Hazardous Substance Filing Notice, Fire Department, undated

NYC 9/11 Public Portal Document

Revise l I t ,, - iporlant: Read all instructinn.v befn•e currrnlelink form Renorline neriod- From - ---, I .- lnnnnry ----- to I)eerinher s • -tnao ----- ----• - -- .lu•,.,n ..b., f p ~d1:1- YORK Name _ SQt _ dh~N sNrftt Qbt2 v~ y /fO~ptvEr. iaC. CI'f1, Street NameSAt___ SH/flf ___ Phone(?r~ 7 3 7c~aG Right-to-Know W__ _ TRAP F CEu-Et2- Mail Address _ SANE FACILITY L city , J _y_Qgrc.. State N Y Zip+4 loo y3 - it A INVLN•I.OR1' ~: cieIthune (_ Z tL -7000_ County Name l-ur✓p2~ J. Cht7PQ LL Title I ORM f- •V/(' Dun & Biad. I•II:R'I WO Day Phone z I Z _ 24-hr phone P HH (welt' b ZJ 'Ill Monber b it l i t 1613 1 LSif Ic'lii n Name rt To O. MaS' nr Title 1•'w U//icitrl Use On/u: IDII v Day Phone LZI L )7~,,;;-~ ~'2 3 24 hr phone` -_-_PI1 I Dale Received: Physical and Storage Codes and Locations Health (Non-Confidential) Chemical Description Hazards Inventory Storage Locations Check all (hat npph' v f' i\S El rn m ❑ trade ❑ Soctet ( " J'Firc SuddenRcleaso iblaYAntuunt(cv(le) al y NpL26 Uv LEJF_L Check if x

O v .l?iESEt.. G Fu .. to0% (6 .476 S'-6t ❑ Of Pressure infomtation CI °/o i1Ap(ITAI►cE/JE ~tt-Zr✓- ~) UESfr^r ~Sr (3 1 OF submitted Reactivit y is identical ❑ Avg. Amount (code) e (~ > u to last year 2 _ Innaediatc(acute) b C ec'k tell that app/t': Dchryed(chmnic) [ J Pure [ Mix [ ( Solid t4 Liquid [ ) Gas [ I EIIs ❑ No. ojUajs Present CAS Trade 0 2 x ❑ ❑ ❑ Secret ❑ ❑ Fire if Sudden Release Max Amount (code) l 41Si (= t-o o iz MTh A t.R _ _ L S E __ GLCSS ❑ Of Pressure information C n submitted ;n t0 /7-'1". t1 -a(rW-i D(nlrra 7y(, X '771 is identical •~ r-----~- ❑ Reactivity Q j"'/' ZruC vk_S__A_E (`177y1 06) tg. mount (code) to 18s1 year c3 Immcdiatc(acutc) 7 %4 Cr#y— WG•c 6i fco1. ~(p7Lrl Check all that apply: J ❑ I I Pure I&rFAix [ I Solid [y)'Liquid [ ) Gas [ ENS ('AS •FradeI Dclayed(chmnic) No. ofDays Present ~1•—I I I I❑❑ Secret ❑ Firc loll 1 Check box Sudden Release Mar Amount (c ode) if PrJxy Tl~tti►uEfZ ELI ti (pot 'p Y Of Pressure information y ro y0% ~y~u~ ( t3 z0z oi) submitted ❑ Reactivity o I is identical •~ _ o E- t I4 L. %-I ~ICt00y r 4 ~ Ylj, mount (code) to last year f HL-fl t . 1SO GQ i L (~(%ror, " I/0 l0~~ Immediate (ucule)

Check all l/ta! u!!> >lv: . Dclaycd(chronic) i ❑ ( ] Pure [✓)'[Nix I I Solid I4 iquid [ ) Gas [ ) EMS r " ' No. of Days Present Corti/leation (Read and sign after completing all sections) I eel lily under penalty ul' law that I have personally examined and am OP'1IONAL familiar with the iufonnation submitted in pages one through _ and that ased oil my inquiry ol'those i ndi vidua ls responsible for obta in ing the information, I believe that the submitted , I have attached a information is true, accurate and complete. site plan TONQ HAiLKS(3 FtR T mice PREStbE~T ❑ N,at to and official title ol'owner/operator OR owner/operator's authorized representative Signature Date signed

23

NYC-WTC 000169009