Hazardous Substance Filing Notice, Fire Department, undated

NYC 9/11 Public Portal Document Revised tbo ay _ portant: Read all instructions before completing form Reporting period: From January 1 to December 51,7009 Page of & pages } NEW YORK ee on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate and complete. TOWN HAarKkSav. FIRST VICE PRESIDENT CITY Name SAtongn SH/TH BARNEY HoediyES f4C. |. Name SAwHou Sate Gacuéy Phone( 2/2 ) 783-7000 Right-to-Know | § Steet_°2_ Weetp TRADE CEeyree i Mail Address _ SAH E FACILITY | 2 City Yes yee State WY Zipt4 /00 43-96 _ = — TT — ORM. Y E ‘Telephone (212 _) 7632-7000 _ County Name Govan J. CAMPBELL me Phofe “ tiAWAe — FOR SIC Dun & Brad. ., Day Phone (2:2 ) 793-923 24-hr phone ( (!7 ) 2e)> 278 TIER TWO} 2 Code Meant Number Lol! J Li 16 Lz] Lele ly ir] tl Name Tito ©. Hesias Title Asai. Pacentiy Manad . § Day Phone (212 )783-¥V2 2 24-hr phone (9/7) 766-3467 lor Official Use Only: IDI | Date Received: bd Y ( P Physical and Storage Codes and Locations to. Health . (Non-Confidential) Chemical Description Hazards Inventory 5 i Storage Locations Check all that apply - of As ayaa 6) Sudden Release Max Amount (code) l 4 UNDECEQIUL LEVEL information sa DIESEL FUEL (00% (68476 J4- OF Pressure WESTEEN HOST Bayi OF is ientleal = OL? c -20- 28 = it Le (22 [J Reactivity LeAnne Dock to last year v € Avg. Amount (code) 5 4 [7 Immediate (acute) (Ziel [+ 1S) Check all that apply: [A Delayed(chronic) | avg of Days Present | JPure [AMix | | Solid Wf Liquid [ )Gas{ ) EHS iat — CAS Trade x T | Fire 0 jz if | | | | | i C] Secret C] Sudden Relcase Max Amount (code) EF ] 4 41 ST F.I00€ information — — DTH Actyuc SéHi-Gtoss Of Pressure subsnitted of . 18 identica a = (2: % Tirhnivn LID E Reactivity to last year Z 2 2.9% 2m empseuavé (7779909) U immediate ( Vg. Amount (code) 3 k 42%, Eryyebt bly Cor {ie 724i ) [Y munediate (acute) B Ter C Check all that apply: " No. of Days Present { | Pure [Mix [ ] Solid (ALiquid [ ] Gas { ] EHS [A Delayed(chronic) , CAS ] Trade [0 | Check box . Fire if | J | | | | | UI Secret Sudden Release Max Amount (code) FL UY 47th Fio0e "S| information $a Eeott THNVee ) OF Pressure “{ submitted ~ = 4 = (1220207 is identical 28 <2 fo ANGNE (1220 [] Reactivity to last year & e 10%, etuye BELZELMCOOY ) Avg. Amount (code) a Py & SO, HETHIL ISOGUTYL Ketone fi 0) [A Immediate (acute) goG C Check all that apply: [7 Delayed(chronic) No. of Days Present [ | Pure [Mix [ | Solid [Liquid [ ] Gas [ ] EHS 1 OF As © resel Certification (Read and sign after completing all sections) OPTIONAL [ vertily uuder penalty of law that { have personally examined and am familiar with the infonnation submitted in pages one through , and that based | | have attached a site plan L Narpe and official title of owner/operator OR owner/operator's authorized representative Signature Date signed + 4 NYC-WTC_000169009 23