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APPENDIX B2 WORKCOVER SEARCH

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Page 1: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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~

)0 Su~l 51 IIi1~W~ ~ I I ~ -s~ I i ~ c

1 ~ +

------- - -~----------shyI i - - rshy~ ~ 11shy

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9ivtv~ I

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I

Z 0 ltD ltJgt

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~

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)

~ (-

~ 3 ~

~

t J rfl

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- -------__ 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- ~

~

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

Page 2: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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~

)0 Su~l 51 IIi1~W~ ~ I I ~ -s~ I i ~ c

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9ivtv~ I

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I

bull

I

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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

~

~-

- 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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-lt

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~

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v t ~ (J ~

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)

~ (-

~ 3 ~

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t J rfl

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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

-----------rf I

f( L-r IQo 1 r---~---r

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I 1 1 I I I I 1 I 1 1 I 1

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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~

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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

Page 3: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

=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~

)0 Su~l 51 IIi1~W~ ~ I I ~ -s~ I i ~ c

1 ~ +

------- - -~----------shyI i - - rshy~ ~ 11shy

~ ~

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-c

llaquo ) ~ o~

I Vishy

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~ ~

I I

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~ ~ ~ ~

[f1

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~llti J[) ~ )~ t ~ ~ ~ ~ IC

bsvmiddot

~ ~ OJ (fJ

lt1gt U 0gt0 lt1gt

~ so lt1gt

Gl c 0 0 0 lt1gtQooL I

9ivtv~ I

I cukJ S~3 I ~~ S~~

I

Z 0 ltD ltJgt

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

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

()

~ 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

Page 4: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

~~~~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

llaquo ) ~ o~

I Vishy

~J~ ~j

~ ~ rcf

~ ~

I I

~ ~

_ -shy I shy

~ ~ ~ ~

[f1

I

JI I dl-It91~ v ~

~llti J[) ~ )~ t ~ ~ ~ ~ IC

bsvmiddot

~ ~ OJ (fJ

lt1gt U 0gt0 lt1gt

~ so lt1gt

Gl c 0 0 0 lt1gtQooL I

9ivtv~ I

I cukJ S~3 I ~~ S~~

I

Z 0 ltD ltJgt

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- ~

~

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 (~

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

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-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

Page 5: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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

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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

-----------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) - ()

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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(

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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

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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

Page 6: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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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

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f( L-r IQo 1 r---~---r

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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~

~ 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

Page 7: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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

- ------ 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

Page 8: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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

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) - ()

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-

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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

Page 9: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

___ ___

-- ----

~ 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

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

Page 10: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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

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2 J

M Cl Q)

N r--~~ Vl ~ N) c

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lo Q)en ()

Q) CIl ~ Q)

en CL

-

i V)

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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

Page 11: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

---

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

Page 12: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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

Page 13: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

-----------

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

Page 14: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

- - -- - - - --- - - - - - - - - - --

~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

Page 15: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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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

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

Page 16: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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

Page 17: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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

Page 18: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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

Page 19: APPENDIX B2 WORKCOVER SEARCH - Department of Planning … · 12 If a new site or for amendments to depots .. see page 4 of G'uidan-c';"Notes. Plan stamped by: Name of Accredited Consultant

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