E/0 £>l Dt Page 1 of t pages
Form Approved OMB No. 2050-0072
Facility Identification Owner/Operator Name
Name Genuity New York City - Telecom Name Genuity Solutions Phone (781)262-4000
Tier Two Street 2 World Trade Center Suite 11060 Mail Address 235PresidentialWay,WoburnMA01888-41^
EMERGENCY City New York County State NY Zip 10048
AND emergency Contact
HAZARDOUS SIC Code 4813 Dun & Brad Number 00-176-3499
CHEMICAL Name Ed Saiya Title Route Manager
INVENTORY Phone (212) 938-0800 24 Hr. Phone (917) 763-7798
FOR I ID# ]
Specific OFFICIAL Name William Irwin Title Mgr. Envir. Comp.
Information USE I Date Received ] Phone (781) 865-3860 24 Hr. Phone (617) 529-3762
by Chemical ONLY
Important; Read all instructions before completing form I Reporting Period From January 1 to December 31, 2CXX) I [ ] Check if information below is identical to the information submitted last year.
£
Physical g s Storage Codes and Locations (0
Chemical Description and Health Inventory S(0 a g
Hazards
(check aN that apply)
II £
a. I
(Non-Confidential)
Storage Locations
K
o
Trade
CAS 7664-93-9 Secret [] Fire Max. Daily E 1 4 Electrolyte in Lead Acid Batteries
Chern. Name Sulfuric Acid/Battery Electrolyte [ ] Sudden Release I 0 I 3~| Amount (code) Battery Room in Building
of Pressure
Chockall [] [X] [] [X] [] [] X] Reactivity I 0 I 3 1 Avg. Daily Amount
that apply Pure Mix Solid Liquid Gas EHS X j Immediate (acute) (code)
EHS Name Sulfuric Acid__________________ ] Delayed (chronic) I 3 I 6 I 5 I No. of Days []
On-site (days)
Trade
CAS Secret Fire Max. Daily
Chern. Name Sudden Release I I ] Amount (code)
of Pressure
Checkall [] [] [] [] [] [] [] Reactivity I r ] Avg. Daily Amount
that apply Pure Mix Solid Liquid Gas EHS [] Immediate (acute) (code)
EHS Name _____________________________ [] Delayed (chronic) I I I J No. of Days []
On-site (days)
Trade
CAS Secret I] Fire Max. Daily
4-
Chern. Name [ ] Sudden Release I I ] Amount (code)
of Pressure
Checkall [] [] [] [] [] [] [] Reactivity I I J Avg. Daily Amount
that apply Pure Mix Solid Liquid Gas EHS [ ] Immediate (acute) (code)
EHS Name _____________________________ (] Delayed (chronic) I I I J No. of Days []
On-site (days)
Certification (Xead and sign after completing all sections) Optional Attachments
I certify under penalty of law that I have personally examined and am familiar with ation submitted in pages one through 1 , and that based [ ] I have attached a site plan
on my inquiry of those individuals responsible for obtaining the information, I beliei
William Irwin, Manager Environmental Compliance
si^n^ed information is true, accurate, and 5ffr/ei [ ] I have attached a list of site coordinate abbreviations
[ ] I have attached a description of dikes and other
Name and official title of owner/operator OR owner/operafor’s signature^ Date signed safeguards measures
authorized representative
NYC-WTC_000169161
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000169161Source: NYC Law Department, mirrored locally