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Hazardous Materials Report Form, 7 World Trade Center

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New York State Department of State form requiring businesses to report hazardous materials presence for fire safety compliance.

NYC-WTC_000169137–000169143

Folder label: “7 World Trade Center Blue Prints Haz Mat Info Fire Reports Fire Prevention Records

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NYC 9/11 Public Portal Document

FIRE DEPARTMENT >) Mi-tko I’KCii Ci;\ i BKOOkl.VX. N.Y. I 120

‘Newlork^ To: "" Unit Date;

From: Toxic Substance Unit, F.D. Hqs., 7' Floor

Subject: Hazardous Substance Reporting Information

Premises: ___________

This package contains the following information;

I. Reoorting Form Submission

Original Submission

□ Chemical Inventory has changed since last year due to;

□ The addition of EXTREMELV HAZARDOUS SUBSTANCES (EHS) on site

□ Increase in the quantities of hazardous substances on site

□ Decrease in the quantities of hazardous substance on site

□ Chemical inventory has not changed since last year’s report.

II. Hazard Information

EXTREMELV HAZARDOUS SUBSTANCES (EHS) on site

□ LARGE QUANTITIES OF HAZARDOUS SUBSTANCES on site

□ Hazardous Substances on site

III. Hazardous Substance Reporting Form

Tier II Form / Facility Inventory Form

eT Material Safety Data Sheets (MSDS). **Copies of MSDS can be obtained by calling the Toxic Substance Unit or at the facility.

□ Previously forwarded MSDS not included in this package.

For any clarification of the above information, contact the Toxic Substance Unit at (718) 999-2125,26 Fax; (718) 999-0034.

PJG:SCM;dp

NYC-WTC_000169138

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NYC-WTC_000169138Source: NYC Law Department, mirrored locally

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