Hazardous Substance Filing Notice, Fire Department, undated

NYC-WTC_000169011 Revised [hay . portant: Read all instructions before completing form Reporting period: From January | to December 51,2609 Page 3 of @: pages NEW YORK CITY Sweet 7 Woels TRAE CENTE Right-to-Know FACILITY City Nes YORI, Name SACOHOAI SHiIr# BARVEY Horonines , WC iF 4 State MY Zipt4 /004H - 1196 Name SAwacy Sanity GAcuey Phone( 212) 7&2 7EOCC Mail Address. SAME INVENTORY ‘Telephone (212 _) ‘783-7a0g _ County FORM TIER TWO SIC Dun & Brad. ; Code ABE Number For Official Use Only: WH | BOND ATTE IPS CEES. Tole] (zlel3] Lge d+ ir] | Date Received: | s1omuoD Name Epwaen J. CAnegeee Title Peere cts HacaGe eT Day Phone (212 )782-S 22 24-hr phone (G17 )ecsy- 2757 Name [it _O. HEsvAS Title Asst. PPGcE RT HAMAC Ed Day Phone (212) 74.2 -f2,724-hr phone (7/7) FEC-3 767 Chemical Description Physical and Health Hazards Check all that apply Inventory Storage Codes and Locations (Non-Confidential) Storage Locations a a | BiosPECSE 2sr Niceopioc: dE is °/ LYUTA (s)yeorursy) jo (spurenl Check all that apply; ‘| JPure WAMix | | Solid (Liquid (_} Gas { ] ENS ] Fire Sudden Release Of Pressure [| Reactivity [J Iminediate (acute) [4 Delayed(chronic) [ole] Max Amount (code) folz] Avg. Amount (code) Biels) No. of Day's Present 4Atu ciooe (ecauit ) Check box if information submitted is identical to last year Ly CAS Trade CETTE TT) C1 (2 secret RBiosreese 257 Miceggiocide, 2S %p TAs 4 nett Vit eonertAve (i26-n-4) 17% totnaipe pe (yo-co- ¢) Check all that apply: { ] Pure [ Mix { ] Solid [FLiquid { } Gas{ }] EHS (s)pestmsy> jo (S)oureny [] Fire Sudden Release Of Pressure [] Reactivity [4 Immediate (acute) [/] Delayed(chronic) ofa] Max Amouat (code) 36 [y | No. of Days Present 4oth.c.0o@ (Piaut) Check box if information submitted is identical to last year T S TTTTLLUI CU oo, u fo) 5x ny S25 %, (7ogi-s2-4) SOdwwH_ bY veoxi ns 0.1 PO. “Cy (219 -73-2) : Check all that apply: (syeormayD Jo (Sjameyy [ |] Pure [Mix { | Solid [Liquid [ ] Gas { ] EHS Fire Sudden Release Of Pressure [J Reactivity [Y hnunediate (acute) Delayed(chronic E Max Amount (code) Avg. Amount (code) 2 161s No. of Days Present 4G 7th CLoo? r te Check box if information submitted is Identical to last year [4 NYC 9/11 Public Portal Document Certification (Read and sign after completing all sections) { certily under penalty of law that [have personally examined and am familiar with the information submitted in pages one through , and that based vn my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate and complete. site plan JOHN MareKkSou Fi@sr Vice PREsipenT LC Naine and official title of owner/operator OR owner/operator’s authorized representative Signature | to 23 OPTIONAL | have attached a Date signed