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648 Sullivan Avenue - Tier II Reports -
- - farm APPrawerr pMr3 tJu.JQStl,i}Q72 Facility Identification Ownerloperator Name tdamtr wwA W AJ Name t .( a< Phan Oil 71t'r Two 5trcrAt (, t..Lt l V 0 _ _ Mail Address 44_j U 1RZv&') Av EMERGENCY City �c�_S.s�t� � County - `ytato ZIP AND iwmargenCy Contact HAZARDOUS NAK'S Dun&Brad Number �,"�► �» CHEMICAL. Name 4&4jjgW-Ak 00 Tide,INVCf7iRY Whono 24 Far,Phone Q f FOR iyrartjlc OFFICIAL _ Name Title Xajarrnatlon USE 10616 Received .. . , Phone 24 Hr,Phone htr t"fremlcat ONLY forparrammfr Read aU instrucllow before comVlefing fermi Reporting Period From January t to December 31,20 i) cheek If intnrmagi"boMw is identical to the inform6ilon submitted Iasi year. Physical Storage Codes and Locations ro Chemical Description and Health Inventory � � � (Non-Confidential) 0 Hazards w m (check till thar tamp! CL x�ilm.7ra pcttflurt� Q Tradb CAS 14 % 2 s®met a Fire Mnx Dally . ""T"" IVIAOC& Chad►. erne = s i S ,_.. . i I Sudden Release Amount(cads) 1 of PressureT ns*.on �v �_ � .�.. ,.. 1 „ Reactivity _ .AVO.Daily Amount _ that apply Pur. Mix Solid Ltautd C'an UIS Immediate(acute) code HS Name 11 Delayed(chronic) 3 1 LEj No.of Daya Owalfe(days) trade GAS d ` apt F�ire Max.wily, � � _ JNA a 1 Chern.Name Sudden Release Atnrtttnt. cads) Y"I o .... of Pmasure clrer* tt ) [1 Reactmy Avg.Daily Amount that apply P400 MIX SOW U4t 0 Gus CHS immediate(acute) FktS Name [] Gtrr€ayt:d(chronic) .. �j..!jjA e�days) [.� Tmde GAS Senact [i Fire Max.Daily Chem, erne [i Sudden Release Amount(cede) of Pressure rnedr all j [1 Reactivity Avg.gaily Amount that apply Pure Affix gelid Liquid Goa ells [j immediate(awe) Code EHS Narne ��....._ [i Delayed(chronic) � �Nd,of pays i, [ Ori-afte(days) Certification {,kea an s7- er<'t}rrFeang all ser.Ttatirs), Optional Attachments I certify under penalty of taw that I have perzoWly examined and arts farnlhet watt the dnforrrtotto utrm a d i go o through � � .and that based I have attached a site plan on my inquiry of arose ind vt owl retspanSiUl&tar alylaining the Waffnation.I begve that I f true„acavrate, d ccimplata. (] I have attached a fist of Site e4dfdthate abbrevlations t-d.-t t have attached a desmip0h of dikes and other Name and official age of ownertaparolor OR ownorloPeratar`s i�r�tarc: - eta signed Safeguards measures authorized representative EPA Form No, 8700-30 QMB Control No. 2050-0072 Page '7 cif777 � Additional PhysicaVand C` 1 Y t f- ♦ 15 Reporting Ap Y Locationsr Information :.Hazards Temperature) (Optional) tkt 6M-Ck d infi3nalk011 below is araOMIUM.10 ttW 100rrnallor:sut3r'nr°1ed Fire Maximum Amount Gant;Clerttral IHat ytaar ( flange Corte: C1 Yes fz�No Cieldw 't Reporting a Sudden �1 Thresholds ftaxicsaec at (optional) Chemical Name: i Pressure Average Daily CAS No. 4,Z4'74""!qC`-I C7 Reactive Amount Range Cade: ; 0 State or Ladet SHS: Yp5 C] No i;e immediate J Rt quiramttni.a (Acute) a t, J Solid ! Liquid Q Gas Cl Ttade Secret i © Delayed ;Chronic) No.of days on site, Ch,erk if information below is identical to tho inlotmilon aclbmitteAd wire Maximum Amount r;pntitfsnt al; 11 Below last year. (Total Mixture) 0 Yes P9 No Reporting Sudden Range Code, Thresholds Mixture at Product Names I as lA+v, �5176 (optional) Release of (pp ) CAS Na. 0Not Available Pressure Average Daily Amount('Fetal I i CI Reactive Mixtur(i} �ltd) 1 0 State or Local Cl Solid (9 Liquid C3 Gals C Trade Secret Range Code: Requirements EHS: Yes 0 No � � immediate _._ (Acute) E.HS(s)Name(if applicable), C3elayed No.of days on silt#:tChronic) i CAS No. �k 3 EW}�rrrt��ll�Amount of Non-EHtS(s)Name(optional)- each IaFIS in ttm Mixture Range Cade: Optional Atrarclunowk: I have atiadled a:.its plan CI 3 Itara S111000 U 1 W#orsi€v a+3t Wifl:#tt;;tl:brv: 1364 t; to i hair aatui.lacll at<l+.�ripu�an a!dilc:t:uul ntlacr rut'ctau.rrd mcnsurrz. Cm,ck if information below is identical to the inlormation submitted last year_ Reporting Period:January 3 t;December 31,20JLT "u`" vw E , o-� Tier Two Emergency and Hazardous Chemical Inventory � a Specific Wortration by Chemical Facility Ideraftficatiion Maximum No-of ants: Manned CiUnmar ned 0 NIA � � 1 Slresr Co 20 � c ....._.....ktl ....... _— ..,. ' _..._..._.. .tAv � '.. '.........._� _.. f ........ t ......................._._. _.._........... Latitude a ;„ Longrnx* NAILS Q;da Phone,,'Number loPtivne 4 1. t _._t : -.....................-....._..... _...w... .'..�►�.�..." . ` #x't -----_ - `"-� _��__.._..._.=��1 t5_-� Dt,o&Smostreet Number TRI Facility 1D. RUP F'ercilgy ID `"t _ ONA N/A Subject to Emergency Planning under Section 3Q2 of FPCRA 440 CFR part 3551? yes No a ySubject ka ChernEcai Accident Revention.under Section 112{r)&CAA�40 CFR part e3 Rrsx',',LnageM:er t F-ec,arr.? ®yes c{t tNia ........__.__�. .._....._. €v.-ner or Operator Information ~ Parent Company Information(optional) I l I)ar i i, r e Dun&6redefreet Number, i L k3[Erz s5 dress t �_.... a pf+i^.tir;.tit:frsrPrt'+r ._...._.._.. Et7'$S4 � Phone Number Facility Emergency Coordinator(if applicable) Tier tl InforrtaAim Contact i i ;Name ritk- �,Name Tip es VFrrefr'�4rtdrass Email Address i 24atour Phone Phone Number Pt:crkr°t'�;amber 3 �y fE Emergency Contacts ' f y tyt_: o f" rzcc Me §�f i Phpar e�Ivmtsar 24-hoar Phor a Phott®14armNw 24-hour Phone i i.-.� .G.. ............... . i r , Reporti RAuhes f'rrtcatiitn r/taa:«a.0 sign ta,.TrFur:fteL''t#n atf.setrieansP 3 t iS" ht Rams in pqunfj> {{ ltsngrr f'wle F rOM I'o uri:ur} saaT+.c eft l; v that l havc ivrua€r,•liy aN.�x irrtacd and tha iah 'ton.ulnl itwd rn paxc trio:.thmugh Q Ili} 4`}y an to inquin.-tat'Oh*N ark kiiiluatr iraxxarittf:fro + I=tarts, th :fif:t rr:lai+ra.t bcltc a!.ii:at iiEz.�1i�S33F7€k2 C9?!]!ftEiX33tSatki 1: t�i 3.t1tMt 3.1`)u t:u:.,ac•�uk:C3i:9EY:t asssk>t;+l.€r. d35 �.t1Qle c)_`3+�J i 0 25.0W 49.9�49 i ._ . ............................_ _._..._......... .__. :.a t4hl kal€i k M a•"tirs atitef'itia€ R<'Wwr Mefaiixr'. tkS 500T4t 74,993 to::u,=tzc i r:i}r::.c^1xitEa:c ET? '`.Slii!1 "'999 t ' Ilt9cl,tltlt} f)i3.Su1'i 'itvt;.stut__....... ...--- - .... . . .......... ....--.. __...---------- ii t,€)i#3,i}iltl 'l.Jt?i3,yi7r3 3., Itt,€ip`; 99) 6maaterthan 10awl:Eon DC puhht:i'x.lEo t:kag and F€`€'fBil"ti<A:E.`!,klkaa burden'tor this 4vollect'ik)n of 1TdldeFi anion is C'St'tCnats.d to rang from 6 u)120 hours per response,Send c(atttmeut-m ! if:e r1 t:rs_y aved for:h3k ixirtar m<atiran.the acci rye}of the IZt€n 9drei burden rsYaat estimates,and any sug�* ezl methods for ct!it trrt: iea4y respondent Pt€rcler S ttii?uaitTa�a9ttY;iEpit the use of automated c-ullectson techniques to the ia!reata!r,Callection'Scratingietr Division,IlMi limrxktEmental Protection Agency(28-72T), €fitt ftcte��sic�at),.a_�v:^_.�e�`,G�:i:,:€aiiEl;t.:tata;1l,€".1,114L)I'1• lkli'lIIl4i�thL+f),��il C3SYkti'SDt rta!rrstatr In:lh4.6"i}LE�5l)€BTi�C'tiCf'. lM9!t41t 42."nci tFc rukngal€;:trd fsatrtt tz}tEkts f f'St._......_.... � EPA Fibrin No. 8700-30 OMB Cot'itft:ui No.2050-0072 Page 1 of ' Y y .. 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