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Home My WebLink About571 Nutmeg Road - Tier II Reports - Fire (3) a Connecticut Department of Energy and Environmental Protection State Emergency Response Commission Emergency Planning and Community Right-to-Know Tier2 Submit Chemical Inventory Report Certification Page Facility/Municipality Information [[Facility ility Name: j Phone: ext. Fax:ail Address who submitted the electronic Tier2 Submit form ' r ess:( _ State* Zip Code: [ ar consists of January 1 through December 31, `J` 0 "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." Signature of Preparer Title Date - SignatGre of Owner or Operator of Facility Title or the Officially,Designated Representative '' Date' o,the Owner/Operator - % Persons who or municipalities that submit a Tier2 Chemical Inventory form must submit a Tier2 Chemical Inventory Certification Page to the State Emergency Response Commission. The Tier2 Chemical Inventory Certification Page may be submitted by scanning a signed copy and emailing to deep.ctepcea@ct.gov OR sending it through the US Mail Service to the following address: State Emergency Response Commission Department of Energy and Environmental Protection Bureau of Materials Management&Compliance Assurance Emergency Response and Spill Prevention Division 79 Elm Street,411 Floor Hartford, CT 06106-5127 Revised 1/14/16 Tier Two Reporting Period: January 1 to December 31,2017 Emergency and Hazardous Chemical Inventory Page 1 Specific Information by Chemical Printed: February 27,2018 Facility Name: Aero-med South Windsor FACILITY IDENTIFICATION: Aero-med South Windsor Dept: 571 Nutmeg Rd. N South Windsor, CT 06074 USA County: Hartford + Fire District: Latitude:41.8 Longitude:-72.6 j J All facility information(not including chemical information)is identical to last year's submission IDENTIFICATION NUMBERS: Dun&Bradstreet:0.68848107 NAICS:424210(Drugs and Druggists'Sundries Merchant Wholesalers) Is the facility manned? [x]Manned [ ]Unmanned Maximum No. of Occupants: 100 REGULATORY INFORMATION: Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? [x]Yes [ ]No Subject to Chem.Accident Prevention under Section 112(r)of CAA(40 CFR part 68, Risk Mgmt. Pgm.)?[ ]Yes [x]No CONTACT INFORMATION: Montovani,Rick Title: Dir Ops Mgmt Contact Type 1: Owner I Operator Contact Type 2: Emergency Contact Address: 4747 Leston Ave Suite 803,Dallas,TX,75247 USA Phones:Work:860-882-0719 ext,223 24-hour:860-982-0519 Email:RMontovani@aero-med.com DeLuca,Tim Title: Operations Manager Contact Type 1:Fac. Emergency Coordinator Address: , , , USA Phones:24-hour:8606822413 Work:8608820832 Email tdeluca@aero-med.com Moore, Kimberly Title: Mgr, EHS Contact Type 1:Tier If Information Contact Address: 7000 Cardinal PI, Dublin, OH,43017 USA Phones:Emergency:614-804-9518 Work:614-804-9518 Email:kmberly.moore@cardinalhealth.com CHEMICAL DESCRIPTIONS: CHEM NAME: LEAD Tier Two Reporting Period: January 1 to December 31,2017 Emergency and Hazardous Chemical Inventory Page 2 Specific Information by Chemical Printed: February 27,2018 Facility Name: Aero-med South Windsor - CAS.-7439-92-1 EHS: No { j Identical to previous year [ ]TRADE SECRET [x)Pure [ ]Mix [x]Solid [ ]Liquid [ ]Gas PHYSICAL HAZARDS: [ ]Explosive { ]Flammable (gases, aerosols, liquids, or solids) [ ]Oxidizer (liquid, solid or gas) [ ]Self-reactive [ ]Pyrophoric (liquid or solid) [ )Pyrophoric Gas ( )Self-heating [ ]Organic peroxide ( )Corrosive to metal [ ]Gas under pressure (compressed gas) [ )In contact with water emits flammable gas [ )Combustible Dust HEALTH HAZARDS: [x]Acute toxicity (any route of exposure) [ ]Carcinogenicity ( ]Skin corrosion or irritation [x)Reproductive toxicity ( )Serious eye damage or eye irritation [ )Specific target organ toxicity (single/repeated exposure) [ ]Respiratory or skin sensitization [ ]Aspiration hazard [ ]Germ cell mutagenicity [ ]Simple Asphyxiant [ )Hazard Not Otherwise Classified INVENTORY: [ ]Below Reporting Thresholds Max Amt: 12761 pounds Max Daily Amt code:06(10,000-24,999 pounds) Avg Amt: 12671 pounds Avg Daily Amt code:06(10,000-24,999 pounds) Max quantity in largest container.2160 pounds No.of days on-site:365 STORAGE LOCATIONS: [ ]Confidential Container Type: Battery Pressure: Ambient pressure Temp:Ambient temperature Location:Throughout facility Amount: 12761 pounds CHEMICALS IN INVENTORY STATE FIELDS: Connecticut requests the following: Mode of Shipment: [ ]Trucks [ )Tank Trucks [ j Rail Car [ ]Tank Car [ ]Pipeline [ ]Barge [ ]Other(Specify) Specify other: Frequency of Shipment: per Maximum capacity per single vessel: Max Shipment Qty(lbs): Ave Qty(lbs): Physical State in Transit: Comments(please provide both the primary and alternate routes of travel): Carrier: CHEM NAME: SULFURIC ACID CAS:7664-93-9 EHS: Yes [ ]Identical to previous year [ ]TRADE SECRET [x]Pure [ j Mix [ ]Solid [x]Liquid [ ]Gas PHYSICAL HAZARDS: [ )Explosive [ ]Flammable (gases, aerosols, liquids, or solids) ( ]Oxidizer (liquid, solid or gas) [ )Self-reactive [ )Pyrophoric (liquid or solid) [ ]Pyrophoric Gas [ )Self-heating [ ]organic peroxide [x)Corrosive to metal [ ]Gas under pressure (compressed gas) ( )In contact with water emits flammable gas [ )Combustible Dust HEALTH HAZARDS: [ ]Acute toxicity (any route of exposure) ( ]Carcinogenicity Tier Two Reporting Period: January 1 to December 31,2017 Emergency and Hazardous Chemical Inventory Page 3 Specific Information by Chemical Printed:February 27,2018 Facility Name: Aero-med South Windsor [x]Skin corrosion or irritation [ ]Reproductive toxicity [ ]Serious eye damage or eye irritation [ ]Specific target organ toxicity (single/repeated exposure) [ ]Respiratory or skin sensitization [ )Aspiration hazard [ ]Germ cell mutagenicity [ ]Simple Asphyxiant [ ]Hazard Not Otherwise Classified INVENTORY: [ j Below Reporting Thresholds Max Amt:2389.1 pounds Max Daily Amt code:04(1,000-4,999 pounds) Avg Amt: 2389.1 pounds Avg Daily Amt code:04(1,000-4,999 pounds) Max quantity in largest container: 1199 pounds No.of days on-site:365 STORAGE LOCATIONS: [ ]Confidential Container Type: Battery Pressure: Ambient pressure Temp:Ambient temperature Location:Throughout facility Amount: 1199 pounds CHEMICALS IN INVENTORY STATE FIELDS: Connecticut requests the following: Mode of Shipment: [ )Trucks [ ]Tank Trucks [ ]Rail Car [ ]Tank Car [ j Pipeline [ ]Barge [ ]Other(Specify) Specify other: Frequency of Shipment: per Year Maximum capacity per single vessel: Max Shipment Qty(lbs): Ave Qty(lbs): Physical State in Transit: Comments(please provide both the primary and alternate routes of travel): Carrier: FACILITY STATE FIELDS: No additional information is required by Connecticut STATE/LOCAL FEES: None. [x] 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 ATTACHMENTS Map.pdf South Windsor Map.pdf Certification(Read and sign after completing all sections) 1 certify under penalty of law that I have personally examined and am familiar with the information subbmitted in pages onethrough 3, and that based on my inquiry of those individuals responsible for obtaining this info n,l.tielievs�that the s�ifted ormation is true,accurate,and complete. Kimberly Moore Name and official title of ownerloperator 2/27/2018, OR owner/operators authorized representative ignature Date signed