted 0.2° -- 6CALuyn(Ugr.j1-,r 70 /iS~t'MyR1LAGp Reactivity J J l . t lnolult (C0(te) is identiel to Iasi year L V (11r£9 tit-4,1e%rtttou DuoKufE (606)6 Qt. -o) © Inuncdiate(aculc) Check all that apptt': ( - Dclaycd(chroni°) No. ofDays Present (~ [ j Pure [.~]'Nlix [ r['Solid [ ] Liquid ( ) Gas [ ] EFTS L] CoriI /i(•ariost (Brad am/sign after completing all sections) I cet lily under penalty of law that I have personally examined and OPTIONAL amfamiliar with the infunnatiun submitted in pages one through on my inquiry oh' those individuals responsible for obta ining the information, I believe that the submitted information is true, accurate and, co andnplete. that aaed I have at a site plan J 9_N MA2tcso~1...__— lLsT- VICE Pr-i-=s,Q)EklT- Nat e and official title of owner/operator OR owner/operator's authorized representative Signature Date signed - ❑ - 23

NYC-WTC 000169015