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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 ., � � J C J`i � �/ l� 8�� � Ins ections Re uired FIRE WORKS SITE INSPECTION �,�-� O��-g 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. [�c.��� ��.�� � 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 4 1 - 813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 � Buildinq Departmenl , :",;•r,` i , .,:�:`F:T 1 , .,f. .;�� i :.. �. Date Recetvod p��one Conlact for Permlllin� -- � ......_....._...._..,..__...._..J.�._.._.___..,. _ ..._._.._.._..�.� � _.-cr_ . . _ _---- __.____...--�._..._...._.- -:-_.._._-_._—=�""----______-............... 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 � 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 �____�.�� F r 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! �----`-- __.----._.__.._..._.._ -- ----�-� -------_- i 1 � ' y � � I 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 ( } � ��' 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 ��`���r�°�\`�`J.����!/ � _��,o _ o c. :r�;� /U�j����:ii„rc�: P�RO�TkCNI�O" � PYROTECNICO"�?C I1 � lieadquarters U.S. Locations �A� �9�. � � 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'_ ��f�`�� �����\� �%��� inio�pyrotecaico.com 9 Y 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 ��11�/ �n�\�`,I��"'"")//i I � .�, �..���,-��;° ��,�. j ::;°,:ti �i�ii,\�_ira��� 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. 1305 North Florida Avenue Tampa, Florida USA 33602-2902 Toll Free North America 1-888-255-3924 Intl. +01 813-248-0573 Website:www.chemtelinc.com