nm - nasa (2).pdf · nm 88004-0020. february 27, 2012 . ... new mexico department of homeland...

13
National Aeronautics and Space Administration Lyndon B. Johnson Space Center White Sands Test Facility P.O. Box 20 Las Cruces, NM 88004-0020 February 27, 2012 Reply to Attn of RE-12-024 New Mexico Environment Department Attn: Mr. Don Shainin New Mexico Department of Homeland Security and Emergency Management P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White Sands Test Facility (WSTF) SARA Title III Emergency and Hazardous Chemical Inventory Tier II Report for Calendar Year 2011 Enclosure 1 contains a paper copy of the completed Tier II Emergency and Hazardous Chemical Inventory Report form for calendar year 2011, in accordance with SARA Title III. Enclosure 2 contains a duplicate CD-ROM copy of the report form in PDF format. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. If you have any questions or comments concerning this submittal, please contact Michael Jones of my staff at 575-524-5604. Radel Bunker-Farrah Chief, Environmental Office Enclosures (2) cc (Paper copy only): Ms. Dolores Estrada, Office Assistant Emergency Planning Coordinator Las Cruces Fire Department P.O. Box 20000 Las Cruces, NM 88001 l I

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Page 1: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

National Aeronautics and Space Administration

Lyndon B. Johnson Space Center White Sands Test Facility P.O. Box 20 Las Cruces, NM 88004-0020

February 27, 2012

Reply to Attn of RE-12-024

New Mexico Environment Department Attn: Mr. Don Shainin New Mexico Department of Homeland Security and Emergency Management P.O. Box 27111 Santa Fe, NM 87502

Subject: NASA White Sands Test Facility (WSTF) SARA Title III Emergency and Hazardous Chemical Inventory Tier II Report for Calendar Year 2011

Enclosure 1 contains a paper copy of the completed Tier II Emergency and Hazardous Chemical Inventory Report form for calendar year 2011, in accordance with SARA Title III. Enclosure 2 contains a duplicate CD-ROM copy of the report form in PDF format.

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. If you have any questions or comments concerning this submittal, please contact Michael Jones of my staff at 575-524-5604.

Radel Bunker-Farrah Chief, Environmental Office

Enclosures (2)

cc (Paper copy only): Ms. Dolores Estrada, Office Assistant Emergency Planning Coordinator Las Cruces Fire Department P.O. Box 20000 Las Cruces, NM 88001

lI

Page 2: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

Tier Two Reporting Period: January 1 to December 31,2011

Emergency and Hazardous Chemical Inventory Page 1

Specific Information by Chemical Printed: February 22, 2012

Facility Name: NASA White Sands Test Facility

..........** _ ** * IrlrIt ............................................ •••••••

...** _ .-rot *"'" .

FACILITY IDENTIFICATION: NASA White Sands Test Facility Dept: 12600 NASA Road Las Cruces, NM 88012 USA County: Dona Ana Number of employees: 650 MAILING ADDRESS PO Box 20 Las Cruces, NM 88004 USA

IDENTIFICATION NUMBERS: Dun & Bradstreet: NAICS: 92711 (Space Research and Technology) SIC: 9661 (SPACE RESEARCH AND TECHNOLOGY)

CONTACT INFORMATION:

WSTF Fire Department, Contact Type 1: Emergency Contact Address: 12600 NASA Road, Las Cruces, NM, 88012 USA Phones: 24-hour: 575-524-5911

NASA White Sands Test Facility, Contact Type 1: Owner I Operator Address: PO Box 20, Las Cruces, NM, 88004 USA Phones: Work: 575-524-5733 Email: [email protected]

CHEMICAL DESCRIPTIONS [xl All chemicals in inventory are identical to last year's submission

CHEM NAME: 1,1-DIMETHYL HYDRAZINE CAS: 57-14-7

[ 1Identical to previous year [ 1TRADE SECRET [Xl Pure [] Mix [l Solid [xl Liquid [J Gas [x] EHS

PHYSICAL & HEALTH HAZARDS: [x] Fire [] Sudden Release of Pressure [] Reactivity [xl Immediate (acute) [xl Delayed (chronic)

INVENTORY Max Daily Amt code: 03 (1,000 - 9,999 pounds) Avg Daily Amt code 03 (1,000 - 9,999 pounds) No of days on-site: 365

STORAGE CODES &STORAGE LOCATIONS: Container Type: M Pressure: 1 Temp: 4 Location: 200 Area Amount: pounds Container Type: D Pressure: 1 Temp: 4 Location: 500 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical infonrnation is required by New Mexico

Page 3: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

Tier Two Reporting Period: January 1 to December 31,2011

Emergency and Hazardous Chemical Inventory Page 2

Sper:ifir; Information by Chemir;al Printed: February 22,2012

Facility Name: NASA White Sands Test Facility

CHEM NAME: 1,1.2-TRICHLORO-1,2,2-TRIFLUOROETHANE CAS: 76-13-1

[ 1Identical to previous year [ 1TRADE SECRET [x) Pure [l Mix [) Solid [x) Liquid [l Gas [] EHS

PHYSICAL & HEALTH HAZARDS: [ 1Fire [] Sudden Release of Pressure [) Reactivity [x) Immediate (acute) [) Delayed (chronic)

INVENTORY: Max Daily Amt code: 03 (1,000 - 9,999 pounds) Avg Daily Amt code: 03 (1,000 - 9,999 pounds) No of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: D Pressure: 1 Temp: 4 Location: 100 Area Amount: pounds Container Type: D Pressure: 1 Temp: 4 Location: 200 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical Information is required by New Mexico

CHEM NAME: CHLORINE CAS: 7782-50-5

[ ) Identical to previous year [ ) TRADE SECRET (x) Pure [) Mix [) Solid [x] Liquid [) Gas (x] EHS

PHYSICAL & HEALTH HAZARDS: [ ] Fire [x) Sudden Release of Pressure [) Reactivity [x) Immediate (acute) [x) Delayed (chronic)

INVENTORY: Max Daily Amt code: 02 (100 - 999 pounds) Avg Daily Amt code: 02 (100 - 999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: L Pressure: 2 Temp: 4 Location: 100 Area Amount: pounds Container Type: L Pressure: 2 Temp: 4 Location: 600 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME DIESEL FUEL CAS: 68476-34-6

[ lldentical to previous year [ 1TRADE SECRET [ 1Pure [x] Mix [l Solid [xl Liquid [I Gas [J EHS

PHYSICAL & HEALTH HAZARDS:

[xl Fire {l Sudden Release of Pressure {l Reactivity [jlmmediate (acute) [xl Delayed (chronic) INVENTORY

Max Daily Amt code: 05 (100,000 - 999,999 pounds) Avg Daily Amt code: 04 (10,000 - 99,999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: A Pressure: 1 Temp: 4 Location: 100 Area Amount: pounds Container Type: A Pressure: 1 Temp: 4 Location: 300 Area Amount: pounds

Page 4: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

Tier Two Reporting Period: January 1 \0 December 31,2011

Emergency and H.azardous Chemical Inventory Page 3

Specifir; Information by Chemir;al Printed: February 22, 2012

Facility Name: NASA White Sands Test Facility

Container Type: A Pressure: 1 Temp: 4 Location: 400 Area Amount: pounds Container Type: P Pressure: 1 Temp: 4 Location: 100 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS No additional chemical information is required by New Mexico

CHEM NAME: ETHANOL CAS: 64-17-5

[ ] Identical to previous year [ ] TRADE SECRET [ ] Pure [x] Mix [] Solid [x] Liquid [] Gas [] EHS

PHYSICAL & HEALTH HAZARDS: [x] Fire [] Sudden Release of Pressure [x] Reactivity [x] Immediate (acute) [] Delayed (chronic)

INVENTORY: Max Daily Amt code: 04 (10,000 - 99,999 pounds) Avg Daily Amt code: 03 (1,000 - 9,999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: B Pressure: 1 Temp: 4 Location: 100 Area Amount: pounds Container Type: N Pressure: 1 Temp: 4 Location: 200 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME: GASOLINE CAS: 8006-61-9

[ J Identical to previous year [ ] TRADE SECRET [ ] Pure [x] Mix [] Solid [x] Liquid [J Gas [J EHS

PHYSICAL & HEALTH HAZARDS: [x] Fire [J Sudden Release of Pressure [J Reactivity [J Immediate (acute) [x] Delayed (chronic)

INVENTORY: Max Daily Amt code: 04 (10,000 - 99,999 pounds) Avg Daily Amt code: 04 (10,000 - 99,999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: B Pressure: 1 Temp: 4 Location: 100 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME: HYDRAZINE CAS 302-01-2

[ J Identical to previous year [ ] TRADE SECRET [x] Pure [] Mix [J Solid [xl Liquid [J Gas [xl EHS

PHYSICAL & HEALTH HAZARDS [ 1Fire [] Sudden Release of Pressure [xl Reactivity [X] Immediate (acute) [xl Delayed (chronic)

INVENTORY' Max Daily Amt code: 04 (10,000 - 99,999 pounds) Avg Daily Amt code 04 (10,000 - 99,999 pounds) No of days on-site: 365

Page 5: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

Tier Two Reporting Period: January 1 to December 31, 2011

Emergency and Hazardous Chemical Inventory Page 4

Specific Information by Chemical Printed: February 22, 2012

Facility Name: NASA White Sands Test Facility

STORAGE CODES & STORAGE LOCATIONS: Container Type: L Pressure: 2 Temp: 4 Location: 200 Area Amount: pounds Container Type: A Pressure: 1 Temp: 4 Location: 300 Area Amount: pounds Container Type: L Pressure: 1 Temp: 4 Location: 500 Area Amount: pounds Container Type: A Pressure: 1 Temp: 4 Location: 800 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS No additional chemical information is required by New Mexico

CHEM NAME: HYDROGEN (LIQUEFIED) CAS: 1333-74-0

[ ) Identical to previous year [ ] TRADE SECRET [x) Pure [] Mix [) Solid [xl Liquid [) Gas [] EHS

PHYSICAL & HEALTH HAZARDS [x] Fire [x) Sudden Release of Pressure [x) Reactivity [x] Immediate (acute) [) Delayed (chronic)

INVENTORY: Max Daily Amt code: 03 (1,000 - 9,999 pounds) Avg Daily Ami code: 03 (1,000 - 9,999 pounds) No. of days on-site: 365

STORAGE CODES &STORAGE LOCATIONS: Container Type: A Pressure: 2 Temp: 7 Location: 200 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME HYDROGEN, GAS CAS: 1333-74-0

[ ] Identical to previous year [ I TRADE SECRET [x] Pure [l Mix [] Solid [) Liquid [x) Gas [] EHS

PHYSICAL & HEALTH HAZARDS: [x) Fire [x] Sudden Release of Pressure [x] Reactivi·ty [x] Immediate (acute) [1 Delayed (chronic)

INVENTORY' Max Daily Amt code: 04 (10,000 - 99,999 pounds) Avg Daily Amt code: 03 (1,000 - 9,999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: L Pressure: 2 Temp: 4 Location: 100 Area Amount: pounds Container Type: L Pressure: 2 Temp: 4 Location: 200 Area Amount: pounds Container Type: A Pressure: 2 Temp: 4 Location: 200 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS No additional chemical information is required by New Mexico

CHEM NAME: ISO-PROPYL ALCOHOL CAS 67-63-0

[ ) Identical to previous year [ ] TRADE SECRET [x] Pure [] Mix [J Solid [x] Liquid [J Gas [] EHS

PHYSICAL & HEALTH HAZARDS [xl Fire [I Sudden Release of Pressure [x] Reactivity [J Immediate (acute) [x] Delayed (chronic)

Page 6: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

Tier Two Reporting Period: January 1 to December 31, 2011

Emergency and Hazardous Chemical Inventory Page 5

Specific Information by Chemical Printed: February 22, 2012

Facility Name: NASA White Sands Test Facility

INVENTORY: Max Daily Amt code: 05 (100,000 - 999,999 pounds) Avg Daily Amt code: 05 (100,000 - 999,999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: D Pressure: 1 Temp: 4 Location: 100 Area Amount: pounds Container Type: D Pressure: 1 Temp: 4 Location: 200 Area Amount: pounds Container Type: A Pressure: 1 Temp: 4 Location: 400 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME: LIQUID OXYGEN CAS 7782-44-7

[ jldentical to previous year [ ] TRADE SECRET [xl Pure [I Mix [I Solid [Xl Liquid [I Gas [I EHS

PHYSICAL & HEALTH HAZARDS: [ J Fire [x] Sudden Release of Pressure [l Reactivity [xl Immediate (acute) [ ) Delayed (chronic)

INVENTORY' Max Daily Amt code: 05 (100,000 - 999,999 pounds) Avg Daily Amt code: 05 (100,000 - 999,999 pounds) No. of days on-site 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: A Pressure: 2 Temp: 7 Location: 200 Area Amount: pounds Container Type: A Pressure: 2 Temp: 7 Location: 400 Area Amount: pounds Container Type: A Pressure: 2 Temp: 7 Location: 800 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME: MONOMETHYLHYDRAZINE CAS: 60-34-4

[ lldenticaJ to previous year [ I TRADE SECRET [x) Pure [] Mix [I Solid [xl Liquid {I Gas [x] EHS

PHYSICAL & HEALTH HAZARDS [x] Fire [] Sudden Release of Pressure [Xl Reactivity [x] Immediate (acute) [Xl Delayed (chronic)

INVENTORY Max Daily Amt code: 04 (10,000 - 99,999 pounds) Avg Daily Amt code 04 (10,000 - 99,999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type' L Pressure: 2 Temp: 4 Location: 200 Area Amount: pounds Container Type: A Pressure: 2 Temp: 4 Location: 300 Area Amount: pounds Container Type: A Pressure: 2 Temp: 4 Location: 400 Area Amount: pounds Container Type: D Pressure: 2 Temp: 4 Location: 500 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS No additional chemical information is reqUired by New Mexico

CHEM NAME NITROGEN (LIQUEFIED)

Page 7: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

Tier Two Reporting Period: January 1 to December 31, 2011

Emergency and Hazardous Chemical Inventory Page 6

Specific Information by Chemical Printed: February 22, 2012

Facility Name: NASA White Sands Test Facility

CAS 7727-37-9 [ ) Identical to previous year ( JTRADE SECRET [x] Pure [) Mix (] Solid [x] Liquid [] Gas [J EHS

PHYSICAL & HEALTH HAZARDS: [ 1Fire [x] Sudden Release of Pressure [J Reactivity (x] Immediate (acute) [1 Delayed (chronic)

INVENTORY: Max Daily Amt code: 05 (100,000 - 999,999 pounds) Avg Daily Amt code: 04 (10,000 - 99,999 pounds) No of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: A Pressure: 2 Temp: 7 Location: 200 Area Amount: pounds Container Type: A Pressure: 2 Temp: 7 Location: 400 Area Amount: pounds Container Type: A Pressure: 2 Temp: 7 Location: 500 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME: NITROGEN GAS CAS: 7727-37-9

( ) Identical to previous year [ 1TRADE SECRET [x] Pure [] Mix [) Solid [) Liquid [xl Gas [] EHS

PHYSICAL & HEALTH HAZARDS: [ J Fire (x) Sudden Release of Pressure [l Reactivity [x] Immediate (acute) [ 1Delayed (chronic)

INVENTORY: Max Daily Am! code: 04 (10,000 - 99,999 pounds) Avg Daily Amt code 04 (10,000 - 99,999 pounds) No of days on-site 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: L Pressure: 2 Temp: 4 Location: 100 Area Amount: pounds Container Type: A Pressure: 2 Temp: 4 Location: 200 Area Amount: pounds Container Type: A Pressure: 2 Temp: 4 Location: 400 Area Amount: pounds Container Type: A Pressure: 2 Temp: 4 Location: 500 Area Amount: pounds Container Type: R Pressure: 2 Temp: 4 Location: Site Wide Piping Amount: pounds Container Type: L Pressure: 2 Temp: 4 Location: 600 Area Amount pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME: NITROGEN TETROXIDE (N204) CAS: 10102-44-0

[ ] Identical to previous year [ 1TRADE SECRET [xl Pure [J Mix [J Solid [x) Liquid () Gas [x) EHS

PHYSICAL & HEALTH HA7.ARDS ( ] Fire [] Sudden Release of Pressure [xl Reactivity [x] Immediate (acute) [l Delayed (chronic)

INVENTORY Max Daily Amt code 04 (10.000·99,999 pounds) Avg Daily Ami code 04 (10.000 - 99,999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS:

Page 8: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

Tier Two Reporting Period: January 1 to December 31, 2011

Emergency and Hazardous Chemical Inventory Page 7

Specific Information by Chemical Printed: February 22, 2012

Facility Name: NASA White Sands Test Facility

Container Type: L Pressure: 2 Temp: 4 Location: 200 Area Amount: pounds Container Type: A Pressure: 2 Temp: 4 Location: 300 Area Amount: pounds Container Type: A Pressure: 2 Temp: 4 Location: 400 Area Amount: pounds Container Type: L Pressure: 2 Temp: 4 Location: 500 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME: OXYGEN CAS 7782-44-7

[ lldentical to previous year [ j TRADE SECRET [xl Pure [l Mix [l Solid [l Liquid [xl Gas [l EHS

PHYSICAL & HEALTH HAZARDS: [xl Fire [xl Sudden Release of Pressure [l Reactivity [xl Immediate (acute) [l Delayed (chronic)

INVENTORY: Max Daily Amt code: 04 (10,000 - 99,999 pounds) Avg Daily Amt code: 04 (10,000 - 99,999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS: Container Type: L Pressure: 2 Temp: 4 Location: 100 Area Amount: pounds Container Type: A Pressure: 2 Temp: 4 Location: 200 Area Amount: pounds

CHEMICALS IN fNVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

CHEM NAME PROPANE CAS: 74-98-6

[ 1Identical to previous year [ 1TRADE SECRET [xl Pure [1 Mix [1 Solid [J Liquid [xl Gas [1 EHS

PHYSICAL & HEALTH HAZARDS: [xl Fire [xl Sudden Release of Pressure [J Reactivity [xjlmmediate (acute) [l Delayed (chronic)

INVENTORY Max Daily Amt code: 04 (10,000 - 99,999 pounds) Avg Daily AmI code: 04 (10,000·99,999 pounds) No. of days on-site: 365

STORAGE CODES & STORAGE LOCATIONS Container Type: L Pressure: 2 Temp: 4 Location: 300 Area Amount: pounds Container Type: L Pressure: 2 Temp: 4 Location: 400 Area Amount: pounds Container Type: L Pressure: 2 Temp: 4 Location: 600 Area Amount: pounds Container Type: L Pressure 2 Temp: 4 Location: 800 Area Amount: pounds

CHEMICALS IN INVENTORY STATE FIELDS: No additional chemical information is required by New Mexico

FACILITY STATE FIELDS No additional information is required by New Mexico

STATE I LOCAL FEES None.

[ J I have attached a site plan

Page 9: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

Tier Two Reporting Period: January 1 to December 31,2011

Emergency and Hazardous Chemical Inventory Page 8

Specific Information by Chemical Printed: February 22, 2012

Facility Name: NASA White Sands Test Facility

[ 1 I have attached a list of site coordinate abbreviations [ 1 I have attached a description of dikes and other safeguard measures

Certification (Read and sign after completing all sections) I certify undor penalty Of law that I have personally examined and am famHiar with the information submittod In pages one through 61

and that baa.ed on my Inquiry of those Indtvldual5 responsible for obtaining this Infor~t1on.1 believe that the submitted information is true, urate, and complete.

:~':'i:~dno~~~~~~~~;e~~:r.~ranager ~ _=_~ 2/28/2012I

OR owner/operator's authorized repreluntaUve I Signawre ! Date signed

Page 10: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

UNITED STATES POSTAL SERVICE IIIII First-Class M~i1 Postage & Fees Paid USPS Pennit No. G·10

• Sender: Please print your name, address, and ZIP+4 in this box •

National Aeronautics and Space Administration

(' r , J.- - () ~iMail Code: \I.F~ - " .

Lyndon B. Johnson Space Center White Sands Test Facility Post Office Box 20 Las Cruces. NM 88004-0020

Page 11: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

SENDER: COMPLETE THIS SECTION

• Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery Is desired.

• Print your name and address on the reverse so that we can return the card to you.

• Attach this card to the back of the mailpiece. or on the front if space pennits.

1. Aniele Addressed to:

Ms. Dolores Estrada, Office Assistant Emergency Planning Coordinator Las Cruces Fire Department P.O. Box 2000 Las Cruces, NM 88001

2. Miele Number (Transfer from service label)

cor,fPL Ie TE THIS SECT/Oil or, VEL/VERI'

£gent o Addressee

C. Date of Delivery

J D. Is delivery address different from' m 1? 0 es

if YES, enter delivery address below: 0 No

flJ ~)C ;)..0(1(\ C

Lp,-~ Cj1J..f~ IV~ g@l( 3. Se~Type

rrCertified Mall 0 ~ress Mail o Registered B"'ffilturn Receipt for Merchandise o Insured Mall 0 C.O.D.

4. Restricted Delivery? (Extra Fee) 0 Yes

7009 3410 0001 5868 1322

PS Form 3811. August 2001 Domestic Return Receipt 2ACPRI.03-P-4081

Page 12: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

UNITED STATES POSTAl SERVICE First-Class Mail. Postage & Fees Paid USPS Permit No. G-10111111

• Sender: Please print your name, address, and ZIP+4 in this box •

l'lationalAeronauticsand Space Administration

~ - \:;-;'-1. , .\ )&J;Mail COde: \ Lynckm ».Johnson S~Center White~Test Faclltty Post Oiiilt Box 20 Las Cnces. NM 88004-0020

11"111"1,11.,,/1,,,,11I1II",IJ'IlI,I,lIi'III,I,III" ,,/I "I

Page 13: NM - NASA (2).pdf · NM 88004-0020. February 27, 2012 . ... New Mexico Department of Homeland Security and Emergency Management . P.O. Box 27111 Santa Fe, NM 87502 Subject: NASA White

• Complete items 1, 2, and 3. Also complete item 4 jf Restricted Delivery is desired. o Agent

• Print your name and address on the reverse o Addressee

• so that we can return the card to you. Attach this card to the back of the mailpiece,

C. Date of Delivery

or on the front if space permits.

1. Article Addressed to: ., fNew Mexico Enviromental Department

Attn: Mr. Don Shainin New Mexico Department of Homeland Security & Emergency Managment P.O. Box 27111 Sante Fe. NM 87502

D. Is delivery address different fro m 1? 0 Yes if YES, enter delivery address belo. 0 No

3. Sepice Type Ej" Certlfied Mail 0 J;Ilprass Mail o RegIstered erRetum Receipt for Merchandise o Insured Mail 0 C.O.D.

4. Restricted Delivery? (Extra Fee) 0 Yes --­2. Article Number 7009 3410 0001 5868 1308

(Transfer from service label)

PS Form 3811, August 2001 Domestic RebJm Receipt 2ACPRJ-OO-P-4081

""