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HomeMy WebLinkAbout15171 Pipeline Ln - CofO (2)suPOUM"tN.T 1_ INFO'RMATI4N' i; `1 IUSIiVESS A©[)RESS A 2. Person to contact in case of emergency G i Tele hone nurnb'er: 3. Does the : buil(dng, ,in_. question ' have electricity? Yes ❑ No (ia) If No,:. a; e you : re4uesting that: #lie e{eCtricity be L� Yes turned on? No 4 " The building . • is- sprinklered? No 5 Operations will produce dust / Wood ' shavings` or " 81milai material,?':Yes _ C. Operations : vrrill involve° 'the.' repair or ' replacement of : ❑ Yes . autom'obile p�lrts?• :C�E'iNo ;if Yes: ; (a) Describe..the--:components repaired or, replaced. b Does the o eratlon involve the use of` °,an o' en flame? .i .Yes 5 7 The business is "drinking,: dining: or assembly-, use that w. 01 result in are occupant', load ; of more- than '50. persons, . 0:=Yes No 8.. The folio `' est d6s'cribes my "operation, I Office Onl Retail. Sales - Ware .house Manufacturing / Distribution a (describe process and ens product" _ aestadrant l Take' but 1=ood Medical i tientai Qth0 (describe) `� v d4 �Sk1PPL l �i� AL iFiF l.�FilVIfl4 ttJN . . x t . �EarrR���nn, rr a?�la- �41E' P96 1 ;9 wi47 '' (uormnue(3) y, i. ©aes the op�rWf ri Invalue ,ny. o,fi 5 the>' ,follows tg to ia[s:? MA yjNo IfYes, ind*cat" quant9tiea h Mate,al Quantity y. Flammable liu�tls k q 27 r .Glass 1-13 =` 6 -Class l-G 2. Combustible ii uius Glass llt `:Class Ill -,A 3 Combination flamrr7aWell (Iqujds. 4t 1 ry ' 4 Flammable gases 5u Liquefied, flammable gases 6 r ` Flammable fibers loo , Flammable fibers balers 5, FI enable solids i g. Unstable materials �i 10, Corrosive liquids tJxidizin matarial"- gases 'a T2. Jxidj;Lkng rnateria( .liquids t3fJxidiz�n,g, rnalerlal solid 14 ;'..4rgartic peraxrdds i ee t IS Nitromethane �nstalile�`rt aterials) 6 y,. , Ammonium nitrate' _ ,. 17. Amrnon.ium niirate compound w mixtures U containing more than 6Ci% nitrate by weig It f3: Highly toxic ;material and', ".= posanaus 19. Smokeless Powder ,F 20. Black sporting po�rdcr x,: � �u r1 r b i.' he e Y certify that the above information is true qnd .,contact to tliewp besf of e i 'u ign tore Dat6 gr i; f l,f; : z, � � � � � � � � � � � � � � � � � � � � � d� � � � � � � ( - . } � � � a .� :. y� :«- � - a .� .... � ... ,. � � � � . : � � � � � � � � � � � � � � � � \ �� : � � > - ����������d �\ � � J _ � } «� _ \� / \ � } - - � w : � . r � �������\ : . . y. . . . . �\ §� \� . «� >� . ... . y>. .\� � w.w: .� � y� � :«- w� « » > \\< � \ �«\ � � � \ %� � - � \ � � � � � � � � � � � � � � � � � � \