HomeMy WebLinkAbout220 Chapel Road - Tier II Reports - Fire TIRE SO
J CENTER
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February 25, 2013
South Windsor Fire Marshal's Office
Attn: Fire Marshal Walter Summers
1540 Sullivan Ave
South Windsor, CT 06074
Dear Fire Marshal Summers:
Subject: GCR Tire Center of S. Windsor,CT(325) -EPCRA 312/Tier II Reports
We are submitting the enclosed EPCRA 312 Tier II Chemical Inventory Report for the GCR Tire
Centers of S.Windsor,CT.This report is also being submitted to the Connecticut State Emergency
Response Commission and the Local Emergency Planning Committee.
Please contact me with any questions or comments. I can be reached at 563-262-5375.
Sincerely,
Ralph Cardona
Environmental Coordinator--Company Owned Operations(COO)
Enclosure(s): EPCRA 312/Tier II Form
cc: Tom Greeno—GCR
Paul E. Crosser—BACS
2000 Bandag Drive * Muscatine, IA 52761 * Phone 563-262-5375 * Fax 563-288-1880
GCRCENTERS F1C44OTDSTIRE
February 25,2013
To Whom It May Concern,
Subject: Electronic Signature.
Tier II submit or E-Plan requiring signatures were signed and sent into the state electronically.
If you have and questions or comments please feel free to contact me anytime 563-262-5375.
Sincerely,
r�7
Ralph Cardona
Environmental Coordinator
Enclosure(s): EPCRA 312/Tier II Form
Cc: Paul Crosser-BACS
2000 Bandag Drive * Muscatine, IA 52761 * Phone 563-262-5375 * Fax 563-288-1880
Tier Two Reporting Period: January 1 to December 31,2012
Emergency and Hazardous Chemical Inventory Page 1
Specific Information by Chemical Printed: February 13,2013
Facility Name: GCR Tire Centers-S.Windsor-325
FACILITY IDENTIFICATION:
GCR Tire Centers-S.Windsor-325
Dept:
260 Chapel Road
S.Windsor,CT 06074 USA
County: Hartford
Number of employees:
Latitude:41.811564
Longitude:-72.610568
Method:Al -Address Matching(House Number)
IDENTIFICATION NUMBERS:
Dun&Bradstreet:932815255
NAILS:44132(Tire Dealers)
SIC:7534(TIRE RETREADING&REPAIR SHOPS)
CONTACT INFORMATION:
Bridgestone Americas Tire Operations,
Contact Type 1: Owner/Operator
Address: Commerical Tire Operations,535 Marriott Drive, Nashville,TN,37214 USA
Phones:Work:563-262-1368 FAX:563-288-1880
Email:CrosserPaul@bfusa.com
Greeno,Thomas
Title: District Manager Contact Type 1: Emergency Contact Contact Type 2: Emergency Contact
Address: , , CT, USA
Phones:Work:860-836-8673 24-hour:860-836-8673
Email:tomgreeno@gcrtires.com
CHEMICAL DESCRIPTIONS:
[ ] All chemicals in inventory are identical to last year's submission
-----------------------------------------------------------
CHEM NAME: Polyurethane Componenet-Part B
CAS:
[ ] Identical to previous year
[ ]TRADE SECRET
[ ]Pure [x] Mix [ ]Solid [x] Liquid [ j Gas [ ] EHS
PHYSICAL&HEALTH HAZARDS:
[x] Fire [ ]Sudden Release of Pressure [ ]Reactivity [x] Immediate(acute) [x] Delayed(chronic)
INVENTORY:
Max Amt:23100 pounds Max Daily Amt code: 04(10,000-99,999 pounds)
Avg Amt: 16800 pounds Avg Daily Amt code: 04(10,000-99,999 pounds)
Max quantity in largest container:2400 pounds
No.of days on-site: 365
STORAGE CODES&STORAGE LOCATIONS:
Container Type: 0 Pressure: 1 Temp:4 Location:Tire Repair Area Amount:23100 pounds
Tier Two Reporting Period: January 1 to December 31,2012
Emergency and Hazardous Chemical Inventory Page 2
Specific Information by Chemical Printed: February 13,2013
Facility Name: GCR Tire Centers-S.Windsor-325
CHEMICALS IN INVENTORY STATE FIELDS:
No additional chemical information is required by Connecticut
------------------------------------------------------------
CHEM NAME: Polyurethane Component-Part A
CAS:
[ ] Identical to previous year
[ ]TRADE SECRET
[ ] Pure [x] Mix [ ]Solid [x]Liquid [ ]Gas [x]EHS
CHEMICAL COMPONENTS:
[x]EHS, CAS:584-84-9,Component:Toluene-2,4-diisocyanate,4.8%Wt
[x]EHS, CAS:91-08-7,Component:Toluene-2,6-diisocyanate, 1.2%Wt
PHYSICAL&HEALTH HAZARDS:
[x]Fire [ ]Sudden Release of Pressure [x] Reactivity [x] Immediate(acute) [x]Delayed(chronic)
INVENTORY:
Max Amt:23100 pounds Max Daily Amt code:04(10,000-99,999 pounds)
Avg Amt: 16800 pounds Avg Daily Amt code:04(10,000-99,999 pounds)
Max quantity in largest container:2460 pounds
No.of days on-site:365
STORAGE CODES&STORAGE LOCATIONS:
Container Type: O Pressure: 1 Temp:4 Location:Tire Repair Area Amount:23100 pounds
CHEMICALS IN INVENTORY STATE FIELDS:
No additional chemical information is required by Connecticut
------------------------------------------------------------
FACILITY STATE FIELDS:
No additional information is required by Connecticut
STATE/LOCAL FEES: None.
[ ] I have attached a site plan
[ ] I have attached a list of site coordinate abbreviations
[ ] I have attached a description of dikes and other safeguard measures
Certification(Read and sign after completing all sections)
I certify under penalty of law that I have personally examined and am familiar with the information submitted in pages one through 2,
and that based on my Inquiry of those individuals responsible for obtaining this information,I believe that the submitted information is true,accurate,and complete.
Paul E. Crosser, Environmental Services Mgr. 02/21/2013
Name and official title of owner/operator
OR owner/operator's authorized representative Signature Date signed
Tier Two Emergency and Hazardous Chemical Inventory
Reporting Period From January 1 to December 31, 2012 Page 1 of 1
Facility Identification Owner/Operator Name
Name GCR Tire Centers-S.Windsor-325 Name Bridgestone Americas Tire Operations Phone 563-262-136
Street 260 Chapel Road AMa
ddress Commerical Tire Operations, 535 Marriott Drive
city S. Windsor county Hartford state CT zip 06074 city Nashville
Latitude 41.811564 Longitude -72.610568 country USA State TN zip 37214 country USA
Mailing Address (if different from facility address) Emergency Contact
Street Name Thomas Greeno Title District Manager
City State zip country Phone 860-836-8673 24 Hr.Phone 860-836-8673
Name Title
NAICS Code 44132 Dun&Brad Number 932815255
Phone 24 Hr.Phone
m
Chemical Description Physical and Inventory d Storage Codes and Locations
Heath Hazards �_ a E (Non-Confidential)
❑ Check if all of the information for this chemical is
identical to the information submitted last year Fire 04 O 1 4 Tire Repair Area
- - - - - - - - - - - - - - - - Max.Daily
CAS Trade Secret E] ❑ Sudden Release Amount(code)
of Pressure
hame Polyurethane Componenet - Part B ❑ Reactivity
04
N a m Avg.Daily
® Immediate(acute) Amount(code)
Check All ❑ Z ❑ Z ❑ ❑ ❑ Delayed(chronic) 365
No.of Days
That Apply Pure Mix Solid Liquid Gas EHS On-site(days)
❑ Check if all of the information for this chemical is
identical to the information submitted last year ® Fire 04 O 1 4 Tire Repair Area
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Max.Daily
CAS Trade Secret ❑ ❑ Sudden Release Amount(code)
of Pressure
Chem. 04
Name Polyurethane Component - Part A ® R°'eti°ity Avg.Da ily
® Immediate(acute) Amount(code)
Check All ❑ Z ❑ Z ❑ ® ® Delayed(chronic) 365
No.of Days
That Apply Pure Mix Solid Liquid Gas EHS I 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 1, ❑ 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 complete. ❑
I have attached a list of site coordinate abbrev ations
Paul E. Crosser, Environmental Services Mgr. 02/21/2013
I have attached a description of dikes and oth r
Name nerand official title of prized represeatorntative
Signature Date signed safeguards measures
OR ownerloperator's authorized representative