Hazardous Substance Filing Notice, Fire Department, undated

NYC-WTC_000169015 Revised Ih vy . portant: Read all instructions before completing form Reporting period: From January | to December 51,2000 Page ¢ of & pages NEW YORK CITY Name SAconow Sarre Gaewey Horpiyes, oC Street “7 pic Geb TRAL® CEensic 2 Name Jrwrow SNire BAcwey Phone(212_) TEP 2o0e Mail Address_ SAHE Right-to-Know FACILITY State VY i City Mew Yotr INVENTORY Yelephone (212 _) 783-7990 County Zipt4 (0048-146 FORM TIER TWO SIC Code MONIDAUETUIP SE SUPP Abn Dun & Brad. Number hor Official Use Only: ID# | a [oli ltr Te [3] OLlLIYhy | Date Received: | s127)U0D uF Name Gawacd J. CAnegece Tithe Peociaty MAawGew Day Phone (2!2 )'783-4°9°2.2_ 24-hr phone ({//7) 2 Cy-270 7 Thro ©. Hesac Title Assi. PeeCE nT 7 HARACE Day Phone (2 12.) 783-0723 24-hr phone C97) F807 f° Name ) Chemical Description Physical and Health Hazards Cheek all that apply Inventory Storage Codes and Locations (Non-Confidential) Storage Locations rE “ CUTTY ODO -Qv tq, jo (spuren] (s)peotaay) HEAVY Dury SPRAY Clean ee frade Secret 4, 4 Ermurcania e (141- 43-5), others Check all that apply; ‘{ [Pure Mix | | Solid Wf Liquid [_] Gas [ ] EHS Loli} Max Amount (code) folt] Avg. Amount (code) ‘= Fire Sudden Release Of Pressure | Reactivity [YL tnnmediare (acute) [ef Pelayed(ehmnic) No. of Days Present Check box if information submitted is Identical to last year Ly G7th Foe CAS COTTOD CO Co secre INSTAAT Mibbew STAI Penwee rade (osos)% ware (732-18 1) (\5-20)% Soon Spleu (ac@ouarg(iz7-Ge-o), orvens (syeorusay) jo (sjawen Check all that apply: ( | Pure [AMix { | Solid [Liquid { ]Gas{ } BHS [Fir O}) Sudden Release Max Amount (code) Of Pressure [| Reactivity Vg. [ep inmesiat (acute) [| Delayed(chronic) a mount (code) [sf eo} x No, of Days Present Check box if information submitted is Identical to last year LI G7 tH Fwok “S CLELLLUDI COO LEAD ACIbd BATTERY | é Trade Secret 4241) Sl [7] Fire Sudden Release OF Pressure =~ fax Amount (code) Check box it information SV tH Fwo cn tr 2% Avr iow (2440 ~3b-o) 2% tereuclioveng 7 7 Reactivity V8 Se r submitted is identical mount (code) to last year (s)peoturay Jo (Sjoureny Check all that apply: [ ] Pure [oYMix [Solid [| ] Liquid [ ] Gas[ ] EHS 0.2% CAiuUA(7449-31-0) Jap SMPHUR LACID ‘ [A Immediate (acute) (A Delayed(chronic) E No. of Days Present [y Certification (Read and sign after completing all sections) ! eertily under penalty of kaw that | have personally examined and am familiar with the infonnation submitted in pages one through , and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate and complete. SOW MARK SON. A EieST Vice PLES DENT OPTIONAL | have attached a site plan O Name and official title of uwner/operator OR owner/operator’s authorized representative Signature Date signed i: 23 NYC 9/411 Public Portal Document