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HomeMy WebLinkAbout200 Sullivan Avenue - Tier II Reports - (2) 0 FUSS&O'NEILL Disciplines to Deliver 0146 Hartford Road,Manchester,CT 06040 1178 Interstate Drive West Springfield,MA 01089 M275 Promenade Street Suite 350 Providence RI 02908 TEL:(860)646-2469 FAX:(860)533-5143 TEL:(413)452-0445 FAX:(413)846-0497 TEL:(401)861-3070 FAX:(401)861-3076 ❑893 Main Street,Manchester CT 06040 045A Main Street,Lakeville,MA 02347 ❑80 Washington Street,Suite 301,Poughkeepsie,NY 12601 TEL:(860)646-2469 FAX:(860)432-1497 TEL:(508)946-1747 FAX:(508)946-1563 TEL: (800)394-8081 FAX:(845)452-5186 ❑56 Quarry Road,Trumbull,CT 06611 ❑1419 Richland Street,Columbia,SC 29201 ❑24 Madison Avenue Extension,Albany,NY 12203 TEL:(203)374-3748 FAX:(203)374-4391 TEL:(803)376-6034 FAX:(803)376-6035 TEL:(518)218-0606 FAX:(518)218-0606 ❑610 Lynndale Court,Suite E,Greenville,NC 27858 TEL:(252)355-1370 FAX:(252)35.5-8186 Letter of Transmittal To: Walter Summers Date: February 22,2013 South Windsor Fire Marshal's Office Project No: 1999364.A35 Task No: 0030 1540 Sullivan Avenue South Windsor,CT 06074 Re: The Nuway Tobacco Company 2012 Tier II Telephone No: We are sending you: ®Attached ❑ Under Separate Cover ®via 1st Class Mail ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Specifications ❑ Copy of Letter ❑ Change Order ❑ Reports ❑ Other Copies Date No. Description 1 February 1 2012 Tier II 22,2013 ❑ For approval ❑ Returned loaned prints ❑ Furnish as submitted ❑As requested ❑Return signed original ❑ Furnish as noted ® For your use ❑ For bids due ❑Rejected ❑ For review&comment ❑ Submit copies for distribution❑ Resubmit copies for approval C: Andrew Douglas,The Nuway Tobacco Company Walter Summers,Fire Marshal Signed:Neil Hickey,P.E.,Project Manager SERC c/o DEEP G:\p99\99364\A35\Deliverables\Tier II\Fire Marshal Trans.doc Connecticut Department of Environmental Protection State Emergency Response Commission Tier2 Submit Chemical Inventory Report Certification Page Facility/Municipality Information Facility Name: The Nuway Tobacco Company Facility Phone: 860-289-6414 ext. 215 Fax: 860-291-8705 Person's Email Address who submitted the electronic Tier2 Submit form:scarver@fando.com Facility Address: 200 Sullivan Avenue City/Town: South Windsor State: CT Zip Code: 06074 Telephone: 860-289-6414 ext. 215 Reporting year consists of January 1 through December 31,2012 "I have personally examined and am familiar with the information submitted in this document and all attachments thereto,and I certify that based on reasonable investigation,including my inquiry of those individuals responsible for obtaining the information, the submitted information is true,accurate and complete to the best of my knowledge and belief.I understand that a false statement in the submitted information may be punishable as a criminal offense,in accordance with Section 22a-6 of the General Statutes, pursuant to Section 53a-157b of the General Statutes,and in accordance with any other applicable statute." Sig q r arer Title Date 22 �7 Vice President, Fuss&O'Neill Er' P.'E er, P.E. Si of OWer or Operator of Facility or the Title Date Officially Designated Representative of the Owner/Operator Process Engineer,The Nuway Tobacco Company Andrew Douglas Persons who or municipalities that submit a Tier2 Submit Chemical Inventory form by e-mail,must also submit a signed Certification Page to the State Emergency Response Commission at the following address: State Emergency Response Commission c/o Department of Environmental Protection Bureau of Materials Management&Compliance Assurance Emergency Response and Spill Prevention Division 79 Elm Street,4'h Floor Hartford,CT 06106-5127 F:\p99\99364\A35\Deliverables\Tier II\Tier 11 Certification Page 2012 RY.doc Tier Two Emergency and Hazardous Chemical Inventory Reportinq Period From January 1 to December 31, 2012 Page 1 of 2 Facility Identification Owner/Operator Name Name The Nuway Tobacco Company Name Charles Shepard Phone 860-289-64 4 street 200 Sullivan Avenue Mail P.O. Box 415 Address city South Windsor county Hartford state CT zip 06074 city East Windsor Hill Latitude Longitude Country USA state CT zip 06028 country USA Mailing Address (if different from facility address) Emergency Contact Street P.O. Box 415 Name Andrew Douglas Title Emergency Contact city East Windsor Hill state CT zip 06028 country USA Phone 860-289-6414 24 Hr.Phone 860-335-2 91 NAILS code 312229 � Dun a i3red Number 80-014-2291 Name J.E. Shepard Title Emergency Cont act I Phone 860-289-6414 24 Hr.Phone 860-614-1 19 Physical and m Storage Codes and Locations Chemical Description Inventory i d a Heath Hazards E (Non-Confidential) Check If all of the information for this chemical is identical to the information submitted last year ® Fire 04 A 1 4 Outside main facility building, north side - - - - - - - - - - - - - - - - - - Max Daily cas 68553-00-4 Trade Secret © ❑ of Pressureease Amount(code) Chem. Fuel Oil, No.6 Reactivity AvgO.o lly Name Immediate(acute) Amount(code) ❑ ❑ ❑ ❑ ® Delayed(chronic) 365 Check All No.of Days That Apply pure Mix Solid, Liquid Gas EHS On-site(days) Check if all of the information for this chemical is l� identical to the information submitted last year L Fire 04 O 1 4 Southeast corner of building - - - - - - - - - - - - - - - - - - - - - Max-Daily cAs 1 07-22-2 Trade Secret D ❑ Sudden Release Amoum(eode) O 1 4 West side of warehouse LL of Pressure _ Chem Reactivity 04 Name Glyoxal, 40% Solution Amount Immediate(acute) Check All ❑ x, ❑ ® ❑ ® ® Delayed(chronic) 365 No.of Days That Apply pure Mix Solid Liquid Gas EHS On-site(days) Certification(Read and sign after completing all sections) Optional Attachments I certify under penalty of law that I have personally examined and am familiar with the information submitted in pages one through 2, ® 1 have attached a site plan and that based on my inquiry of those individuals responsible for obtaining this Information,I believe that the submitted information Is true,accurate,and complelle. ❑ Andrew Douglas, for Nuway Tobacco 2/21/2013 I have attached a list of site coordinate abi viations Name and offlcfal title of ownerloperetor I have attached a description of dikes and o er OR ox nerloperator's authorized representative Signature Date signed safeguards measures Facility Name: The Nuway Tobacco Company Tier Two Continuation Page Page! 2 of 2 Physical and d W Storage Codes and Locations - Chemical Description Heath Hazards Inventory a (Non-Confidential) Identical of theheInf Information bmfor ttis edlastycalis ® 04 B 1 4 Outside northwest corner of building ® Identical to the information submitted last year Fire - - - - - - - - - - - - - - - - - - - - Max.Daily CAS 67-63-0 Trade Secret E ❑ Sudden Release Amount(code) Of Pressure Chem ❑ Reactivity 04 Name IPA Avg.Daily pp(( ® Immediate(acute) Amount(code) Check All L�! ❑ ❑ ❑ �I ® Delayed(chronic) 365 No.of Days That Apply pure Mix Solid Liquid Gas EHS On-site(days) I� Check If all of the information for this chemical Is �J identical totheinfonnation submitted last year ® Fire 04 D 1 4 Southeast corner of building - Max.Daily CAs 112-27-6 Trade ❑ ❑ ofPressureease Amount(code) D 1 ? 4 West side of warehouse Chem Reactivity 04 Name Triethylene Glycol amvg allele) Immediate(acute) L Check All ❑ El ® El ED No.of Days ® Delayed(chronic) 3 V 5 That Apply pure Mix Solid l.Iquid Gas EHS On-site(days) .... _. GRAVEL DRIVE \ RIT.PAVEMENT I - rim No. 6 Oil ❑O Isopropyl Alcohol 20.000—Gallon BIT PAVEMENT Offl----I`55 ""O^ Drums I 10.000—Gallon Above Ground (Quantity Varies) Under Ground Storage Tan Storage Tan I I 270—Gallon Totes / (Quantity Varies) r ICI NUWAY ICI I 2010 BUILDING TOBACCO N m ADDITION a = COMPANY <V g 2010 BUILDING R ADDITION N O a LL ti IL o I Tnethybne Glyca z 55—Gallon Drums 2 o (Quantity Varies) n Glyoxa1. { s 270—Gallon Totes D (Quantity Varies) ' 91T.PAVEMENT i I � 0 w SULLIVAN AVENUE ROUTE 194 a < w.F N 0 SCALE PRO.No.:1999364.A33 VER.:NTs THE NUWAY TOBACCO COMPANY DA :JANUARY 2011 MART.: FUSS & OWEILL DATUM: HORz: SITE PLAN VERT.: - tj Disciplines to Deliver FIG. 1 MANC146 TFORD ESTEkCOND 200 SULLIVAN AVENUE s � rrnrresas�n,coNrlecrccDxo6aao i > 860.6462469 SOUTH WINDSOR g CONNECTICIIT'