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Application for Standard Permit
FP-006 •►Return completed application to: Christine Cruz «
(Rev. 1.1.2015)
Permit Number: FL-17-204 DIG SAFE NUMBER
City or Town: Salem
Start Date:
Date: 03/27/2018
In accordance with the provisions of M.G.L.Chapter 148,as provided in Section 13 application is hereby made
by Commonwealth Diagnostics International Inc. 888-258-5966
(Full Name of Person,Firm or Corporation) (Phone Number)
of One Holyoke Square 2nd floor, Salem, MA 01970
(Address:Street or P.O.Box,City or Town,Zip Code)
for permission to(state clearly purpose for which permit is requested) To use and store flammable and combustible materials;
42 gallons of Class I flammable liquids. 3 gallons of Class II combustible liquids and 4 gallons
of Class III combustible liquids and 600 cubic feet of flammable gas.
Name of Competent Operator(if applicable) Cert. No.
Date Issued-rejected By
(Signature of Applicant)
Date of expiration Fee $50 Amount Paid$ E 0 .00
-----------------------------------------------------------------
FP-006
(Rev. 1.1.2015) PERMIT
City or Town: DIG SAFE NUMBER
Date:
Start Date:
Permit Number(if applicable):
In accordance with the provisions of M.G.L.Chapter 148,as provided in this permit is granted
to
(Full Name of Person,Firm or Corporation)
for
Restrictions:
at
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ This
permit will xpire on
Signature of Official Granting Permit: I T Title
y This permit must be conspicuously posted upon the premises OW
f
Commonwealth Diagnostics International Inc.
Flammable Materials List
Class I Flammables
1 A-Liquids with a flashpoint<73°F and a boiling point< 100°F
113-Liquids with a flashpoint<73°F and a boiling point at or> 100°F
IC-Liquids with a flashpoint of>73°F and below 100°F
Chemical Name Flammable Class Flash Point Amount
°F (gallons)
He tane IA 25 .26
Acetone IB -4 2.5
Acetonitrile IB 36 5.5
Alcohol anhydrous IB 55 .25
Ethanol IB 61 1.75
Hexanes IB -7.6 .25
Iso ro anol IB 53 1
Methanol IB 52 5
Toluene IB 39 .25
Hazardous Waste I Varies 25
-15
TOTAL =42
a
Class II Combustibles
Liquids with a flashpoint> 106°F and< 140°F
Chemical Name Flammable Class Flash Point Amount
°F (gallons).
Acetic acid II 102 .2
N,N-Dimeth lformamide II 134 .25
Hazardous Waste II Varies 2.5
TOTAL =3
Class III Combustibles
IIIA-Liquids with a flashpoint at or> 140°F and<200°F
IIIB-Liquids with a flashpoint>200°F
Chemical Name Flammable Class Flash Point Amount
°F (gallons)
N,N- Dimeth 1 Acetamide IIIA 150.8 .25
Formic Acid IIIA 156 .1
Dimeth lsulfoxide IIIA 190 1
Hazardous Waste III Varies 2.5
TOTAL =4
Flammable Solids
P
Chemical Name Amount (poun
None anticipated 0
Flammable Gas
Chemical Name Amount cubic ft
Hydrogen 600
TOTAL=600
I
(CDF
March 27, 2018
Salem Fire Department
Fire Prevention
29 Fort Avenue
Salem, MA 01970
Re: Flammable Permit for Commonwealth Diagnostics International, Inc.
To Whom It May Concern:
Enclosed please find a permit application with chemical inventory and a $50 check made out to the City
of Salem from Commonwealth Diagnostics International, Inc. (CDI)at One Holyoke Square, 2nd floor in
Salem. CDI engages in limited clinical diagnostic testing related to functional gastrointestinal disorders.
If you have any questions or require additional information, please feel free to contact me at(978) 771-
5973 or ccruz@commdx.com or Kathy Joseph,CDI's safety consultant at(781) 222-1022 x78 or
kioseph@safetypartnerinc.com .
Sincerely,
Christine Cruz
Laboratory Manager
Mailing address:
39 Norman Street, 2"d floor
Salem, MA
( rL - 1�.2v�n If I 1— _
Commonwealth Diagnostics International Inc.
Flammable Materials List
Class I Flammables
IA -Liquids with aflashpoint<73°F and aboiling point< 100°F
113 -Liquids with a flashpoint<73°F and a boiling point at or> 100°F
1C -Liquids with a flashpoint of>73°F and below 100°F
Chemical Name Flammable Class Flash Point Amount
° (gallons)
He tane IA 25 .26
Acetone IB -4 2.5
Acetonitrile IB 36 5.5
Alcohol anhydrous IB 55 .25
Ethanol IB 61 1.75
Hexanes IB -7.6 .25
Isopro anol IB 53 1
Methanol IB 52 5
Toluene IB 39 .25
Hazardous Waste I Varies 25
TOTAL =42
Class II Combustibles
Liquids with a flashpoint> 100°F and< 140°F
Chemical Name Flammable Class Flash Point Amount
(°F) (gallons)
Acetic acid II 102 .2
N,N-Dimeth lformamide II 134 .25
Hazardous Waste II Varies 2.5
c TOTAL =3
Class III Combustibles
IIIA -Liquids with a flashpoint at or>140°F and<200°F
IIIB -Liquids with a flashpoint>200°F
Chemical Name Flammable Class Flash Point Amount
° (gallons)
N,N-Dimeth 1 Acetamide IIIA 150.8 .25
Formic Acid IIIA 156 .1
Dimeth lsulfoxide IIIA 190 1
Hazardous Waste III Varies 2.5
TOTAL =4
Flammable Solids
y
V /
'I Chemical Name Amount (Pounds)
None antic' ated. 0
Flammable Gas
Chemical Name Amount (cubic ft)
Hydrogen 600
TOTAL =600