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19-22058
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22058 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22058 Address: 7050 GALL BLVD Permit Type: SPECIAL EVENT 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: 11/19/2019 Name: ADVENTIST HEALTH SYSTEM/SUNBELT Total Fees: 535.00 Address: 7050 GALL BLVD Amount Paid: 535.00 ZEPHYRHILLS, FL. 33541-1347 Date Paid: 11/19/2019 Phone: Work Desc: FIREWORK SHOW DECEMBER 8, 2019 CONTRACTORS APPLICATION FEES PYROTECNICO OF FLORIDA INC SPECIAL EVENT 5.00 FIRE PERMIT FEES 500.00 CONTRACTOR CERTIFICATE 30.00 Y FINAL Ins ections Re uired FIRE DEPT.FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. I CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER PYROTECNICO" PYROTECNICO-fX VITAL[ FAMILY FIC[WORCS•1889 [[aeliaaer I a II[[ November 4; 2019 City of Zephyrhills 5335 8th St. Zephyrhills, FL 33542 Attn. Building Department/Jacki Boges RE: AdventHealth Zephyhills Fireworks Display - December 8, 2019 Dear Ms. Boges, Please find enclosed Pyrotecnico's application packet and check -in the amount $535.00 for permit fees for the above referenced display. Should you have any questions or need anything else, please do not hesitate to contact me. Sincerely, Angela Armstr Permitting Coordinator Pyrotecnico Fireworks, Inc. 724.923.6617 aarmstrong@pyrotecnico.com Temporary Sales Checklist City of ZephyrhiIls 5335 8th Street Zephyrhills,FL 33542 Phone:813-780-0020/Fax:813-780-0021 REQUIREMENTS X Detailed Plot Plan showing setup of location. Refer to Ordinance 1038-09, Sec 4 X Notarized letter from property owner stating their approval. N/A A flame retardant certificate is required IF a tent is involved.Inspection required once tent is erected and prior to opening for business. X Approved certified fire extinguishers per NFPA 10. X No Smoking signs must be placed outside entrances. N/A IF there is a wire fence or chain link fencing must have at least 5 Ft setback from tent and at least 2 exits. N/A IF tent has sides,the sides shall be in the up position unless there is inclement weather, then 2 sides must be in the up position. FIREWORK REQUIREMENTS—(In addition to the above) X Proof of State License. X Proof of Liability insurance. X List of items to be sold at site. X Copy of Drivers License and Social Security Number of all personnel dealing with the sale of fireworks at the tent location. FEEs X $30.00—City Registration(If Regulated by DBPR—Fee is Waived) _x $500.00—Fireworks fee-Fire Department fee X $ 5.00—Temporary Sales Fee for lst two days $ 1.00—Temporary Sales Fee per day for each consecutive day thereafter,not to exceed duration of 7 consecutive days and no more than two occurrences during a 12 month period on same property Ord#1038-09,Sec 6 $60.00—Tent Fee(45.00/13D, 15.00*/FD)—(*$15.00 waived for Fireworks) $45.00—Electrical Fee(if applicable) Property Owner: AdventHealth Zephyrhills Applicant: Pyrotecnico-Angela Armstrong,Permitting Coordinator Phone Contact: 724.923.6617 Address Site: 7050 Gall Blvd.,Zephyrhills FL 33541 Date(s)of Sale: December 8,2019 Ordinance No. 1038-09(for additional requirements) REVIEW DATE /fCITY OF ZEPHYR ILL i REMiD LIFE SAFeTy EXAM NE�� ALL WORK SHALL COMPLY WITH NFFA CODES AND STANDARDS Pyrotech n►c.S► te pran. Advent Nea If Christ h mas Free .Shaw,Da sting 2/8119: 7050 ZephYrhilGall Blvd s, F(,33541 28015, 1 4 sp aY tim g. _5 Minute.Di 45 pm splay -Max. 1.39 Firework meter: Red • Circle depicts 150' Radius (30 0' Cal which Diameter 1123.for beds l UF1'A Shells. •' '. OTES; • Site plan is a'° . . " awn tb an aPP►'ox. scale USI►1 IS NFOA 1.126 0�N 1123 J. tance. 160 as> l'PA Audience Audie 300 + © 4PPlicable- nce DRA By AI ,-- I . Secured „ 101291209g Maxi �'` -----� . I ClOs l8lb ►nurh ')-Vice per PYrotecnicb' 100, �pirin9 Site 9 bisplaY Per inch PaI% Q .-Safe , F Radius. tl� cy allout zone PY. . f FA MIIY .tRE rC • Wq"RS.�BO.0 • " " 299 W1ison Rd.New Castle;Pq 161 03 aoo.8 -4705 .x, 1 l Qualifications, Experience, Licenses of the Operator(s) and Company Licenses • r. Lead Technician Search Subsidiary Document Show Date Customer Show Name Show City Show Billing City Billing L e. a d A T F ( n o Number State S t a t e/Technician C l e a r a n c e hierarchy) Province Status Fireworks SO-C27124 04/07/2017 Tampa Tarpons/New 2017 Tampa Yankee Tampa Florida Tampa FL Flanagan, York Yankees Season Charles- Partnership SVPI Fireworks SO-C28486 10/14/2017 Saint Leo University St Leo Fall Festival Saint Leo Florida Saint Leo FL Flanagan, Charles- SVPI Fireworks SO-C29034 11/04/2017 Saint Leo University S t L e o Saint Leo Florida Saint Leo FL Flanagan, Homecoming Charles- SVPI Fireworks SO-C30632 02/09/2018 Mothership Land, S t e i n b r e n n e r Tampa Florida Tampa FL Flanagan, LLC Wedding Dinner Charles- SVPI Fireworks SO-C30491 03/03/2018 Saint Leo University St Leo March 2018 Saint Leo Florida Saint Leo FL Flanagan, Charles- SVPI Fireworks SO-C30487 03/16/2018 Tampa Tarpons/New Yankees Spring Tampa Florida Tampa FL Flanagan, York Yankees Training Display Charles- Partnership SVPI Fireworks SO-01097 04/28/2018 Tampa Tarpons/New 2018 Tarpon Season Tampa Florida Tampa FL Flanagan, York Yankees 428 Charles- Partnership SVPI Fireworks SO-C31094 05/12/2018 Tampa Tarpons/New 2018 Tarpon Season Tampa Florida Tampa FL Flanagan, York Yankees 5.12 Charles- Partnership SVPI Fireworks SO-C30914 05/18/2018 Daytona Tortugas Daytona Tortugas Daytona Florida Daytona FL Flanagan, 2018 Season,5/18 Beach Beach Charles- SVPI Fireworks SO-C30915 05/19/2018 Daytona Tortugas Daytona Tortugas Daytona Florida Daytona FL Flanagan, 2018 Season,5/19 Beach Beach Charles- SVPI Fireworks SO-C31095 06/16/2018 Tampa Tarpons/New 2018 Tarpon Season Tampa Florida Tampa FL Flanagan, York Yankees 6.16 Charles- Partnership SVPI Fireworks SO-C31099 06/22/2018 Tampa Tarpons/New 2018 Tarpon Season Tampa Florida Tampa FL Flanagan, York Yankees 6.22 Charles- Partnership SVPI Fireworks SO-C30446 07/04/2018 NNP-Southbend II,2018 Southbend A p o l l o Florida A p o l l o FL Flanagan, LLC Independence Day Beach Beach Charles- Celebration SVPI Fireworks SO-C31096 08/04/2018 Tampa Tarpons/New 2018 Tarpon Season Tampa Florida Tampa FL Flanagan, York Yankees 8.4 Charles- Partnership SVPI Fireworks SO-C30927 08/10/2018 Daytona Tortugas Daytona Tortugas Daytona Florida Daytona FL Flanagan, 2018 Season,8/10 Beach Beach Charles- SVPI Fireworks SO-C30928 08/11/2018 Daytona Tortugas Daytona Tortugas Daytona Florida Daytona FL Flanagan, 2018 Season,8/11 Beach Beach Charles- SVPI Fireworks SO-C31098 08/18/2018 Tampa Tarpons/New 2018 Tarpon Season Tampa Florida Tampa FL Flanagan, York Yankees 8.18 Charles- Partnership SVPI Fireworks SO-C30929 08/24/2018 Daytona Tortugas Daytona Tortugas Daytona Florida Daytona FL Flanagan, 2018 Season,8/24 Beach Beach Charles- SVPI Fireworks SO-C30930 08/25/2018 Daytona Tortugas Daytona Tortugas Daytona Florida Daytona FL Flanagan, 2018 Season,8/25 Beach Beach Charles- SVPI Page 1 of 2 Subsidiary D o c u ni e n t Show Date Customer Show Name Show City S h o w Billing City B i 11 i n g L e a d A T F ( n o Number State S t a t e/ Technician Clearance hierarchy) Province Status Fireworks SO-02247 09/05/2018 Daytona Tortugas Daytona Tortugas Daytona Florida Daytona FL Flanagan, 2018 Season,9/5 Beach Beach Char 1 e s- S VPI Fireworks SO-03623 11/17/2018 Leukemia & Light the Night Tampa Bay Florida Tampa FL Flanagan, Lymphoma Society of Walk Charles- Florida SVPI Fireworks SO-C30435 12/62/2018 A d v e n t H e a l t h Florida Z Hospital Zephyrhills Florida Zephyrhills FL Flanagan, Zephyrhills December Show Char 1 e s- S VPI Page 2 of 2 DISPLAY ' INFORMATIO -VK Applicant: Pyrotecnico Fireworks, Inc. PO Box 149 New Castle, PA 16103 Contact: Angela Armstrong l'724.923.6617 1 aarmstrong@pyrotecnico.com Event: .AdventHealth Zephyrhiills Organization sponsoring.event: AdventHealth Zephyrhills, 7050 Gall Blvd., Zephyrhills, FL, I Jane . Freeman - 813.783.6192 -janeJreeman@adventhealth.com Display Location: Simpson Breast Health Center., 7050 Gall Blvd., Boca Raton, FL 334.32. Display. Date(s): December 8, 2019, shot.electronically Pyrotechnicians: Charles Flanagan I Lead Technician 1813.312.2377 1 rhodyrocks69@gmail.com •0 Permitting-Product Recap Summary SKUs Document Number WO Show Date Name Queue Product Type Quantity WO-2079 12/08/2019 AdventHealth Zephyrhills -None- IGNITERS 20 WO-2079 12/08/2019 AdventHealth Zephyrhills Body MODULAR STRIP FAN 3 WO-2079 12/08/2019 AdventHealth Zephyrhills Body CAKE FAN 4 WO-2079 12/08/2019 AdventHealth Zephyrhills Body CAKE STR 8 WO-2079 12/08/2019 AdventHealth Zephyrhills Finale CAKE STR 6 WO-2079 12/08/2019 AdventHealth Zephyrhills Opener CAKE STR I Total 42.0 Page 1 of 1 _ o f�OflfOfl !f r tom`` r City of Zephyrhills BUILDING PLAN REVIEW COMMENTS c Contractor/Homeowner: �✓� Date Received: Site: Permit Type: Approved w/no comments:C" Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Gene Bro —Fire Safety Officer DAt& Contractor and/or Homeowner (Required when comments are present) Information on safety data sheets (SIDS) for the material(s) to be used • 'i 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 Product identifier: Fireworks,Division 1.3 Explosive 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 mixture Expl. 1.3 H203 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: H203 Explosive;fire, blast or projection hazard. Precautionary statements: P210 Keep away from heat/sparks/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. (Cont'd.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 (Cont'd.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. (Cont'd.on page 3) Page:3/10 Safety Data Sheet acc.to OSHA HCS(29 CFR 1910.1200) Printing date:01/06/2017 Revision: 01/06/2017 Trade name: Fireworks, Display (Cont'd.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. (Cont'd.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 (Cont'd.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 available 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. Store locked 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. (Cont'd.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 Trade name: Fireworks, Display (Cont'd.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: u Safety 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 point/Melting 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. (Cont'd.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 (Cont'd.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. (Cont'd.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 Trade name: Fireworks, Display (Cont'd.of page 6) NTP(National Toxicology Program): 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. (Cont'd.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 (Cont'd.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 Class 1.3 • Label 1.3G ------------------------------------------------------------------------------------- IMDG Class 1.1 • Label 1.3G ------------------------- IATA Class FORBIDDEN Packing group DOT I I Environmental hazards Marine pollutant: No Special precautions for user Not applicable. (Cont'd.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 (Cont'd.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. (Cont'd.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 (Cont'd.of page 9) NIOSH-Ca(National Institute for Occupational Safety and Health): 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&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.Gas.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: 978-0-07-176923-5. Safety Data Sheets, Individual Manufacturers SIDS 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