appendix b2 workcover search - department of planning … · 12 if a new site or for amendments to...
TRANSCRIPT
APPENDIX B2
WORKCOVER SEARCH
WorkCover N$W 92-100 Donnlson Street Gosford NSW 2250
Locked Bag 2906 Lisarow NSW 2252 T 024321 5000 F 0243254145
WorkCover Assistance Service 131050 OX 731 Sydney workcovernswgovau
Our Ref D11147542 Your Ref Frances Kuipers
22 November 2011 ~m~Rwmifl il1l 2 j NOV 2011 JYJ
Attention Frances Kuipers BYmiddot Geotechnique Pty Ltd PO Box 880 Penrith NSW 2751
Dear Ms Kuipers
RE SITE Marsden Park Precinct
refer to your site search request received by WorkCover NSW on 18 November 2011 requesting information on licences to keep dangerous goods for the above site
Enclosed are copies of the documents that WorkCover NSW holds on Dangerous Goods Licence 35031992 35032603 35014030 35008633 35032866 35023801 35024275 35025028 relating to the storage of dangerous goods at the above-mentioned premises as listed on the Stored Chemical Information Database (SCID)
If you have any further queries please contact the Dangerous Goods Licensing Team on (02) 4321 5500
Yours Sincerely
Brerlt Jo es Seni~ icensing Officer Dangerous Goods Notification Team
WC03116 0611
=shy
bullWORKCOVER
NEW SOUTH WALES
Application for f new licence amendment transfer renewal of expired licence ]------- - -- ~----- t a~S~ I
PART A - Appifcant and site information See page 2 of Guidance Notes
1 Name of applicant ()l- ACN
~ e~fCj tamp-~~- I eai~6X-lf2-2 Postal address ofapplicant --=-=-~ Suburbfrown POsfCode
middotPi~Qgtfu p~~~r~ j6J- I
---- ------- --- ---- ---__-shy
4 Contact for licence inquiries Phone Fax Name
Y- 2amp ~ t 7 62g-2r-1 ( u~~ 4teC _~_~---5 Previous licence number (if known) 35 -Zijj q- - ---~_ ____ ___ _]
6 Previous occupier (if known) L4lt)e-~~~ ~~ - - -~--
7 Site to be licensed No Street
----=-- ------r--c- - ---- ~ ~C o c ~ s ~ f l1121lt
--=------~---- - Suburb Town Postcode
r (YA~~ _ ____--L2 __ ~-=_-_-J- k l _ _
_ _ ---- ___-1 [- tf--__9 Site staffing Hours per day -- I Days per week
10 Site eQ1ergency contact
LO~ =-67C--_ --_- __l_r--C72~_0-_ 7~-__-=-- ~ ~~~~iVr1pi- --izi~__ 11 Major supplier of dangerous goods [__--_ ol=(-b-l c~___ _===I-12 If a new site or for amendments to depots see page 4 of Guidan-cNotes Plan stamped by Name of Accredited Consultant Date stamped
fW i ) ---middot middot1~~__~_--~(~_ ---- --- shy
~---- - --shyI certify that the details in this application (including any acccmpanying computer disk) are correct and cover all liCensable quantities of dangerous goods kept on the premises
~~_~middot_middotgtv_~_~= ~~-~=-=------3
13~tJre~~Yicant Printed name Date
~ ~7Z- - M4 V~-Mm~ =-=-==-rY7T97]7 -- shy
I
~~~~r- Please carefully read the instructio on page 3 of the Guidance Notes before sketching the site Site Sketc l -----------------------4~
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What is a depot See page 5 of the Guidance Notes 3 02J(~I PAbull r C - Dangerous Goods Storage Complete one section per depot
If you hav-t~ depots than the space provided photocopy sufficient sheets first ~-
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
(gt Pgto v lt CVMJ rAN 2~ ( 4--0-0 lshyI shy
~ r ~ PG Product or Typical Unit eg Number Proper Shipping Name Class (I II III) common name quantity L kg m
gt1 IlLvll 4--1 L _PC~ 4gt-V-Cl-(Ol~ 2middot(- 00 P b-gt
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Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
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Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
r shy -~-------- -- shy
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PG Product or Typical Unit eg Number Proper Shipping Name Class (I II III) common name quantity l kg m
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Depot Number
Number
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Type of depot (see page 5)
Proper Shipping Name Class (I II III)
shy
common name quantity
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T is Plan on forms with the Ongerous oods NSW 1975 and Australian
Sla rdls) - AS 1596-1 qsi ned fo esfarmers Kleenheat Gas PL
DIe - 110 File NoLL___
~~1~~J~~~= CY ~roo93336
NEW SOUTH WALES Suitt l02 30 Cowper StreeL r~amatt ~SW 21 ~O
PorllJ~
P() 601 W3~ Pnlulatta ~middotSW 2130 fhoDf (02) S633 1777 fax (O) 9ampOb 021amp
DATI
L -1-4 SCAJpound
1250 RLYISION
CONTACT REP SHEET SIZE
1JAIU rA-Un17l TANK SIZE
t)L 4--lbc
t)WnJ f1wtvt APPLICATION
Ik-ATlN
A4
ACN
~(2Dtu
OCA 19 54
CUSTOMER
Tis Pian Conforms with the Dangerous Goors Act NSW 1975 and Australian
Standard(s) - AS 1596 - I 4 4 signed for Wesfarmers Kleenheat Gas PIL
Date ~I1-41 File No --Jfr DWt1t 21L97
DTC~~~GENC~~~O 093336
ACN (()IJ r7a 54
CUSTOMER
e 1(2 () l=i2 0 ~ l 10
DATE 0middot11-4)
II CONTACT
IJfgtcW P14UH F(l TANK SIZE
4-gtI2L bull
NEW SOUTH WALES Suitt 202 qO Cowper StIceamp lJtrr~ ~SW 2130 p~
po 80~ W3 PQItrDUta NSW 2130 rhODf (02) 16331117 [a (01) 9306 021a
sCill l 200
REVISION
REP
1gt-I r1Ut1 APPI CATI 0 N
SHEIT SIZE
A4
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APPLICATION FOR RENEWAL WORKCOVER
NE W SOutH WI LES
OF LICENCE TO KEEP DANGEROUS GOODS ISSUED UNDE R AND SUBJECT TO THE PROVISIONS OF THE DANGEROUS GOODS ACT 1975 AND REGULATION THEREUNDER
DECLARA nON Please renew licence number 35 023801 to 1998 I confirm that all the licence details shown below are correct (amend if necessary)
o~ ~ A~~ ~ ~ ~ (Signature) (Please Pflnt name) (Date signed)
for SALIBA J amp V
THIS SIGNED DECLARA nON SHOULD BE RETURNED TO WorkCover New South Wales Enquiries ph (02) 93705187 Dangerous Goods Licensing Section (Level 3) fax (02)93706105 Locked Bag 10 P 0 CLARENCE STREET 2000
Details of licence on 5 February 1997
Licence Number 35023801 Expiry Date 28 0397
Licensee SALIBA J amp V
Postal Address 306 SOUTH ST MARSDEN PARK 2765 Licensee Contact JOE OR VICKY Ph 628 3626 Premises Licensed to Keep Dangerous Goods
306 SO UTH ST LOT 6 MARSDEN PARK 2765
Nature of Site Poultry Farming (Meat) Major Supplier of Dangerous Goods ~ KLtEN H~4lt
Emergency Contact for this Site A Cauchi (AH 6284935) ph 628 3626
Site staffing 24 HRS 7 DAYS
Details of De~ots Depot No Depot Type Goods Stored in Depot Qty
1 ABOVE-GRQJJND TANK Class 21 UN 1075 PETROLEUM GASES L10UE
5000 L 25 00 L
2 ABOVE-GROUND TANK Class 21 UN 1 075 PETROLEUM GASES LIOUE
5000 L 2500 L
26 F r
2 FEB 1997
New Scutt1 Wales Govenlmenl Form DG10
___ ___
-- ----
~ THE NE W gtOUTI1 WALIS GOVERNMEN T
) c- - _~ D SCI
I WORKCOV R4ilit-t RITY
C SERVICES poundgt1 ) J 2S 3middot 96 (Dange
rausGoodsAcI 197S)
Application for ne~ licence amendment or transfer 1 S-e ~Ce CS I gt 9$_
2 Site to be licensed IIltLol ( No Street - shy
so d 111
SuburbfTown Postcode
I h--1 r1 ~v( middot1 P1 Z ~r ~ ) __________~_ ==J~________________-L______~~
3 Previous licence number (if known) L S Io 23ampvL I 4 Nature of site l t=Ap -- l shy
S Emergency contact on site Phone Name Lr~--------------------I ~--------7~--------------~~------~~-------- ~ b -l D ~ b d OA Umiddot (1 t4H lli (pound t3i
6 Site staHing Hours per day i l(iL If ~I~ Days per week IL p 7--____-
7 Major supplier of dangerous 900d~Vt ~ A-S J-~ I (pound--1 pound_ ( liI 4lJ JJl~l -7
8 If new site or significant modification Plan stamped by Accredited consultants name Date stamped
9 Number of dangerous g~ds depots at site lb J 1 A+~ ( (4 11-1lt )
10Trading name or occupiers name
[ ~ ~__ yend4--=-amp=--I ___~_ _-- - A L A middot _ _F~3pound) _ 11 Postal address of applicant
~ 31~ s --1 -S--__ _ _ _
12Contact for licence enquiries Phone Fax Name
[ LIg 3 b ~ ----------------_~-f--=_-middot_o-~~D~t=~~~(J~(----_I=( 1-___- __ _ _ J-- lti -_
I certify that the details contained in this application (or the accompanying computer disk) are true and correct
(113 Signature of apPllcan0-~ -~-~-~_--~--~ Date l_~middot S- ~ ~J ---- - ~-----
Please complBIB attached site sketch depot listing and check sheet cC- ~
SuburbfTown Postcode
(ifr8qulred) and rewrn to WorkCover Authority In envelope provldedL v~ arm DGI
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PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
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Product or Typical common name quantity
I-J11~ zS~
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Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
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6 I LA 7
8
9
10
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11
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Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
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~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
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r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
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[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
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middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
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Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
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Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
WorkCover N$W 92-100 Donnlson Street Gosford NSW 2250
Locked Bag 2906 Lisarow NSW 2252 T 024321 5000 F 0243254145
WorkCover Assistance Service 131050 OX 731 Sydney workcovernswgovau
Our Ref D11147542 Your Ref Frances Kuipers
22 November 2011 ~m~Rwmifl il1l 2 j NOV 2011 JYJ
Attention Frances Kuipers BYmiddot Geotechnique Pty Ltd PO Box 880 Penrith NSW 2751
Dear Ms Kuipers
RE SITE Marsden Park Precinct
refer to your site search request received by WorkCover NSW on 18 November 2011 requesting information on licences to keep dangerous goods for the above site
Enclosed are copies of the documents that WorkCover NSW holds on Dangerous Goods Licence 35031992 35032603 35014030 35008633 35032866 35023801 35024275 35025028 relating to the storage of dangerous goods at the above-mentioned premises as listed on the Stored Chemical Information Database (SCID)
If you have any further queries please contact the Dangerous Goods Licensing Team on (02) 4321 5500
Yours Sincerely
Brerlt Jo es Seni~ icensing Officer Dangerous Goods Notification Team
WC03116 0611
=shy
bullWORKCOVER
NEW SOUTH WALES
Application for f new licence amendment transfer renewal of expired licence ]------- - -- ~----- t a~S~ I
PART A - Appifcant and site information See page 2 of Guidance Notes
1 Name of applicant ()l- ACN
~ e~fCj tamp-~~- I eai~6X-lf2-2 Postal address ofapplicant --=-=-~ Suburbfrown POsfCode
middotPi~Qgtfu p~~~r~ j6J- I
---- ------- --- ---- ---__-shy
4 Contact for licence inquiries Phone Fax Name
Y- 2amp ~ t 7 62g-2r-1 ( u~~ 4teC _~_~---5 Previous licence number (if known) 35 -Zijj q- - ---~_ ____ ___ _]
6 Previous occupier (if known) L4lt)e-~~~ ~~ - - -~--
7 Site to be licensed No Street
----=-- ------r--c- - ---- ~ ~C o c ~ s ~ f l1121lt
--=------~---- - Suburb Town Postcode
r (YA~~ _ ____--L2 __ ~-=_-_-J- k l _ _
_ _ ---- ___-1 [- tf--__9 Site staffing Hours per day -- I Days per week
10 Site eQ1ergency contact
LO~ =-67C--_ --_- __l_r--C72~_0-_ 7~-__-=-- ~ ~~~~iVr1pi- --izi~__ 11 Major supplier of dangerous goods [__--_ ol=(-b-l c~___ _===I-12 If a new site or for amendments to depots see page 4 of Guidan-cNotes Plan stamped by Name of Accredited Consultant Date stamped
fW i ) ---middot middot1~~__~_--~(~_ ---- --- shy
~---- - --shyI certify that the details in this application (including any acccmpanying computer disk) are correct and cover all liCensable quantities of dangerous goods kept on the premises
~~_~middot_middotgtv_~_~= ~~-~=-=------3
13~tJre~~Yicant Printed name Date
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If you hav-t~ depots than the space provided photocopy sufficient sheets first ~-
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
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T is Plan on forms with the Ongerous oods NSW 1975 and Australian
Sla rdls) - AS 1596-1 qsi ned fo esfarmers Kleenheat Gas PL
DIe - 110 File NoLL___
~~1~~J~~~= CY ~roo93336
NEW SOUTH WALES Suitt l02 30 Cowper StreeL r~amatt ~SW 21 ~O
PorllJ~
P() 601 W3~ Pnlulatta ~middotSW 2130 fhoDf (02) S633 1777 fax (O) 9ampOb 021amp
DATI
L -1-4 SCAJpound
1250 RLYISION
CONTACT REP SHEET SIZE
1JAIU rA-Un17l TANK SIZE
t)L 4--lbc
t)WnJ f1wtvt APPLICATION
Ik-ATlN
A4
ACN
~(2Dtu
OCA 19 54
CUSTOMER
Tis Pian Conforms with the Dangerous Goors Act NSW 1975 and Australian
Standard(s) - AS 1596 - I 4 4 signed for Wesfarmers Kleenheat Gas PIL
Date ~I1-41 File No --Jfr DWt1t 21L97
DTC~~~GENC~~~O 093336
ACN (()IJ r7a 54
CUSTOMER
e 1(2 () l=i2 0 ~ l 10
DATE 0middot11-4)
II CONTACT
IJfgtcW P14UH F(l TANK SIZE
4-gtI2L bull
NEW SOUTH WALES Suitt 202 qO Cowper StIceamp lJtrr~ ~SW 2130 p~
po 80~ W3 PQItrDUta NSW 2130 rhODf (02) 16331117 [a (01) 9306 021a
sCill l 200
REVISION
REP
1gt-I r1Ut1 APPI CATI 0 N
SHEIT SIZE
A4
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APPLICATION FOR RENEWAL WORKCOVER
NE W SOutH WI LES
OF LICENCE TO KEEP DANGEROUS GOODS ISSUED UNDE R AND SUBJECT TO THE PROVISIONS OF THE DANGEROUS GOODS ACT 1975 AND REGULATION THEREUNDER
DECLARA nON Please renew licence number 35 023801 to 1998 I confirm that all the licence details shown below are correct (amend if necessary)
o~ ~ A~~ ~ ~ ~ (Signature) (Please Pflnt name) (Date signed)
for SALIBA J amp V
THIS SIGNED DECLARA nON SHOULD BE RETURNED TO WorkCover New South Wales Enquiries ph (02) 93705187 Dangerous Goods Licensing Section (Level 3) fax (02)93706105 Locked Bag 10 P 0 CLARENCE STREET 2000
Details of licence on 5 February 1997
Licence Number 35023801 Expiry Date 28 0397
Licensee SALIBA J amp V
Postal Address 306 SOUTH ST MARSDEN PARK 2765 Licensee Contact JOE OR VICKY Ph 628 3626 Premises Licensed to Keep Dangerous Goods
306 SO UTH ST LOT 6 MARSDEN PARK 2765
Nature of Site Poultry Farming (Meat) Major Supplier of Dangerous Goods ~ KLtEN H~4lt
Emergency Contact for this Site A Cauchi (AH 6284935) ph 628 3626
Site staffing 24 HRS 7 DAYS
Details of De~ots Depot No Depot Type Goods Stored in Depot Qty
1 ABOVE-GRQJJND TANK Class 21 UN 1075 PETROLEUM GASES L10UE
5000 L 25 00 L
2 ABOVE-GROUND TANK Class 21 UN 1 075 PETROLEUM GASES LIOUE
5000 L 2500 L
26 F r
2 FEB 1997
New Scutt1 Wales Govenlmenl Form DG10
___ ___
-- ----
~ THE NE W gtOUTI1 WALIS GOVERNMEN T
) c- - _~ D SCI
I WORKCOV R4ilit-t RITY
C SERVICES poundgt1 ) J 2S 3middot 96 (Dange
rausGoodsAcI 197S)
Application for ne~ licence amendment or transfer 1 S-e ~Ce CS I gt 9$_
2 Site to be licensed IIltLol ( No Street - shy
so d 111
SuburbfTown Postcode
I h--1 r1 ~v( middot1 P1 Z ~r ~ ) __________~_ ==J~________________-L______~~
3 Previous licence number (if known) L S Io 23ampvL I 4 Nature of site l t=Ap -- l shy
S Emergency contact on site Phone Name Lr~--------------------I ~--------7~--------------~~------~~-------- ~ b -l D ~ b d OA Umiddot (1 t4H lli (pound t3i
6 Site staHing Hours per day i l(iL If ~I~ Days per week IL p 7--____-
7 Major supplier of dangerous 900d~Vt ~ A-S J-~ I (pound--1 pound_ ( liI 4lJ JJl~l -7
8 If new site or significant modification Plan stamped by Accredited consultants name Date stamped
9 Number of dangerous g~ds depots at site lb J 1 A+~ ( (4 11-1lt )
10Trading name or occupiers name
[ ~ ~__ yend4--=-amp=--I ___~_ _-- - A L A middot _ _F~3pound) _ 11 Postal address of applicant
~ 31~ s --1 -S--__ _ _ _
12Contact for licence enquiries Phone Fax Name
[ LIg 3 b ~ ----------------_~-f--=_-middot_o-~~D~t=~~~(J~(----_I=( 1-___- __ _ _ J-- lti -_
I certify that the details contained in this application (or the accompanying computer disk) are true and correct
(113 Signature of apPllcan0-~ -~-~-~_--~--~ Date l_~middot S- ~ ~J ---- - ~-----
Please complBIB attached site sketch depot listing and check sheet cC- ~
SuburbfTown Postcode
(ifr8qulred) and rewrn to WorkCover Authority In envelope provldedL v~ arm DGI
I
IPARTB Ibull I
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PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
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Pkg Class Group EPG
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I-J11~ zS~
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UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
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11
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Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
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f lt
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52 (~
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~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
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0 ~
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r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
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________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
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[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
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Lshy shy
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middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
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r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
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Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
=shy
bullWORKCOVER
NEW SOUTH WALES
Application for f new licence amendment transfer renewal of expired licence ]------- - -- ~----- t a~S~ I
PART A - Appifcant and site information See page 2 of Guidance Notes
1 Name of applicant ()l- ACN
~ e~fCj tamp-~~- I eai~6X-lf2-2 Postal address ofapplicant --=-=-~ Suburbfrown POsfCode
middotPi~Qgtfu p~~~r~ j6J- I
---- ------- --- ---- ---__-shy
4 Contact for licence inquiries Phone Fax Name
Y- 2amp ~ t 7 62g-2r-1 ( u~~ 4teC _~_~---5 Previous licence number (if known) 35 -Zijj q- - ---~_ ____ ___ _]
6 Previous occupier (if known) L4lt)e-~~~ ~~ - - -~--
7 Site to be licensed No Street
----=-- ------r--c- - ---- ~ ~C o c ~ s ~ f l1121lt
--=------~---- - Suburb Town Postcode
r (YA~~ _ ____--L2 __ ~-=_-_-J- k l _ _
_ _ ---- ___-1 [- tf--__9 Site staffing Hours per day -- I Days per week
10 Site eQ1ergency contact
LO~ =-67C--_ --_- __l_r--C72~_0-_ 7~-__-=-- ~ ~~~~iVr1pi- --izi~__ 11 Major supplier of dangerous goods [__--_ ol=(-b-l c~___ _===I-12 If a new site or for amendments to depots see page 4 of Guidan-cNotes Plan stamped by Name of Accredited Consultant Date stamped
fW i ) ---middot middot1~~__~_--~(~_ ---- --- shy
~---- - --shyI certify that the details in this application (including any acccmpanying computer disk) are correct and cover all liCensable quantities of dangerous goods kept on the premises
~~_~middot_middotgtv_~_~= ~~-~=-=------3
13~tJre~~Yicant Printed name Date
~ ~7Z- - M4 V~-Mm~ =-=-==-rY7T97]7 -- shy
I
~~~~r- Please carefully read the instructio on page 3 of the Guidance Notes before sketching the site Site Sketc l -----------------------4~
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I
What is a depot See page 5 of the Guidance Notes 3 02J(~I PAbull r C - Dangerous Goods Storage Complete one section per depot
If you hav-t~ depots than the space provided photocopy sufficient sheets first ~-
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
(gt Pgto v lt CVMJ rAN 2~ ( 4--0-0 lshyI shy
~ r ~ PG Product or Typical Unit eg Number Proper Shipping Name Class (I II III) common name quantity L kg m
gt1 IlLvll 4--1 L _PC~ 4gt-V-Cl-(Ol~ 2middot(- 00 P b-gt
~
~-
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~
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
~--o ~~2~vo ANIL~1 ~vv~ I I shyUN PG Product or Typical Number Proper Shipping Name Class (I II III) common name quantity
-~~---~-- I 10
-
rLluUdlgth 4AJl-gt 21W G)ltIlf L- -
_-_shy0-_shy
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L
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
r shy -~-------- -- shy
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PG Product or Typical Unit eg Number Proper Shipping Name Class (I II III) common name quantity l kg m
shy
~~
Depot Number
Number
shy --shy I
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Proper Shipping Name Class (I II III)
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common name quantity
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t J rfl
I
J
- -------__ shy
c(1Agt-nmiddot0
~ g bull 0W1( 0 ltjshy
bull
T is Plan on forms with the Ongerous oods NSW 1975 and Australian
Sla rdls) - AS 1596-1 qsi ned fo esfarmers Kleenheat Gas PL
DIe - 110 File NoLL___
~~1~~J~~~= CY ~roo93336
NEW SOUTH WALES Suitt l02 30 Cowper StreeL r~amatt ~SW 21 ~O
PorllJ~
P() 601 W3~ Pnlulatta ~middotSW 2130 fhoDf (02) S633 1777 fax (O) 9ampOb 021amp
DATI
L -1-4 SCAJpound
1250 RLYISION
CONTACT REP SHEET SIZE
1JAIU rA-Un17l TANK SIZE
t)L 4--lbc
t)WnJ f1wtvt APPLICATION
Ik-ATlN
A4
ACN
~(2Dtu
OCA 19 54
CUSTOMER
Tis Pian Conforms with the Dangerous Goors Act NSW 1975 and Australian
Standard(s) - AS 1596 - I 4 4 signed for Wesfarmers Kleenheat Gas PIL
Date ~I1-41 File No --Jfr DWt1t 21L97
DTC~~~GENC~~~O 093336
ACN (()IJ r7a 54
CUSTOMER
e 1(2 () l=i2 0 ~ l 10
DATE 0middot11-4)
II CONTACT
IJfgtcW P14UH F(l TANK SIZE
4-gtI2L bull
NEW SOUTH WALES Suitt 202 qO Cowper StIceamp lJtrr~ ~SW 2130 p~
po 80~ W3 PQItrDUta NSW 2130 rhODf (02) 16331117 [a (01) 9306 021a
sCill l 200
REVISION
REP
1gt-I r1Ut1 APPI CATI 0 N
SHEIT SIZE
A4
I-he 11 1-gt-
APPLICATION FOR RENEWAL WORKCOVER
NE W SOutH WI LES
OF LICENCE TO KEEP DANGEROUS GOODS ISSUED UNDE R AND SUBJECT TO THE PROVISIONS OF THE DANGEROUS GOODS ACT 1975 AND REGULATION THEREUNDER
DECLARA nON Please renew licence number 35 023801 to 1998 I confirm that all the licence details shown below are correct (amend if necessary)
o~ ~ A~~ ~ ~ ~ (Signature) (Please Pflnt name) (Date signed)
for SALIBA J amp V
THIS SIGNED DECLARA nON SHOULD BE RETURNED TO WorkCover New South Wales Enquiries ph (02) 93705187 Dangerous Goods Licensing Section (Level 3) fax (02)93706105 Locked Bag 10 P 0 CLARENCE STREET 2000
Details of licence on 5 February 1997
Licence Number 35023801 Expiry Date 28 0397
Licensee SALIBA J amp V
Postal Address 306 SOUTH ST MARSDEN PARK 2765 Licensee Contact JOE OR VICKY Ph 628 3626 Premises Licensed to Keep Dangerous Goods
306 SO UTH ST LOT 6 MARSDEN PARK 2765
Nature of Site Poultry Farming (Meat) Major Supplier of Dangerous Goods ~ KLtEN H~4lt
Emergency Contact for this Site A Cauchi (AH 6284935) ph 628 3626
Site staffing 24 HRS 7 DAYS
Details of De~ots Depot No Depot Type Goods Stored in Depot Qty
1 ABOVE-GRQJJND TANK Class 21 UN 1075 PETROLEUM GASES L10UE
5000 L 25 00 L
2 ABOVE-GROUND TANK Class 21 UN 1 075 PETROLEUM GASES LIOUE
5000 L 2500 L
26 F r
2 FEB 1997
New Scutt1 Wales Govenlmenl Form DG10
___ ___
-- ----
~ THE NE W gtOUTI1 WALIS GOVERNMEN T
) c- - _~ D SCI
I WORKCOV R4ilit-t RITY
C SERVICES poundgt1 ) J 2S 3middot 96 (Dange
rausGoodsAcI 197S)
Application for ne~ licence amendment or transfer 1 S-e ~Ce CS I gt 9$_
2 Site to be licensed IIltLol ( No Street - shy
so d 111
SuburbfTown Postcode
I h--1 r1 ~v( middot1 P1 Z ~r ~ ) __________~_ ==J~________________-L______~~
3 Previous licence number (if known) L S Io 23ampvL I 4 Nature of site l t=Ap -- l shy
S Emergency contact on site Phone Name Lr~--------------------I ~--------7~--------------~~------~~-------- ~ b -l D ~ b d OA Umiddot (1 t4H lli (pound t3i
6 Site staHing Hours per day i l(iL If ~I~ Days per week IL p 7--____-
7 Major supplier of dangerous 900d~Vt ~ A-S J-~ I (pound--1 pound_ ( liI 4lJ JJl~l -7
8 If new site or significant modification Plan stamped by Accredited consultants name Date stamped
9 Number of dangerous g~ds depots at site lb J 1 A+~ ( (4 11-1lt )
10Trading name or occupiers name
[ ~ ~__ yend4--=-amp=--I ___~_ _-- - A L A middot _ _F~3pound) _ 11 Postal address of applicant
~ 31~ s --1 -S--__ _ _ _
12Contact for licence enquiries Phone Fax Name
[ LIg 3 b ~ ----------------_~-f--=_-middot_o-~~D~t=~~~(J~(----_I=( 1-___- __ _ _ J-- lti -_
I certify that the details contained in this application (or the accompanying computer disk) are true and correct
(113 Signature of apPllcan0-~ -~-~-~_--~--~ Date l_~middot S- ~ ~J ---- - ~-----
Please complBIB attached site sketch depot listing and check sheet cC- ~
SuburbfTown Postcode
(ifr8qulred) and rewrn to WorkCover Authority In envelope provldedL v~ arm DGI
I
IPARTB Ibull I
I I--------shy I I I I I I 1 I I I I I I I I 1 1 f
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---
PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
-shy
Product or Typical common name quantity
I-J11~ zS~
- -
Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
~
Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
-
I
If
-
1 rl ~
J
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52 (~
l u M -lt1fJ )11lt 1 ~ () ~ 7
--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
0USGOO~ 81 -_
uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
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bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
~~~~r- Please carefully read the instructio on page 3 of the Guidance Notes before sketching the site Site Sketc l -----------------------4~
)0 Su~l 51 IIi1~W~ ~ I I ~ -s~ I i ~ c
1 ~ +
------- - -~----------shyI i - - rshy~ ~ 11shy
~ ~
~ ~ I
-c
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I Vishy
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~ ~
I I
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bsvmiddot
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Gl c 0 0 0 lt1gtQooL I
9ivtv~ I
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I
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I
bull
I
shy~
~ IJ
I
What is a depot See page 5 of the Guidance Notes 3 02J(~I PAbull r C - Dangerous Goods Storage Complete one section per depot
If you hav-t~ depots than the space provided photocopy sufficient sheets first ~-
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
(gt Pgto v lt CVMJ rAN 2~ ( 4--0-0 lshyI shy
~ r ~ PG Product or Typical Unit eg Number Proper Shipping Name Class (I II III) common name quantity L kg m
gt1 IlLvll 4--1 L _PC~ 4gt-V-Cl-(Ol~ 2middot(- 00 P b-gt
~
~-
- shy
~
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
~--o ~~2~vo ANIL~1 ~vv~ I I shyUN PG Product or Typical Number Proper Shipping Name Class (I II III) common name quantity
-~~---~-- I 10
-
rLluUdlgth 4AJl-gt 21W G)ltIlf L- -
_-_shy0-_shy
Lr t~ 4-uu
~
-~ -~
Unit eg l kg m
L
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
r shy -~-------- -- shy
I ]l~ I I -~~-
UN ~
PG Product or Typical Unit eg Number Proper Shipping Name Class (I II III) common name quantity l kg m
shy
~~
Depot Number
Number
shy --shy I
Type of depot (see page 5)
Proper Shipping Name Class (I II III)
shy
common name quantity
I
L kg m
I 11 _ --
L
I
shy0
-lt
~ c
~
J 0
~ )
v t ~ (J ~
I~
N
)
~ (-
~ 3 ~
~
t J rfl
I
J
- -------__ shy
c(1Agt-nmiddot0
~ g bull 0W1( 0 ltjshy
bull
T is Plan on forms with the Ongerous oods NSW 1975 and Australian
Sla rdls) - AS 1596-1 qsi ned fo esfarmers Kleenheat Gas PL
DIe - 110 File NoLL___
~~1~~J~~~= CY ~roo93336
NEW SOUTH WALES Suitt l02 30 Cowper StreeL r~amatt ~SW 21 ~O
PorllJ~
P() 601 W3~ Pnlulatta ~middotSW 2130 fhoDf (02) S633 1777 fax (O) 9ampOb 021amp
DATI
L -1-4 SCAJpound
1250 RLYISION
CONTACT REP SHEET SIZE
1JAIU rA-Un17l TANK SIZE
t)L 4--lbc
t)WnJ f1wtvt APPLICATION
Ik-ATlN
A4
ACN
~(2Dtu
OCA 19 54
CUSTOMER
Tis Pian Conforms with the Dangerous Goors Act NSW 1975 and Australian
Standard(s) - AS 1596 - I 4 4 signed for Wesfarmers Kleenheat Gas PIL
Date ~I1-41 File No --Jfr DWt1t 21L97
DTC~~~GENC~~~O 093336
ACN (()IJ r7a 54
CUSTOMER
e 1(2 () l=i2 0 ~ l 10
DATE 0middot11-4)
II CONTACT
IJfgtcW P14UH F(l TANK SIZE
4-gtI2L bull
NEW SOUTH WALES Suitt 202 qO Cowper StIceamp lJtrr~ ~SW 2130 p~
po 80~ W3 PQItrDUta NSW 2130 rhODf (02) 16331117 [a (01) 9306 021a
sCill l 200
REVISION
REP
1gt-I r1Ut1 APPI CATI 0 N
SHEIT SIZE
A4
I-he 11 1-gt-
APPLICATION FOR RENEWAL WORKCOVER
NE W SOutH WI LES
OF LICENCE TO KEEP DANGEROUS GOODS ISSUED UNDE R AND SUBJECT TO THE PROVISIONS OF THE DANGEROUS GOODS ACT 1975 AND REGULATION THEREUNDER
DECLARA nON Please renew licence number 35 023801 to 1998 I confirm that all the licence details shown below are correct (amend if necessary)
o~ ~ A~~ ~ ~ ~ (Signature) (Please Pflnt name) (Date signed)
for SALIBA J amp V
THIS SIGNED DECLARA nON SHOULD BE RETURNED TO WorkCover New South Wales Enquiries ph (02) 93705187 Dangerous Goods Licensing Section (Level 3) fax (02)93706105 Locked Bag 10 P 0 CLARENCE STREET 2000
Details of licence on 5 February 1997
Licence Number 35023801 Expiry Date 28 0397
Licensee SALIBA J amp V
Postal Address 306 SOUTH ST MARSDEN PARK 2765 Licensee Contact JOE OR VICKY Ph 628 3626 Premises Licensed to Keep Dangerous Goods
306 SO UTH ST LOT 6 MARSDEN PARK 2765
Nature of Site Poultry Farming (Meat) Major Supplier of Dangerous Goods ~ KLtEN H~4lt
Emergency Contact for this Site A Cauchi (AH 6284935) ph 628 3626
Site staffing 24 HRS 7 DAYS
Details of De~ots Depot No Depot Type Goods Stored in Depot Qty
1 ABOVE-GRQJJND TANK Class 21 UN 1075 PETROLEUM GASES L10UE
5000 L 25 00 L
2 ABOVE-GROUND TANK Class 21 UN 1 075 PETROLEUM GASES LIOUE
5000 L 2500 L
26 F r
2 FEB 1997
New Scutt1 Wales Govenlmenl Form DG10
___ ___
-- ----
~ THE NE W gtOUTI1 WALIS GOVERNMEN T
) c- - _~ D SCI
I WORKCOV R4ilit-t RITY
C SERVICES poundgt1 ) J 2S 3middot 96 (Dange
rausGoodsAcI 197S)
Application for ne~ licence amendment or transfer 1 S-e ~Ce CS I gt 9$_
2 Site to be licensed IIltLol ( No Street - shy
so d 111
SuburbfTown Postcode
I h--1 r1 ~v( middot1 P1 Z ~r ~ ) __________~_ ==J~________________-L______~~
3 Previous licence number (if known) L S Io 23ampvL I 4 Nature of site l t=Ap -- l shy
S Emergency contact on site Phone Name Lr~--------------------I ~--------7~--------------~~------~~-------- ~ b -l D ~ b d OA Umiddot (1 t4H lli (pound t3i
6 Site staHing Hours per day i l(iL If ~I~ Days per week IL p 7--____-
7 Major supplier of dangerous 900d~Vt ~ A-S J-~ I (pound--1 pound_ ( liI 4lJ JJl~l -7
8 If new site or significant modification Plan stamped by Accredited consultants name Date stamped
9 Number of dangerous g~ds depots at site lb J 1 A+~ ( (4 11-1lt )
10Trading name or occupiers name
[ ~ ~__ yend4--=-amp=--I ___~_ _-- - A L A middot _ _F~3pound) _ 11 Postal address of applicant
~ 31~ s --1 -S--__ _ _ _
12Contact for licence enquiries Phone Fax Name
[ LIg 3 b ~ ----------------_~-f--=_-middot_o-~~D~t=~~~(J~(----_I=( 1-___- __ _ _ J-- lti -_
I certify that the details contained in this application (or the accompanying computer disk) are true and correct
(113 Signature of apPllcan0-~ -~-~-~_--~--~ Date l_~middot S- ~ ~J ---- - ~-----
Please complBIB attached site sketch depot listing and check sheet cC- ~
SuburbfTown Postcode
(ifr8qulred) and rewrn to WorkCover Authority In envelope provldedL v~ arm DGI
I
IPARTB Ibull I
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PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
-shy
Product or Typical common name quantity
I-J11~ zS~
- -
Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
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Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
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~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
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0 ~
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r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
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Lshy shy
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VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
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Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
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Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
What is a depot See page 5 of the Guidance Notes 3 02J(~I PAbull r C - Dangerous Goods Storage Complete one section per depot
If you hav-t~ depots than the space provided photocopy sufficient sheets first ~-
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
(gt Pgto v lt CVMJ rAN 2~ ( 4--0-0 lshyI shy
~ r ~ PG Product or Typical Unit eg Number Proper Shipping Name Class (I II III) common name quantity L kg m
gt1 IlLvll 4--1 L _PC~ 4gt-V-Cl-(Ol~ 2middot(- 00 P b-gt
~
~-
- shy
~
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
~--o ~~2~vo ANIL~1 ~vv~ I I shyUN PG Product or Typical Number Proper Shipping Name Class (I II III) common name quantity
-~~---~-- I 10
-
rLluUdlgth 4AJl-gt 21W G)ltIlf L- -
_-_shy0-_shy
Lr t~ 4-uu
~
-~ -~
Unit eg l kg m
L
Depot Depot Maximum Number Type of depot (see page 5) Class storage capacity
r shy -~-------- -- shy
I ]l~ I I -~~-
UN ~
PG Product or Typical Unit eg Number Proper Shipping Name Class (I II III) common name quantity l kg m
shy
~~
Depot Number
Number
shy --shy I
Type of depot (see page 5)
Proper Shipping Name Class (I II III)
shy
common name quantity
I
L kg m
I 11 _ --
L
I
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bull
T is Plan on forms with the Ongerous oods NSW 1975 and Australian
Sla rdls) - AS 1596-1 qsi ned fo esfarmers Kleenheat Gas PL
DIe - 110 File NoLL___
~~1~~J~~~= CY ~roo93336
NEW SOUTH WALES Suitt l02 30 Cowper StreeL r~amatt ~SW 21 ~O
PorllJ~
P() 601 W3~ Pnlulatta ~middotSW 2130 fhoDf (02) S633 1777 fax (O) 9ampOb 021amp
DATI
L -1-4 SCAJpound
1250 RLYISION
CONTACT REP SHEET SIZE
1JAIU rA-Un17l TANK SIZE
t)L 4--lbc
t)WnJ f1wtvt APPLICATION
Ik-ATlN
A4
ACN
~(2Dtu
OCA 19 54
CUSTOMER
Tis Pian Conforms with the Dangerous Goors Act NSW 1975 and Australian
Standard(s) - AS 1596 - I 4 4 signed for Wesfarmers Kleenheat Gas PIL
Date ~I1-41 File No --Jfr DWt1t 21L97
DTC~~~GENC~~~O 093336
ACN (()IJ r7a 54
CUSTOMER
e 1(2 () l=i2 0 ~ l 10
DATE 0middot11-4)
II CONTACT
IJfgtcW P14UH F(l TANK SIZE
4-gtI2L bull
NEW SOUTH WALES Suitt 202 qO Cowper StIceamp lJtrr~ ~SW 2130 p~
po 80~ W3 PQItrDUta NSW 2130 rhODf (02) 16331117 [a (01) 9306 021a
sCill l 200
REVISION
REP
1gt-I r1Ut1 APPI CATI 0 N
SHEIT SIZE
A4
I-he 11 1-gt-
APPLICATION FOR RENEWAL WORKCOVER
NE W SOutH WI LES
OF LICENCE TO KEEP DANGEROUS GOODS ISSUED UNDE R AND SUBJECT TO THE PROVISIONS OF THE DANGEROUS GOODS ACT 1975 AND REGULATION THEREUNDER
DECLARA nON Please renew licence number 35 023801 to 1998 I confirm that all the licence details shown below are correct (amend if necessary)
o~ ~ A~~ ~ ~ ~ (Signature) (Please Pflnt name) (Date signed)
for SALIBA J amp V
THIS SIGNED DECLARA nON SHOULD BE RETURNED TO WorkCover New South Wales Enquiries ph (02) 93705187 Dangerous Goods Licensing Section (Level 3) fax (02)93706105 Locked Bag 10 P 0 CLARENCE STREET 2000
Details of licence on 5 February 1997
Licence Number 35023801 Expiry Date 28 0397
Licensee SALIBA J amp V
Postal Address 306 SOUTH ST MARSDEN PARK 2765 Licensee Contact JOE OR VICKY Ph 628 3626 Premises Licensed to Keep Dangerous Goods
306 SO UTH ST LOT 6 MARSDEN PARK 2765
Nature of Site Poultry Farming (Meat) Major Supplier of Dangerous Goods ~ KLtEN H~4lt
Emergency Contact for this Site A Cauchi (AH 6284935) ph 628 3626
Site staffing 24 HRS 7 DAYS
Details of De~ots Depot No Depot Type Goods Stored in Depot Qty
1 ABOVE-GRQJJND TANK Class 21 UN 1075 PETROLEUM GASES L10UE
5000 L 25 00 L
2 ABOVE-GROUND TANK Class 21 UN 1 075 PETROLEUM GASES LIOUE
5000 L 2500 L
26 F r
2 FEB 1997
New Scutt1 Wales Govenlmenl Form DG10
___ ___
-- ----
~ THE NE W gtOUTI1 WALIS GOVERNMEN T
) c- - _~ D SCI
I WORKCOV R4ilit-t RITY
C SERVICES poundgt1 ) J 2S 3middot 96 (Dange
rausGoodsAcI 197S)
Application for ne~ licence amendment or transfer 1 S-e ~Ce CS I gt 9$_
2 Site to be licensed IIltLol ( No Street - shy
so d 111
SuburbfTown Postcode
I h--1 r1 ~v( middot1 P1 Z ~r ~ ) __________~_ ==J~________________-L______~~
3 Previous licence number (if known) L S Io 23ampvL I 4 Nature of site l t=Ap -- l shy
S Emergency contact on site Phone Name Lr~--------------------I ~--------7~--------------~~------~~-------- ~ b -l D ~ b d OA Umiddot (1 t4H lli (pound t3i
6 Site staHing Hours per day i l(iL If ~I~ Days per week IL p 7--____-
7 Major supplier of dangerous 900d~Vt ~ A-S J-~ I (pound--1 pound_ ( liI 4lJ JJl~l -7
8 If new site or significant modification Plan stamped by Accredited consultants name Date stamped
9 Number of dangerous g~ds depots at site lb J 1 A+~ ( (4 11-1lt )
10Trading name or occupiers name
[ ~ ~__ yend4--=-amp=--I ___~_ _-- - A L A middot _ _F~3pound) _ 11 Postal address of applicant
~ 31~ s --1 -S--__ _ _ _
12Contact for licence enquiries Phone Fax Name
[ LIg 3 b ~ ----------------_~-f--=_-middot_o-~~D~t=~~~(J~(----_I=( 1-___- __ _ _ J-- lti -_
I certify that the details contained in this application (or the accompanying computer disk) are true and correct
(113 Signature of apPllcan0-~ -~-~-~_--~--~ Date l_~middot S- ~ ~J ---- - ~-----
Please complBIB attached site sketch depot listing and check sheet cC- ~
SuburbfTown Postcode
(ifr8qulred) and rewrn to WorkCover Authority In envelope provldedL v~ arm DGI
I
IPARTB Ibull I
I I--------shy I I I I I I 1 I I I I I I I I 1 1 f
-----------rf I
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---
PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
-shy
Product or Typical common name quantity
I-J11~ zS~
- -
Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
~
Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
-
I
If
-
1 rl ~
J
- ------ i i bull bull
52 (~
l u M -lt1fJ )11lt 1 ~ () ~ 7
--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
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r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
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________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
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[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
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middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
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Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
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T is Plan on forms with the Ongerous oods NSW 1975 and Australian
Sla rdls) - AS 1596-1 qsi ned fo esfarmers Kleenheat Gas PL
DIe - 110 File NoLL___
~~1~~J~~~= CY ~roo93336
NEW SOUTH WALES Suitt l02 30 Cowper StreeL r~amatt ~SW 21 ~O
PorllJ~
P() 601 W3~ Pnlulatta ~middotSW 2130 fhoDf (02) S633 1777 fax (O) 9ampOb 021amp
DATI
L -1-4 SCAJpound
1250 RLYISION
CONTACT REP SHEET SIZE
1JAIU rA-Un17l TANK SIZE
t)L 4--lbc
t)WnJ f1wtvt APPLICATION
Ik-ATlN
A4
ACN
~(2Dtu
OCA 19 54
CUSTOMER
Tis Pian Conforms with the Dangerous Goors Act NSW 1975 and Australian
Standard(s) - AS 1596 - I 4 4 signed for Wesfarmers Kleenheat Gas PIL
Date ~I1-41 File No --Jfr DWt1t 21L97
DTC~~~GENC~~~O 093336
ACN (()IJ r7a 54
CUSTOMER
e 1(2 () l=i2 0 ~ l 10
DATE 0middot11-4)
II CONTACT
IJfgtcW P14UH F(l TANK SIZE
4-gtI2L bull
NEW SOUTH WALES Suitt 202 qO Cowper StIceamp lJtrr~ ~SW 2130 p~
po 80~ W3 PQItrDUta NSW 2130 rhODf (02) 16331117 [a (01) 9306 021a
sCill l 200
REVISION
REP
1gt-I r1Ut1 APPI CATI 0 N
SHEIT SIZE
A4
I-he 11 1-gt-
APPLICATION FOR RENEWAL WORKCOVER
NE W SOutH WI LES
OF LICENCE TO KEEP DANGEROUS GOODS ISSUED UNDE R AND SUBJECT TO THE PROVISIONS OF THE DANGEROUS GOODS ACT 1975 AND REGULATION THEREUNDER
DECLARA nON Please renew licence number 35 023801 to 1998 I confirm that all the licence details shown below are correct (amend if necessary)
o~ ~ A~~ ~ ~ ~ (Signature) (Please Pflnt name) (Date signed)
for SALIBA J amp V
THIS SIGNED DECLARA nON SHOULD BE RETURNED TO WorkCover New South Wales Enquiries ph (02) 93705187 Dangerous Goods Licensing Section (Level 3) fax (02)93706105 Locked Bag 10 P 0 CLARENCE STREET 2000
Details of licence on 5 February 1997
Licence Number 35023801 Expiry Date 28 0397
Licensee SALIBA J amp V
Postal Address 306 SOUTH ST MARSDEN PARK 2765 Licensee Contact JOE OR VICKY Ph 628 3626 Premises Licensed to Keep Dangerous Goods
306 SO UTH ST LOT 6 MARSDEN PARK 2765
Nature of Site Poultry Farming (Meat) Major Supplier of Dangerous Goods ~ KLtEN H~4lt
Emergency Contact for this Site A Cauchi (AH 6284935) ph 628 3626
Site staffing 24 HRS 7 DAYS
Details of De~ots Depot No Depot Type Goods Stored in Depot Qty
1 ABOVE-GRQJJND TANK Class 21 UN 1075 PETROLEUM GASES L10UE
5000 L 25 00 L
2 ABOVE-GROUND TANK Class 21 UN 1 075 PETROLEUM GASES LIOUE
5000 L 2500 L
26 F r
2 FEB 1997
New Scutt1 Wales Govenlmenl Form DG10
___ ___
-- ----
~ THE NE W gtOUTI1 WALIS GOVERNMEN T
) c- - _~ D SCI
I WORKCOV R4ilit-t RITY
C SERVICES poundgt1 ) J 2S 3middot 96 (Dange
rausGoodsAcI 197S)
Application for ne~ licence amendment or transfer 1 S-e ~Ce CS I gt 9$_
2 Site to be licensed IIltLol ( No Street - shy
so d 111
SuburbfTown Postcode
I h--1 r1 ~v( middot1 P1 Z ~r ~ ) __________~_ ==J~________________-L______~~
3 Previous licence number (if known) L S Io 23ampvL I 4 Nature of site l t=Ap -- l shy
S Emergency contact on site Phone Name Lr~--------------------I ~--------7~--------------~~------~~-------- ~ b -l D ~ b d OA Umiddot (1 t4H lli (pound t3i
6 Site staHing Hours per day i l(iL If ~I~ Days per week IL p 7--____-
7 Major supplier of dangerous 900d~Vt ~ A-S J-~ I (pound--1 pound_ ( liI 4lJ JJl~l -7
8 If new site or significant modification Plan stamped by Accredited consultants name Date stamped
9 Number of dangerous g~ds depots at site lb J 1 A+~ ( (4 11-1lt )
10Trading name or occupiers name
[ ~ ~__ yend4--=-amp=--I ___~_ _-- - A L A middot _ _F~3pound) _ 11 Postal address of applicant
~ 31~ s --1 -S--__ _ _ _
12Contact for licence enquiries Phone Fax Name
[ LIg 3 b ~ ----------------_~-f--=_-middot_o-~~D~t=~~~(J~(----_I=( 1-___- __ _ _ J-- lti -_
I certify that the details contained in this application (or the accompanying computer disk) are true and correct
(113 Signature of apPllcan0-~ -~-~-~_--~--~ Date l_~middot S- ~ ~J ---- - ~-----
Please complBIB attached site sketch depot listing and check sheet cC- ~
SuburbfTown Postcode
(ifr8qulred) and rewrn to WorkCover Authority In envelope provldedL v~ arm DGI
I
IPARTB Ibull I
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PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
-shy
Product or Typical common name quantity
I-J11~ zS~
- -
Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
~
Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
-
I
If
-
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52 (~
l u M -lt1fJ )11lt 1 ~ () ~ 7
--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
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uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
Tis Pian Conforms with the Dangerous Goors Act NSW 1975 and Australian
Standard(s) - AS 1596 - I 4 4 signed for Wesfarmers Kleenheat Gas PIL
Date ~I1-41 File No --Jfr DWt1t 21L97
DTC~~~GENC~~~O 093336
ACN (()IJ r7a 54
CUSTOMER
e 1(2 () l=i2 0 ~ l 10
DATE 0middot11-4)
II CONTACT
IJfgtcW P14UH F(l TANK SIZE
4-gtI2L bull
NEW SOUTH WALES Suitt 202 qO Cowper StIceamp lJtrr~ ~SW 2130 p~
po 80~ W3 PQItrDUta NSW 2130 rhODf (02) 16331117 [a (01) 9306 021a
sCill l 200
REVISION
REP
1gt-I r1Ut1 APPI CATI 0 N
SHEIT SIZE
A4
I-he 11 1-gt-
APPLICATION FOR RENEWAL WORKCOVER
NE W SOutH WI LES
OF LICENCE TO KEEP DANGEROUS GOODS ISSUED UNDE R AND SUBJECT TO THE PROVISIONS OF THE DANGEROUS GOODS ACT 1975 AND REGULATION THEREUNDER
DECLARA nON Please renew licence number 35 023801 to 1998 I confirm that all the licence details shown below are correct (amend if necessary)
o~ ~ A~~ ~ ~ ~ (Signature) (Please Pflnt name) (Date signed)
for SALIBA J amp V
THIS SIGNED DECLARA nON SHOULD BE RETURNED TO WorkCover New South Wales Enquiries ph (02) 93705187 Dangerous Goods Licensing Section (Level 3) fax (02)93706105 Locked Bag 10 P 0 CLARENCE STREET 2000
Details of licence on 5 February 1997
Licence Number 35023801 Expiry Date 28 0397
Licensee SALIBA J amp V
Postal Address 306 SOUTH ST MARSDEN PARK 2765 Licensee Contact JOE OR VICKY Ph 628 3626 Premises Licensed to Keep Dangerous Goods
306 SO UTH ST LOT 6 MARSDEN PARK 2765
Nature of Site Poultry Farming (Meat) Major Supplier of Dangerous Goods ~ KLtEN H~4lt
Emergency Contact for this Site A Cauchi (AH 6284935) ph 628 3626
Site staffing 24 HRS 7 DAYS
Details of De~ots Depot No Depot Type Goods Stored in Depot Qty
1 ABOVE-GRQJJND TANK Class 21 UN 1075 PETROLEUM GASES L10UE
5000 L 25 00 L
2 ABOVE-GROUND TANK Class 21 UN 1 075 PETROLEUM GASES LIOUE
5000 L 2500 L
26 F r
2 FEB 1997
New Scutt1 Wales Govenlmenl Form DG10
___ ___
-- ----
~ THE NE W gtOUTI1 WALIS GOVERNMEN T
) c- - _~ D SCI
I WORKCOV R4ilit-t RITY
C SERVICES poundgt1 ) J 2S 3middot 96 (Dange
rausGoodsAcI 197S)
Application for ne~ licence amendment or transfer 1 S-e ~Ce CS I gt 9$_
2 Site to be licensed IIltLol ( No Street - shy
so d 111
SuburbfTown Postcode
I h--1 r1 ~v( middot1 P1 Z ~r ~ ) __________~_ ==J~________________-L______~~
3 Previous licence number (if known) L S Io 23ampvL I 4 Nature of site l t=Ap -- l shy
S Emergency contact on site Phone Name Lr~--------------------I ~--------7~--------------~~------~~-------- ~ b -l D ~ b d OA Umiddot (1 t4H lli (pound t3i
6 Site staHing Hours per day i l(iL If ~I~ Days per week IL p 7--____-
7 Major supplier of dangerous 900d~Vt ~ A-S J-~ I (pound--1 pound_ ( liI 4lJ JJl~l -7
8 If new site or significant modification Plan stamped by Accredited consultants name Date stamped
9 Number of dangerous g~ds depots at site lb J 1 A+~ ( (4 11-1lt )
10Trading name or occupiers name
[ ~ ~__ yend4--=-amp=--I ___~_ _-- - A L A middot _ _F~3pound) _ 11 Postal address of applicant
~ 31~ s --1 -S--__ _ _ _
12Contact for licence enquiries Phone Fax Name
[ LIg 3 b ~ ----------------_~-f--=_-middot_o-~~D~t=~~~(J~(----_I=( 1-___- __ _ _ J-- lti -_
I certify that the details contained in this application (or the accompanying computer disk) are true and correct
(113 Signature of apPllcan0-~ -~-~-~_--~--~ Date l_~middot S- ~ ~J ---- - ~-----
Please complBIB attached site sketch depot listing and check sheet cC- ~
SuburbfTown Postcode
(ifr8qulred) and rewrn to WorkCover Authority In envelope provldedL v~ arm DGI
I
IPARTB Ibull I
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PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
-shy
Product or Typical common name quantity
I-J11~ zS~
- -
Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
~
Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
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52 (~
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--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
0USGOO~ 81 -_
uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
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bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
APPLICATION FOR RENEWAL WORKCOVER
NE W SOutH WI LES
OF LICENCE TO KEEP DANGEROUS GOODS ISSUED UNDE R AND SUBJECT TO THE PROVISIONS OF THE DANGEROUS GOODS ACT 1975 AND REGULATION THEREUNDER
DECLARA nON Please renew licence number 35 023801 to 1998 I confirm that all the licence details shown below are correct (amend if necessary)
o~ ~ A~~ ~ ~ ~ (Signature) (Please Pflnt name) (Date signed)
for SALIBA J amp V
THIS SIGNED DECLARA nON SHOULD BE RETURNED TO WorkCover New South Wales Enquiries ph (02) 93705187 Dangerous Goods Licensing Section (Level 3) fax (02)93706105 Locked Bag 10 P 0 CLARENCE STREET 2000
Details of licence on 5 February 1997
Licence Number 35023801 Expiry Date 28 0397
Licensee SALIBA J amp V
Postal Address 306 SOUTH ST MARSDEN PARK 2765 Licensee Contact JOE OR VICKY Ph 628 3626 Premises Licensed to Keep Dangerous Goods
306 SO UTH ST LOT 6 MARSDEN PARK 2765
Nature of Site Poultry Farming (Meat) Major Supplier of Dangerous Goods ~ KLtEN H~4lt
Emergency Contact for this Site A Cauchi (AH 6284935) ph 628 3626
Site staffing 24 HRS 7 DAYS
Details of De~ots Depot No Depot Type Goods Stored in Depot Qty
1 ABOVE-GRQJJND TANK Class 21 UN 1075 PETROLEUM GASES L10UE
5000 L 25 00 L
2 ABOVE-GROUND TANK Class 21 UN 1 075 PETROLEUM GASES LIOUE
5000 L 2500 L
26 F r
2 FEB 1997
New Scutt1 Wales Govenlmenl Form DG10
___ ___
-- ----
~ THE NE W gtOUTI1 WALIS GOVERNMEN T
) c- - _~ D SCI
I WORKCOV R4ilit-t RITY
C SERVICES poundgt1 ) J 2S 3middot 96 (Dange
rausGoodsAcI 197S)
Application for ne~ licence amendment or transfer 1 S-e ~Ce CS I gt 9$_
2 Site to be licensed IIltLol ( No Street - shy
so d 111
SuburbfTown Postcode
I h--1 r1 ~v( middot1 P1 Z ~r ~ ) __________~_ ==J~________________-L______~~
3 Previous licence number (if known) L S Io 23ampvL I 4 Nature of site l t=Ap -- l shy
S Emergency contact on site Phone Name Lr~--------------------I ~--------7~--------------~~------~~-------- ~ b -l D ~ b d OA Umiddot (1 t4H lli (pound t3i
6 Site staHing Hours per day i l(iL If ~I~ Days per week IL p 7--____-
7 Major supplier of dangerous 900d~Vt ~ A-S J-~ I (pound--1 pound_ ( liI 4lJ JJl~l -7
8 If new site or significant modification Plan stamped by Accredited consultants name Date stamped
9 Number of dangerous g~ds depots at site lb J 1 A+~ ( (4 11-1lt )
10Trading name or occupiers name
[ ~ ~__ yend4--=-amp=--I ___~_ _-- - A L A middot _ _F~3pound) _ 11 Postal address of applicant
~ 31~ s --1 -S--__ _ _ _
12Contact for licence enquiries Phone Fax Name
[ LIg 3 b ~ ----------------_~-f--=_-middot_o-~~D~t=~~~(J~(----_I=( 1-___- __ _ _ J-- lti -_
I certify that the details contained in this application (or the accompanying computer disk) are true and correct
(113 Signature of apPllcan0-~ -~-~-~_--~--~ Date l_~middot S- ~ ~J ---- - ~-----
Please complBIB attached site sketch depot listing and check sheet cC- ~
SuburbfTown Postcode
(ifr8qulred) and rewrn to WorkCover Authority In envelope provldedL v~ arm DGI
I
IPARTB Ibull I
I I--------shy I I I I I I 1 I I I I I I I I 1 1 f
-----------rf I
f( L-r IQo 1 r---~---r
I 1
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I 1 1 I I I I 1 I 1 1 I 1
I I 1
1
I I I I I I
Q)-iii Q)
$-5 Cl lcc ()
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---
PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
-shy
Product or Typical common name quantity
I-J11~ zS~
- -
Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
~
Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
-
I
If
-
1 rl ~
J
- ------ i i bull bull
52 (~
l u M -lt1fJ )11lt 1 ~ () ~ 7
--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
0USGOO~ 81 -_
uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
___ ___
-- ----
~ THE NE W gtOUTI1 WALIS GOVERNMEN T
) c- - _~ D SCI
I WORKCOV R4ilit-t RITY
C SERVICES poundgt1 ) J 2S 3middot 96 (Dange
rausGoodsAcI 197S)
Application for ne~ licence amendment or transfer 1 S-e ~Ce CS I gt 9$_
2 Site to be licensed IIltLol ( No Street - shy
so d 111
SuburbfTown Postcode
I h--1 r1 ~v( middot1 P1 Z ~r ~ ) __________~_ ==J~________________-L______~~
3 Previous licence number (if known) L S Io 23ampvL I 4 Nature of site l t=Ap -- l shy
S Emergency contact on site Phone Name Lr~--------------------I ~--------7~--------------~~------~~-------- ~ b -l D ~ b d OA Umiddot (1 t4H lli (pound t3i
6 Site staHing Hours per day i l(iL If ~I~ Days per week IL p 7--____-
7 Major supplier of dangerous 900d~Vt ~ A-S J-~ I (pound--1 pound_ ( liI 4lJ JJl~l -7
8 If new site or significant modification Plan stamped by Accredited consultants name Date stamped
9 Number of dangerous g~ds depots at site lb J 1 A+~ ( (4 11-1lt )
10Trading name or occupiers name
[ ~ ~__ yend4--=-amp=--I ___~_ _-- - A L A middot _ _F~3pound) _ 11 Postal address of applicant
~ 31~ s --1 -S--__ _ _ _
12Contact for licence enquiries Phone Fax Name
[ LIg 3 b ~ ----------------_~-f--=_-middot_o-~~D~t=~~~(J~(----_I=( 1-___- __ _ _ J-- lti -_
I certify that the details contained in this application (or the accompanying computer disk) are true and correct
(113 Signature of apPllcan0-~ -~-~-~_--~--~ Date l_~middot S- ~ ~J ---- - ~-----
Please complBIB attached site sketch depot listing and check sheet cC- ~
SuburbfTown Postcode
(ifr8qulred) and rewrn to WorkCover Authority In envelope provldedL v~ arm DGI
I
IPARTB Ibull I
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---
PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
-shy
Product or Typical common name quantity
I-J11~ zS~
- -
Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
~
Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
-
I
If
-
1 rl ~
J
- ------ i i bull bull
52 (~
l u M -lt1fJ )11lt 1 ~ () ~ 7
--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
0USGOO~ 81 -_
uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
IPARTB Ibull I
I I--------shy I I I I I I 1 I I I I I I I I 1 1 f
-----------rf I
f( L-r IQo 1 r---~---r
I 1
I r I 1 I 1
I 1 1 I I I I 1 I 1 1 I 1
I I 1
1
I I I I I I
Q)-iii Q)
$-5 Cl lcc ()
-j
Q) - ()
Q) toshy~ 0 J- 5
2 Q) 0
~Q)
2 J
M Cl Q)
N r--~~ Vl ~ N) c
()
c 0
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~ J ~-() c
IlQ)
-5 -0
CIl shy~ j
2shy $
J rt r Qj 0 ~- CIl Q) ()
lo Q)en ()
Q) CIl ~ Q)
en CL
-
i V)
r l l J (
1 I
1 Q
l ) 1 Q
---
PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
-shy
Product or Typical common name quantity
I-J11~ zS~
- -
Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
~
Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
-
I
If
-
1 rl ~
J
- ------ i i bull bull
52 (~
l u M -lt1fJ )11lt 1 ~ () ~ 7
--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
0USGOO~ 81 -_
uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
---
PARTC 35D2380 1 CHEMICAL STORAGE Complete 1 section per depot
If you have more depots than the space provided photocopy sufficient sheets first
Depot Licensed maximum number Type of depot Class storage capacity
I ~
UN number
1707S
Shipping name
P~rmiddotL- ~ - ~
I
_
Pkg Class Group EPG
- ~2
-shy
Product or Typical common name quantity
I-J11~ zS~
- -
Uniteg L kg m
L
L-P(shyI CD I ~~SocltgtL II I
Depot Licensed maximum number Type of depot Class storag~city
LPampshy
UN Pkg Product or Typical Uniteg number Shipping name Class Group EPG common name quantity L kg m
rU~t-- Ctshy)S~ L
I Depot Licensed maximumI storage capacity I I I I I I I I I I I I
UN number Shipping name
Typical
Class
quantity
I Depot Licensed maximum I number Type of depot Class storage capacity I
I I I I I I I I
UN Pkg Product or Typical Uniteg I number Shipping name Class Group EPG common name quantity Lkgm I 1 I
I __
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
~
Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
-
I
If
-
1 rl ~
J
- ------ i i bull bull
52 (~
l u M -lt1fJ )11lt 1 ~ () ~ 7
--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
0USGOO~ 81 -_
uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
t OR THE KEttIN~ U1 UANtiJltUU~ ~yLJgt
(C~ a1izellce (or amendment of thelicenc ) ~ff~
Applica tion is hcrchy rnade forshy for e Jsi4cpmg f dangerous pound0ods 10 or on the premlsestJte transfer 01 dIe iiecllce I
described below JampJi 0 per Depot for new licence (middotdelcte whichever is no t required) $)000 for amendment or transfer
Name of Applicant in full (see over)
Trading name or occupiers name (if any)
Postal address ei 8
Address of the premises including street number (if any)
~ature of premises (see over)
Telephone number of applicant
l
STD Code Number
Postcode
Postcode
Particular~ of type of depots and maximum quantities of dangerous goods to be kept at anyone time
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
flvlt ~
0 01 1-I Itl~ECf~ 11110 Jlt900
2 -shy ---shy lt 200 ~
3
4
5
CampC Office use only
Jshy 100 0
I 100 3~
J 10 D 4-
6 I LA 7
8
9
10
111
11
~lt~ n - rll~ middotQtUi -0
~~ fS -fmiddot no Z
r ]tllrTN - jF-I r
U1 ~ -1- I Q Jl ~ bull --shy- ~
~
Yes If yes no plans requiredHas site plan been approved Nltgt- If gg flle4SG attach site plan
Yes If yes state name of previous occupierHaverpremises previously been licensed Na k o vf
Name of oompany supplying flammable liquid (if any)
~J
Signature of applicant -17 ~~~~~)- Date 9~1l For external explosives magazine(s) please fill in side 2 y FOR OFFICE USE ONLY CERTIFICATE OF INSPECTION
shyi t(l 17~ NV rr4~I-J r7 middotth being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in the quantity specified ~
Signature of inspector ~___ Date C~~ _
licence No
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
-
I
If
-
1 rl ~
J
- ------ i i bull bull
52 (~
l u M -lt1fJ )11lt 1 ~ () ~ 7
--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
0USGOO~ 81 -_
uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
-----------
VIlJJlVU~ VVVU) -- _ A [~K ~ OiU rYP fJ~~T a -li-ce-n-c-e (Qr amendmpJlt efthe lisence) Ikl
Applicat~n ls1ic~byen-ma e Of- for the keeping of dangerous goods in or on the premises ~- the_-Hft11Stet of the YeeRce
descrihed below FEE $1000 er Depot for new licence (delete whichever is not required) $1-(lOO
for amendment or transfer
Name of Applicant in full SAifS (sec over)
Trading name or occupiers name (if any)
Postal address ) Postcode
Address of the premises including street number (if any) Postcode
Nature of premises (see over)
Telephone number of applicant STD Code Number
Particulars of type of depots and maximum quantities of dangerous goods to be kept at anyone time
o
~ If-=ftO please attach site plan
Dangerous goods Depot Type of depot Storage
number (see over) capacity Product being stored
CampC Office use only
~ gtfJamp 12D I J(JhCOVND J wIlt s DOC j (l P6vE 02~ I tao s3 2
3
4
5
6
7
8
9
10
II
j12 bullt IJ V Yes If yes no plans requuedHas SIte plan been approved
f lt
-
I
If
-
1 rl ~
J
- ------ i i bull bull
52 (~
l u M -lt1fJ )11lt 1 ~ () ~ 7
--~ -- -
~ If es state llafn8 sf pre4stls 6SGUpierHave premises previously been licensed No
Name of company supplying flammable liquid (if any)
Signature of applicant r L-~~) Date k~ + For external explosives magazine(s) please fill in side 2
FOR OFFICE USE ONLY CERTIFICATE O~PECTION I (Amiddot lt 0 (( pound1 middotC44Y being an Inspector under the Dangerous Goods Act 1975 do hereby certify that the premises described above do comply with the requirements of the Dangerous Goods Act 1975 and the Dangerous Goods Regulation with regard to their situation and construction for the keeping of dangerous goods of the nature and in
the quantity specifled I lt I J shyV Signature of Inspector ~~ Date
licence No
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
0USGOO~ 81 -_
uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
- - -- - - - --- - - - - - - - - - --
~dwiUqRW k dfteuroN SpqC~
[~ I ~f ~OC~ ~ 00 ~ I - --- Il I ~ 440--0lt
~I v Oj r S 7 r~ ~ tI( 1C ~ ~)-centlt ~J tmiddot ibull gt1 -) ( N ) gt) _ bull -(1 -_J
J~ 2
4 middot2(l
~ 1middotmiddot ___ I I - --
FYVR~ POI)~T~ S H ED
~
o
0USGOO~ 81 -_
uZ]BAYmiddot~ rl ~~l I ~ C I W I _~
0 ~
-PRo P s -lgt 4middot C KL L r G GAS TANk FoR
r bull V SALI RA ~JIClflmV=AS Lor 6 Souru St IY1 ARS 1l E J ~fIR 29 BRAYS ROAD CONCORD 2137
phone- 736 3855R ~~gt5 R 1ltgtlt)pound Is 2JW11 Rd P~ulro ro lllt_Oob7_ mE GAS TO USE Ir YOlf ( Nor ON IHE GAS
C() -~ iY c 7 C t middot
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
200 Igt~Td2S f- l-f () lt--Tl---() ~A_ 4-) )DxooOScz 3 CL L R r 8ULlt ~s rANK ~PORJaGAS(~ FOfiV 29 BRAYS ROAD CONCORD 2137 sourNsr ~A r~ v SALB4 phone 736 3855(10 L Alt ~-) Lor G sOUThT THE CAS TO USE IF YOURE NOT ON THE GAS
ifl~ S2gt E V orx -k
SJ-pound2) EOO0cTpoundSt ~ltYff7 -(OAU WA lt bull 2ucr- 00 OPEJI L4 NIJ
________ Z5 60 ri1~~==~~~~===-==~~== ~Ir DOOR
I~ELECTR-IC mUEk t3C
-r=CgtL~L----R- SIAElgt
[01 1lt1WITH RAIScb 8RooRgt CHGE$LtllIltP h~~~~2c ---110-6bf1LCDNC~En FLOoRr-MEilIIgtshyI P t L ln
OUTlr WI[N WATO WASH uNDER EACH BAll K 0 F rltgt1l
1- 245=lt) Bk Bvuz 2iS(r1Kgt ~~ poundu-n~CAc($
I BlL(
L~~E~
CO)
Lshy shy
I SrsTpco C-
VJmiddotltJ ipNK 3 tltL B--gtLlt l P Gcb o ~~ L== I-J ~P -9 C 6shy
middot~~~-tzampIi1M9i1iR2SampUQraquo~1ASfuiJ2ampfuL_~ampJdJiVmiddoti lt-1r~i~ ~_~-~ ~
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
NOTIFICATION OF DANGERO US GOODS ON PRE MI SES FOR M - SS DGO FDG02
CONTACT FOR NOTIFICATION INQUIRIES n - ~ c
Titl e Mr I MisS M s I Mrs I Other (please speedy) Family name _ -Iz _Cshygt=shy _________
Given name Ilt-C - ~~~ Other names ex lt-~- ~ M Gende~ Female (please circ le) Date of birth ~~ ~ Place of birth ~j~N ti Postal address D Bomiddotyen 6ST Suburb lit-ltl ~lt ~ ~ Ir -- -- State N v-l Postcode L S- 3 Business phone 2 iB~ SS- Business fax number OmiddotL is8~ ~o-
Busin ess email address ~thltgtn ~--2c middot~vl So ea rn 0-
PrevIous licence number or acknowledgement number (I f known)
PrevIous occupier (if known)
Site on which dangerous goods afe to be kept
Number Street
Nearest cross street
Lot and DP if no street number
I Lo+ 3 IIs the site staffed If yes state number of employees -_=-2=-__---
Site staffing Hours per day 1 - 2- Days per week 1 5 1 Site emergency contact
Phone number Name
Nature of the site (eg farm warehouse shop etc)
~ Nature of your primary business activity
1 S~ cQrlt-- o~ ~~~ Cgtv-tln O~ o ~l 5o~Qs
Website details (it any)AB N (if any)
What is the ANSZrC code most applicable to you bUSiness (see gUIde for list of codes and further informatio n)
Code Description
I--4-_---q r--gt -- 0 -~~ ~~N c-shyl ----_~1 1OT-ltCR
Attach a site sketch of the premises Refer to the Guide for information on the require ments for the site ske tch
Attach a photocopy page from a local street directory or other map showi ng the locality of the premises Mark the
location of the premises with an X
bull SECURITY SENSITI VE DANGEROUS GOODS ONLY
2
I
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
NOTIFICATION OF DANGEROUS GOODS ON PREMISES FORM -- SSDGO FDG02
List the dangerou s goods that will be stored andor processed on these premises Copy this page and attach additional
sheets if there is insufficient space
Identifier Type of storage location or process Class Maximum storage ca pacity ( l kg Ml) --- - ---O cgt c ----- ---- -_--- I-L=- 000 1lt-0 -------~Q----~~- c ~~= --r-c- - - -00
PG HazChem Typical UnitUN Number Proper shipping name Class (I II III ) Product or common name
symbol qty eg L kg M
r-0ool Q ~ ~k - 0shy So ~~F ~Q _lt Ca 0-331 10 ~rt~ ~ PI~1 (I)QIpoundRS
Identifier
2
UN Number
Type of storage location or process Cla ss Maximum storage capacity (l kg M3
2
Proper shipping name PG
Class (I II III) Product or common name HazChem Typical symbol qty
)
Unit eg L kg M
~ I ~rcltltgts z ccltJ Slt~ 1lt= K-o 1 0 s-o 1Jl~gtcs 22shy -~ ~ p--- ~ltOo k-j
-Lcc ~
Identifier Type of storage location Dr process Class Maximum storage capacity (L kg Ml)
PG HazChem Typical UnitUN Number Proper shipping name Product or common nameClass (I II III) symbol qty eg L kg M
oS31 tI ~QS~ lt l S I--R-ERS l0eciO 9 O ~~~ -shy I ~r~1 ~~~~Ql ~OcO I
Identifier Type of storage location or process Class Maximum storage capacity (L kg M)
PG HazChem Typical Unit UN Number Proper shipping name Class (I II III) Product or common name symbol qty eg L kg Ml
I I I -----rl=----r-I~i ~I I I I
Identifier Type of storage location or process Class Maximum storage capacity (l kg M)
shy UN Number Proper shipping name Class PG II II 1111 Product or common name
HazChem symbol
Typical qty
Unit eg L kg M
I I i I I i I bull SECURITY SEN SITI VE DANGERO US GOODS ONLY
3
I I
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
shyshy
I Y )bull CCe
- ) -- c 1 d QO
r --01 3I------ ~o bO (sect ~~ 9l R laquo (~ampJ 0 _lt U 2N P-(KK
oJ v
II r
e~ltgt-~t~ ~RI2 (jyIE~
~ i E~cC ~
bull N~~
-o~ ~0G lt0--+-
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc
Meteor Fireworks Pty Ltd po Box 603 Crows Nest NSW 2065 Australia
Telephone Office - (02) 649 5449 (02) 957 1259 Warehcuse (02) 6283320
Telex BFiELD AA27171
11th November 1985
Mr HN Blackmore Chief Inspector Dangerous Goods Branch PO Box 847 DARLINGHURST NSW 2010
Dear Sir
We enclose herewith completed Application Forms for Licence to Import or Sell Explosives and Licence for the Keeping of Dangerous Goods We also enclose our cheque number 586207 for $3000 covering Licence fees of $1500 for each application
All information regarding our warehouse facility (except telephone numbers) is unchanged to thatgiJlen-tJy--J-~ Imports Pty Ltd in gaining its Licence Numbers 430090130 and(3~023Q208 )However please note that these Applications are for a licence rro_~encrment to the ones held by JS Imports Pty Ltd
At this stage we require bolh~ companies to be Licenced for importation and storage until JS Imports finar~y ceases to trade in fireworks
Looking forward to your comments
Yours faithfully METEOR FIREWORKS PTY LTD
JOHN M SIMMONS DIRECTOR
JMSsf I -
s l c bull
Enc