HomeMy WebLinkAbout17-19044 � CITY OF ZEPHYRHILLS
+ 5335-8TH STREEf
' �ai3)�so-oo20 19044
FIRE WORKS PERMIT
- PEI2MIT INFORMATION � LOCATION INFORMATION
Permit Number: 19044 Address: 7050 GALL BLVD
, Permit Type: FIRE WORKS ZEPHYRHILLS, FL.
Class of Work: SPECIAL EVENT Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-10500-0000
Improv. Cost: OWNER INFORMATION
Date Issued: 11/14/2017 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 535.00 Address: 7050 GALL BLVD
Amount Paid: 535.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/14/2017 Phone: (813)783-6189
Work Desc: FIRE WORK SHOW CHRISTMAS TREE LIGHTNING DEC 3 2017
CONTRACTOR S APPLICATION FEES
PYROTECNICO OF FLORID I C FIRE PERMIT FEES 500.00 SPECIAL EVENT 5.00
CONTRACTOR CERTIFICATE 30.00
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Ins ections Re uired
FIRE WORKS SITE INSPECTION
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"FIREWORKS" per Section 791.01, Florida Statutes are considered as any combustible or explosive
composition or substance or combination of substances or,except as hereinafter provided,any article
prepared for the purpose of producing visible or audible effect by combustion,explosion, deflagration,or
detonation.
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CONTRACTOR SIGNATURE PERMIT OFFICER
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 �
Buildinq Departmenl , :",;•r,` i ,
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Date Recetvod p��one Conlact for Permlllin�
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OivnetsNamo Florida Hospital Ze h rhills o��merPhonoNumber 813.783.6192 I
Ownor'sAddress 050 Gall Blvd.,Zephyrhills, FL 3 OvmerPhoneNumber
Fee Slmpla Tllleholder Namo Ovmor hhone Number
Fec Slmplo TilloholdorAddross
JODADDRESS 7050 Gall Blvd., Ze hyrhills, FL 33541 �or# �
SUBDIVISION � PARCEL IDt� �
(ODTAI!!ED FROR4 PROPERTY TA%f:O710E) '
WORKPROPOSED B �EtNCONSTR e ADD/ALT 0 SIGN Q G10VE Q DE1.10LISH
INSTALL RFPAIR
PROPOSED USE Q SFR � COA7fd Q OTHFR `
iYPE OF CONSTRUCTION Q BLOCK � FRArAE Q STEEL Q OTH[R
DESCRIPTtONOFWORK Fireworks dis la for Holida Tree Li htin 12-3-17 � I
BWLDING"SIZE SQ FOOTAGE HEIGHT ' �
�===""'-^`�...-� _,._"�__
Q » DUILDING IS �� VALUATION Of TOTAI CONSTRUCTION
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0 ELHCTRICAL S AA1P SERVICE � PROGRESS ENERGY � W.R.E.C. ,
Q PLUG161NG S
� A1ECHANICAL S VALUATION OF IAECHANICAL INSTALLATION �
� GAS Q ROOFING � SP[CIALiY Q OTHER
FINISHED'FLOOR-ELEVATIONS �� FLOODZONEAF2EA DYES QNO
- - - - -- _� --- �,— _:-- -_�.""'�='�--- _�� s".=s=�rn �____�.��
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BUILDER COh7PANY
SIGNATURE � '--I REaISiERED Y/N FEE CURREPIT Y/N
Address Lfcense� •
� ELECTRICIAN CO�dPANY
SIGNATURE necisr�eo Y/N FEECURREnr Y/N �
Address Lfcense,: �
PLUPdRER COldpANY '
SIGNATURE R�GISTERED Y/N FEE CURNEt7T Y/N
Addross Licensc il
L7ECNANICAI CO�dPANY
SIGNA7URE REGISTERED Y!N FEELUtL7E12T Y/N
' Add[ess Ucense it
i OTHER � COf.1PANY
SIGNATURE REGISTEfiED Y/N FEE CURRENT Y/N
AdJress ' Box 149, New Castle PA 16103 Ltcensei!
�----`-- __.----._.__.._..._.._ -- ----�-� -------_-
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NOTtC�C}F DEED RESTi2iGTIONS; 71�e uhtfersigned und'erstarrils tiia#it�is p`ermit may ba subJect to�deed"res(rictians"
ti��hich ntay be more restrlctive than Counly regulalions. The undersigned assumes responsibility for compliance��rilh any
appllcable deed rosirictfons. �
UNLICENSED CONi'RACTORS AND CONTRACTdR R�SPOt3SISILITiGS: I#ihe av�ner has Iiired a conEracfar or
contractors io undertake e�ork,they may be required to be licensed in accordance vrilh stale and local regulalians. If lhe �
contractor is not licensed as requ(red by laN+, botl7 the owne"r and conlractar may be ciled for a mfsdemeanor violalion
under state faw. If the ovrner ar inter�decf confractor are.uncertain as�to.i.iiaf�licens�ng requiremenis may apply for#he
infended w�ork,Utiey are-aciv�sed to contact the Pasco County 6uilding Inspeolio��Division—Licensing Section at 727-847-
8009. Furttiermore; if,lhe ovmer has hired a contractor or conkractors, he is advised to have the conlractor(s) slgn '
porlfons of�the"coniractor 81ack"of this applicatlon for t4hich ihey lviii be responsibfe. if you,as ihe o4vner sign as fhe
contractor,.that may be an indication tha#he Is�nt properly iicensed and(s not entitled to permitEing privileges in Pasco
Counry,
TRANSPORTA7tON.IMPACT/UTILITiES IMPAC7 AND R�SOURC�RECOVERY FEES: The undersigned und�rsEands
that,Transportatlan lmpact Feas and Recourse Recovery�ees>may apply fo the consfructian of nevr bui(dinc�s,change of
use(n existing buildings, or expan�ion of existing buildings,as specified In Pasco County Ord(nance number 89-07 and
90•07,as amended. The undersigned also understands,that such fees,as may be due,�rill be idenUfied at the Ume af
permiillr�g. it!s furiller understoad ihat'Cranspartation Impact Fees and Resnuree E2ecovery Fees musf E�e pa3d prlar ta
receiving a"certificate o(occupancy"or finai potiver release, "i(the project does not Invoive a certificale of occupancyor ,
final power release,lhe Cees must be paid prior lo perm(t(ssuance. Furthermore,if Pasco County Water/Sewer Impact �
fees are due,they must t�e paid,prior to perniit issuance in accordance wif(i app3icabfe Pasca Gounty ardinances. '
CONSI`RUGT(ON LtEN I.AW(C)tapter 713,Floricla Stafutes,as amended}: tf vatuation o(tvork is$2,500.00 or more,(
certify that I, U7e applfeant, have been provided v�ilh a copy of the "Florida Cansiructlon Lien Law—Flomeo�vner's
ProtecUon Guide"prepased by khe Florida Departmer�t of Agticulture and Consumer ATfairs. {f the appifcant Es someo»e
other Uian ff7e"oi>mer",!certi(y tt�at i have obfained a copy af the above descrtbed document and promise in good faith ta
deliver It to the"ati�mer'priar to commencement. �
CONTRACTOR'SfOWNER'S AFFIDAVIT; I certify ihat all the intormat[on in th(s appllcalion Is accurate and tha!al!vrork
tviil be dane-3n can�pliance ti�rith all ap�ficabie iavrs rsguiating construc#ton,zoning anci Iand develapment. Appficatios�Es
hereby made ta obtafn a permit io do work�and inslallation as indicated. b ceriify that no work ar inslallalion has
commenced pflor to issuance of a permil and lhat ail work vrill 6e pertorined to meet standards of all la�vs regulaling
constructian,County and Gify codes,z_oning regulations, and Iand deve(ogment regulations in'flis jurisdic€ion, t also
certify that 1 understand Ihat the reguiations of other govemment agencies may appiy to ihe iniended work,and lhal il is ,
my responsibilily to identify what actions I must take to be b7 complfance. Sur.h agencies include but are not limited to: ,
- Department bf Environmenta4.Pratectfon-Gy{xess Bayhe�ds,Wet(and Areas and Envirornnentaily Sensitive
Lands,VdaterlWasteerater Treatment.
- Soulhwast Florida Water Management District-Wells, Cypress Baytieads, WeUand Areas, Altering
Wakercou�ses.
- Army Corps of E��gineers-Sea�=ralls,Dacks,Navigable Watenrays.
- Department of Health & Rehabilitalive Services/Environmental Heaiih Unit-Welis, Waste���ater Treatrrient,
SepUc Tanks.
- US Cnvironmental Profectioil Agency-Asbesfos abatement.
- Federai Aviaiion Aulhorily-Rurnvays.
I understand that the(olfativiiig reslrictions appiy to the use of fill:
- Use af fiii is not a(iol�led in Floac3 Zane"V"unless expressly permitted.
- 3f tiie fili materiat is to be used in Piood Zona "A", ii is unclersiood that a dr�inage plan addressing a ,
"compensating volume"�vill be submitted al Utne.o(permitting which is prepared by a professional engineer
licensed by tlle S{ate of Florirla. �
- if the filt materiaE is to 8e ttgect 1n Flood 7_ane"A"in connecGan�vith.a permitted building usinc�stem�vail
conslruction,I certify that fiil�vill 6e used only ta fill lhe area�vithin the siern e�all.
- If fill material Is to be used in any area, I cerUf}r that use of sucl� fe!! tvill not adversely aftec2 adjacent
proper(ies. It use af fill is found ta adversely affecf adJacent�raperf(es,the.o�vnsr may be cited{or violating
lhe condiiions of the build(ng permit issued under Ihe altached perrnit applicalfon, for lots less(han one(1)
acre�vhich are elevaled by fill,,an engineered:drainage plan is required.
!f i am the AGENT FOR THE OWNER,I prorTtise in goad�ailYi fa Inform ihe oriner of ihe�ern�itling cot�dittons set farfh in
this afOdavit prior to commencing construclion. I understand that a separate permik rnay be required for eleclricai�vork,
plumb(ng,sfgns,vdells, pnols, air conditianing, gas, or olher.(nstallations nat specifically included fn ihe applicalion. A
parmit Essuetf sha11 be car�sirued!o be a license to praceed rritl�il7e�vark and not as authority to uiolate,cancel,atter,or
set aside any provisions of ttie techn(cat cacie"s,nor shatl issuance af a permit prevent the BulidG�g Ofticial from thereafter
requiring a correclion of errors in plans,construclfan or violalions of any codes. Every permit issued shail becorne invalid
unless tlie ti�aork authorized by such permi!is commenced vrithln si�c mantils af permlk issuance,or if l�rork aeiEhorized by
#I�e perrn3E is suspended ar abai�iloned far a perioc�of sIx(8)inonfhs after fhs tlme the ti;�ork 1s comnle�iced. An extensior7 {
may be requesled,(n wriGng,from lhe Bu(Idfng Offtcial for a period not to exceed ninety(90)days and vrill ilemonslrale
justifiable cause for lha extension. If�ro�k ceasas for ninely(9Q}consecutive days,the job(s co:isidered abandoned.
WAi2NING TO OWNER: YOUR FAILURG TO RECORD A NOTIGE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING'[WICE FOR IMPROVEMENTS Tp YOUR PROPERTY. IF YOU INTEND 70 OBTAIN FINANCING,CONSU4T
�� WtThi YOUR LENDEf2 4R AN ATTC}ftNGY BEFORE RECOR�ING YOUR NOT[CE OF GOMMENCENiENT. ,
FLORIDA JURAT{F.S.i 17.03j
04VNER OR AG[N7 CQN7RACTOR
Subscribed and su.�rn to{or affirmed}baforo mff this Subscti6ed and sv:om to(ar at�rmed)beiorfl me ihis
by 6y �
Wno fs/are personally known to rhe or hasfnava produaed lh'no islare persooally knoti�m lo me or hasl'nava produced !
as IdenUfication, as Idenlification. �
tdotary Pu61fc �otary Public
Corivniss9ori No. Cammisston Ko;
Name oP�otary typed,p�itrted of slamped Nama ot Notary typed,printad or stamped
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� ��' I 1leadquar[ers U.S.Locations
� � l P.O.Box 149 �ra Atlanta.GA 877.924
���sG���"/ll��//�Jl�� �� � New Castle.PA 16103 724.652.1288 Las Vegas�Nv 800.95E
'�jij'��fi�� �' //��'�\ I1� info�pyrotecnico.com Montgomery,aL 600.259
PYROTECNICO'" 724��652.9555 ,Y,,, NewOdeans,LA 600.78?
V I T 4 L E r n ia i i r f I p E\V O R K 5 � 1 B L 9 800.654.4705 Www.pyrote[niCo.tom Tampa,Fl 888.35I
November 3,2017
City of Zephyrhills
Hello:
The show on December 3,2017 will be shot electronically
If you require any additional information please let me know.
Thank you for your assistance!
Sincerely,
Joanne Eskew
Sales Assistant� Pyrotecnico— Florida
855.869.9135 (Toll Free) � 954.933.3442 (Fax)
htto://www.ovrotecnico.com � htta://www.pvrotecnicofx.com
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P�RO�TkCNI�O" � PYROTECNICO"�?C
I1 � lieadquarters U.S. Locations
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P.O.Box 149 ra� Atlanta,GA 877.92a
�\�� �'�_,Q� New CaSUe.PA 16103 724.652.1288 �as vegas.Nv soo.55£
��� \�� � ��"A° Mont omer,Al 800.25'_
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PYROTECNICO"' °""`
724.652.9555 �vi i, New Orieans,LA 800.78?
v i r n i[ f A IA 11,Y f I ft E 6Y 0 N K 5 • i e a s 800.854 4705 www.pyrotecnico.com 7ampa,FL B88.35i
November 3,2017
City of Zephyrhills
Hello:
This is a letter of authorization for Jane Freeman of Florida Hospital Zephyrhills to pick up the permit for
the show on December 3,2017.
If you require any additional information please let me know.
Thank you for your assistance!
Sincerely,
Joanne Eskew
Sales Assistant� Pyrotecnico— Florida
855.869.9135 (Toll Free) � 954.933.3442 (Fax)
htto://www.ovrotecnico.com � htto://www.ovrotecnicofx.com
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P�'ItOTE�NICO" � PYROTECNICO"{�X
TECHNICIAN RESUME
Charles Flanagan
544011 Street,
Zephyrhills,FL 33542
Cell:813.310.5524
� Email: creitano@pyrotecnico.com
DOB: 10/17/1970
Age:46
Display Experience:
Charles has been a lead technician for 10+years;he has experience with electrical fired displays and
Is familiar with all safety standards.
Lead technician on following shows:
NNP Southbend:July 4,2013,2014,2015,2016,2017
Tampa Yankees:2013,2014&2015,2016,2017 Season
St. Leo University-Fall Family Day October 2014,2015,2016
Florida Hospital Zephyrhills December 2015,2016
Page: 1/10
Safety Data Sheet
acc.to OSHA HCS(29 CFR 1910.1200)
Printing date. 01/06/2017 Revision:01/06/2017
1 Identification
� , P�OdUCt Id@Iltifl@C Fireworks,Division 7.3 Expiosive
•Trade name:
Fireworks,Display
• Product code:
Fireworks,1.3G UN0335
•Recommended use and restriction on use
•Recommended use: Explosive product for professional use for entertainment and technical purposes
•Restrictions on use: Contact manufacturer/supplier
• Details of the supplier of the Safety Data Sheet
•Manufacturer/Supplier:
Pyrotecnico Fireworks Inc.
299 Wilson Rd
New Castle,PA 16101
724-652-9555
• Emergency telephone number:
ChemTel Inc.
(800)255-3924, +1 (813)248-0585
2 Hazard(s) identification
•Classification of the substance or mi�cture
Expl. 1.3 H2O3 Explosive; fire, blast or projection hazard.
----------------- ------ ---
--- ------
• Label elements
•GHS label elements
The product is classified and labeled according to the Globally Harmonized System (GHS).
•Hazard pictograms:
:;��=
GHS01
•Signal word: Danger
• Hazard statements:
H2O3 Explosive;fire, blast or projection hazard.
•Precautionary statements:
P210 Keep away from heaUsparks/open flames/hot surfaces. No smoking.
P250 Do not subject to grinding/shock/friction.
P280 Wear protective gloves/protective clothing/eye protection/face protection.
P373 DO NOT fight fire when fire reaches explosives.
P370+p380 In case of fire: Evacuate area.
P372 Explosion risk in case of fire.
(ConYd.on page 2)
Page�2/10
Safety Data Sheet
acc.to OSHA HCS(29 CFR 1910.1200)
Printing date. 01/06/2017 Revision:01/06/2017
Trade name:Fireworks,Display
(ConYd.of page 1)
P401 Store in accordance with local/regional/national/international regulations.
P501 Dispose of contents/container in accordance with local/regional/national/international
regulations.
------------------------------ -------- ----------------
•Other hazards There are no other hazards not otherwise classified that have been identified.
Explosive Product Notice
PREVENTION OF ACCIDENTS IN THE USE OF EXPLOSIVES-The prevention of accidents in the use
of explosives is a result of careful planning and observance of the best known practices. The explosives
user must remember that he is dealing with a powerful force and that various devices and methods have
been developed to assist him in directing this force. He should realize that this force, if misdirected, may
either kill or injure both him and his fellow workers.
WARNING -All explosives are dangerous and must be carefully handled and used following approved
safety procedures either by or under the direction of competent, experienced persons in accordance with
all applicable federal, state, and local laws, regulations, or ordinances. If you have any questions or
doubts as to how to use any explosive product, DO NOT USE IT before consulting with your supervisor,
or the manufacturer, if you do not have a supervisor If your supervisor has any questions or doubts, he
should consult the manufacturer before use.
3 Composition/information on ingredients
•Chemical characterization: Mixtures
Components:
Components for product possesing only physical hazards do not require reporting. These components
are considered proprietary
4 First-aid measures
• Description of first aid measures
•General information:
Information is only applicable to product contents, and not to product as normally supplied. This
information is applicable to damaged, leaking, or spilled product as contact with contents is possible
under these conditions.
•After inhalation: Supply fresh air; consult doctor in case of complaints.
•After skin contact:
Wash with soap and water.
In case of minor burns,flush with cool water
If skin irritation is experienced, consult a doctor
After eye contact:
Remove contact lenses if worn.
Rinse opened eye for several minutes under running water. If symptoms persist, consult a doctor
•After swallowing:
Unlikely route of exposure.
Do not induce vomiting; immediately call for medical help.
(ConYd.on page 3)
�I
Page: 3/10
Safety Data Sheet
acc.to OSHA HCS(29 CFR 1910.1200)
Printing date: 01/06/2017 Revision. 01/06/2017
i T�ade name:Fireworks,Display
(ConYd,of page 2)
•Most important symptoms and effects,both acute and delayed:
Blast injury if mishandled.
Thermal burns, if mishandled.
•Danger: Danger of blast or crush-type injuries.
•Indication of any immediate medical attention and special treatment needed:
Product may produce physical injury if mishandled. Treatment of these injuries should be based on the
clinical presentation.
5 Fire-fighting measures
• Extinguishing media
•Suitable extinguishing agents:
DO NOT fight fire when fire reaches explosives.
Flood area with water. If no water is available, carbon dioxide, dry chemical or earth may be used. If the
fire reaches the cargo,withdraw and let fire burn.
•For safety reasons unsuitable extinguishing agents: None.
•Special hazards arising from the substance or mixture
� Explosive; fire, blast or projection hazard.
During heating or in case of fire poisonous gases are produced.
Advice for firefighters
Protective equipment:
Wear self-contained respiratory protective device.
Wear fully protective suit.
•Additional information:
Eliminate all ignition sources if safe to do so
In case of fire: Evacuate area. Fight fire remotely due to the risk of explosion.
Cool endangered receptacles with water spray
Flammability Classification: (defined by 29 CFR 1910.1200) Explosive. Can explode under fire conditions.
Individual devices will randomly explode. Mass explosion of multiple devices is possible under certain
conditions. Burning material may produce toxic and irritating vapors. In unusual cases, shrapnel may be
thrown from exploding devices under containment. See 2012 Emergency response Guidebook for further
information.
6 Accidental release measures
Personal precautions, protective equipment and emergency procedures
Wear protective equipment. Keep unprotected persons away.
Remove persons from danger area.
Ensure adequate ventilation.
Isolate area and prevent access.
• Environmental precautions
Do not allow undiluted product or large quantities of it to reach ground water, water course or sewage
system.
•Methods and material for containment and cleaning up
Pick up mechanically.
(ConYd.on page 4)
Page:4/10
Safety Data Sheet
acc.to OSHA HCS(29 CFR 1910.1200)
Printing date. 01/06/2017 Revision: 01/06/2017
Trade name:Fireworks,Display
(ConYd.of page 3)
Send for recovery or disposal in suitable receptacles.
• Reference to other sections
See Section 7 for information on safe handling.
See Section 8 for information on personal protection equipment.
See Section 13 for disposal information.
7 Handling and storage
• Handling
•Precautions for safe handling:
Handle with care.Avoid jolting,friction and impact.
Restrict the quantity stored at the work place.
Keep out of reach of children.
• Information about protection against explosions and fires:
In case of fire: Evacuate area.
Explosion risk in case of fire.
Keep away from sparks and open flames.-No smoking.
Emergency cooling must be availa6le in case of nearby fire.
Conditions for safe storage, including any incompatibilities
•Storage
• Requirements to be met by storerooms and receptacles:
Avoid storage near extreme heat, ignition sources or open flame.
Information about storage in one common storage facility:
Store in accordance with local/regional/national/international regulations.
Store away from foodstuffs.
Store away from flammable substances.
•Further information about storage conditions:
Store in cool, dry conditions in well sealed receptacles.
Storelocked up. '
�Specific end use(s) No relevant information available.
8 Exposure controls/personal protection
•Control parameters
•Components with limit values that require monitoring at the workplace:
The product does not contain any relevant quantities of materials with critical values that have to be
monitored at the workplace.
Exposure controls
Personal protective equipment:
General protective and hygienic measures:
The usual precautionary measures for handling chemicals should be followed.
Keep away from foodstuffs, beverages and feed.
Wash hands before breaks and at the end of work.
•Engineering controls: Provide adequate ventilation. �
(ConYd.on page 5)
Page: 5/10
Safety Data Sheet
acc.to OSHA HCS(29 CFR 1910.1200)
Printing date: 01/06/2017 Revision:01/06/2017
TI'ade name:Fireworks,Display
(ConYd.of page 4)
•Breathing equipment: Not required under normal conditions of use.
• Protection of hands:When needed,wear gloves for protection against mechanical hazards.
•Eye protection:
QSafety glasses
Follow relevant national guidelines concerning the use of protective eyewear.
• Body protection:When needed,wear protective clothing for protection against mechanical hazards.
• Limitation and supervision of exposure into the environment
No relevant information available.
• Risk management measures
Organizational measures should be in place for all activities involving this product.
9 Physical and chemical properties
•Information on basic physical and chemical properties
•Appearance:
Form: Outer shell containing powder, granular, or solid materials.
Color: According to product specification
•Odor: Odorless
•Odor threshold: Not determined.
• pH-value: Not applicable.
• Melting poinUMelting range: Not determined.
• Boiling point/Boiling range: Not determined.
•Flash point: Not applicable.
•Flammability(solid,gaseous): Fire or projection hazard.
•Auto-ignition temperature: Not determined.
•Decomposition temperature: Not determined.
•Danger of explosion: Heating may cause an explosion.
• Explosion limits
Lower: Not determined.
Upper: Not determined.
•Vapor pressure: Not applicable.
•Density: Not determined.
•Relative density: Not determined.
•Vapor density: Not applicable.
•Evaporation rate: Not applicable.
(ConYd.on page 6)
Page: 6/10
Safety Data Sheet
acc.to OSHA HCS(29 CFR 1910.1200)
Printing date. 01/06/2017 Revision:01/06/2017
Trade name:Fireworks,Display
(ConYd.of page 5)
•Solubility in/Miscibility with
Water: Insoluble.
•Partition coefficient(n-octanol/water): Not determined.
•Viscosity
Dynamic: Not applicable.
Kinematic: Not applicable.
�Other information No relevant information available.
10 Stability and reactivity
Reactivity: No relevant information available.
Chemical stability:
•Thermal decomposition/conditions to be avoided: Risk of explosion if heated under confinement.
• Possibility of hazardous reactions
Explosive;fire, blast or projection hazard.
Toxic fumes may be released if heated above the decomposition point.
Reacts with strong acids and alkali.
�Conditions to avoid
Excessive heat.
Sources of ignition: sparks, open flame, incompatible materials
�Incompatible materials Oxidizers, strong bases, strong acids
• Hazardous decomposition products
Carbon monoxide and carbon dioxide
Nitrogen oxides
Sulfur oxides(SOx)
11 Toxicological information
• Information on toxicological effects
•Acute toxicity:
•LD/LC50 values that are relevant for classification: None.
•Primary irritant effect:
•On the skin:
Not a skin irritant in unused form.Vapors/particles from used product are possibly irritating to skin.
•On the eye:
Not an eye irritant in unused form.Vapors/particles from used product are possibly irritating to eyes.
•Sensitization: Based on available data,the classification criteria are not met.
•Carcinogenic categories
• IARC(International Agency for Research on Cancer):
None of the ingredients are listed.
(ConYd.on page 7)
Page: 7/10
Safety Data Sheet
acc,to OSHA HCS(29 CFR 1910.1200)
Printing date. 01/06/2017 Revision:01/06/2017
T1'ade name:Fireworks,Display
(ConYd.of page 6)
•NTP(National Toxicology Program): I
None of the ingredients are listed.
•OSHA-Ca(Occupational Safety&Health Administration):
None of the ingredients are listed.
Probable route(s)of exposure:
Skin contact.
Eye contact.
Inhalation.
Acute effects(acute toxicity, irritation and corrosivity):
Danger of blast or crush-type injuries.
Risk of thermal burns.
• Repeated dose toxicity: From product as supplied: None.
•CMR effects(carcinogenity, mutagenicity and toxicity for reproduction)
Germ cell mutagenicity: Based on available data,the classification criteria are not met.
•Carcinogenicity: Based on available data,the classification criteria are not met.
•Reproductive toxicity: Based on available data,the classification criteria are not met.
•STOT-single exposure: Based on available data,the classification criteria are not met.
•STOT-repeated exposure: Based on available data,the classification criteria are not met.
•Aspiration hazard: Based on available data,the classification criteria are not met.
12 Ecological information
' Toxicity
•Aquatic toxicity No relevant information available.
• Persistence and degradability No relevant information available.
•Bioaccumulative potential: May be accumulated in organism
• Mobility in soil: No relevant information available.
•Other adverse effects No relevant information available.
13 Disposal considerations
•Waste treatment methods
•Recommendation:
Must not be disposed of together with household garbage. Do not allow product to reach sewage system.
Incinerate in accordance with local, state and federal regulations.
The user of this material has the responsibility to dispose of unused material, residues and containers in
compliance with all relevant local, state and federal laws and regulations regarding treatment, storage
and disposal for hazardous and nonhazardous wastes. Residual materials should be treated as
hazardous.
(ConYd.on page 8)
Page: 8/10
Safety Data Sheet
acc.to OSHA HCS(29 CFR 1910.1200)
Printing date. 01/06/2017 Revision:01/06/2017
Trade name:Fireworks,Display
(ConYd.of page 7)
• Uncleaned packagings
•Recommendation: Disposal must be made according to official regulations.
14 Transport information
• UN-Number
• DOT,ADR, IMDG UN0335
• IATA FORBIDDEN
�UN proper shipping name
•DOT,ADR,IMDG Fireworks
•IATA FORBIDDEN
•Transport hazard class(es)
•DOT
•Class 1.3
•Label 1.3G
- -----------------------------------------------
•ADR
0
•Class 1.3
•Label 1.3G
- -------------------
•IMDG
a�'=
•Class 1.1
•Label 1.3G
---------------------------------------------------
• IATA
•Class FORBIDDEN
• Packing group
•DOT II
• Environmental hazards
•Marine pollutant: No
•Special precautions for user Not applicable.
(ConYd.on page 9)
� Page: 9/10
Safety Data Sheet
acc.to OSHA HCS(29 CFR 1910.1200)
Printing date: 01/06/2017 Revision:01/06/2017
Trade name:Fireworks,Display
(ConYd.of page 8)
•EMS Number: F-S,B-X
� �Transport in bulk according to Annex II of
MARPOL73/78 and the IBC Code Not applicable.
' 15 Regulatory information
' •Safety, health and environmental regulations/legislation specific for the substance or
mixture
' United States(USA)
•SARA
•Section 302(extremely hazardous substances):
None of the ingredients are listed.
•Section 304(emergency release notification):
None of the ingredients are listed.
•Section 355(extremely hazardous substances):
None of the ingredients are listed.
� •Section 313(Specific toxic chemical listings):
Contact manufacturer.
•TSCA(Toxic Substances Control Act)
All ingredients are listed.
Proposition 65(California)
•Chemicals known to cause cancer:
Contact manufacturer.
Chemicals known to cause reproductive toxicity for females:
Contact manufacturer.
•Chemicals known to cause reproductive toxicity for males:
Contact manufacturer.
Chemicals known to cause developmental toxicity:
Contact manufacturer.
•Carcinogenic categories
•EPA(Environmental Protection Agency):
None of the ingredients are listed.
•IARC(International Agency for Research on Cancer):
Contact manufacturer.
(ConYd.on page 10)
Page: 10/10
Safety Data Sheet
acc.to OSHA HCS(29 CFR 1910.1200)
Printing date:01/06/2017 Revision:01/06/2017
Trade name:Fireworks,Display
(ConYd.of page 9)
•NIOSH-Ca(National Institute for Occupational Safety and Heaith):
Contact manufacturer
16 Other information
This information is based on our present knowledge. However, this shall not constitute a guarantee for
, any specific product features and shall not establish a legally valid contractual relationship.
• Date of preparation/last revision 01/06/2017/-
•Abbreviations and acronyms:
ADR:European Agreement concerning the International Carriage of Dangerous Goods by Road
IMDG:International Maritime Code for Dangerous Goods
DOT US Department of Transportation
IATA.International Air Transport Association
CAS:Chemical Abstracts Service(division of the American Chemical Society)
LC50:Lethal concentration,50 percent
LD50:Lethal dose,50 percent
NIOSH:National Institute for Occupational Safety
OSHA.Occupational Safety 8 Health
TLV�Threshold Limit Value
PEL.Permissible Exposure Limit
REL.Recommended Exposure Limit
LDLo:Lowest Lethal Dose Observed
Expl.1.3:Explosives—Division 1.3
Sources
Website, European Chemicals Agency(echa.europa.eu)
Website, US EPA Substance Registry Services (ofmpub.epa.gov/sor internet/registry/substreg/home/
overview/home.do)
Website, Chemical Abstracts Registry,American Chemical Society(www.cas.org)
Patty's Industrial Hygiene,6th ed., Rose,Vernon, ed. ISBN: 978-0-470-07488-6
Casarett and Doull's Toxicology� The Basic Science of Poisons, 8th Ed., Klaasen, Curtis D , ed., ISBN:
i 978-0-07-176923-5.
Safety Data Sheets, Individual Manufacturers
SDS Prepared by�
ChemTel Inc.
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Toll Free North America 1-888-255-3924 Intl. +01 813-248-0573
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