Form R


As a result of the TRI Reporting Forms Modification Rule, beginning in reporting year 2005, the Toxics Release Inventory Program is no longer collecting latitude and longitude data or EPA program ID data (Including Resource Conservation and Recovery Act (RCRA) IDs, National Pollutant Discharge Elimination System (NPDES) IDs AND Underground Injection Code (UIC) IDs) via the FORM R or FORM A Certification Statement. However, this data will still be made available to TRI data users and will be included in TRI data Reports. For those Reports, this data will be obtained from the Facility Registry System (FRS). Latitude and longitude coordinates used to represent TRI facilities are chosen from the FRS using the "Pick Best" Process. Primary permitting systems supply FRS with the program IDs that are used to represent TRI facilities. The FRS data that are being used to represent this facility are: |
Reference Point/Description | Latitude | Longitude | Collection Method | Accuracy Value |
---|---|---|---|---|
FACILITY/MONITORING SITE BOUNDARY POINT | 26.030579 | -80.148902 | INTERPOLATION-PHOTO | 3 |
RCRA ID NUMBER |
---|
FLD004120804 |
NPDES PERMIT NUMBER |
---|
NO DATA |
UIC ID NUMBER |
---|
NO DATA |
To correct the FRS latitude, longitude or program ID values click on the "Report an Error" button in the top right corner of this page. Facilities wishing to correct other data elements with the FORM R or FORM A should refer to the related TRI-MEweb tutorial.. |
For more information, see Collection of Latitude, Longitude and Program ID Data Has Been Discontinued. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

Reporting Year: 2010
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
JEFFERY ROSE |
VICE PRESIDENT |
Original |
16-JUN-11 |
Section 4. Facility Identification
TRI Facility ID: 33020LLDPH2040L
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
BROWARD |
FL |
33020 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
FL |
33020 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
NO |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
SAME AS TECHNICAL |
No Data |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325998 |
YES |
All Other Miscellaneous Chemical Product and Preparation Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
NA |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 000107211
1.2 Toxic Chemical or Chemical Category Name: ETHYLENE GLYCOL
1.3 Generic Chemical Name: NA
PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

Reporting Year: 2010
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
JEFFERY ROSE |
VICE PRESIDENT |
Original |
16-JUN-11 |
Section 4. Facility Identification
TRI Facility ID: 33020LLDPH2040L
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
BROWARD |
FL |
33020 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
FL |
33020 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
NO |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
SAME AS TECHNICAL |
No Data |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325998 |
YES |
All Other Miscellaneous Chemical Product and Preparation Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
NA |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N230
1.2 Toxic Chemical or Chemical Category Name: CERTAIN GLYCOL ETHERS
1.3 Generic Chemical Name: NA
PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

Reporting Year: 2010
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
JEFFERY ROSE |
VICE PRESIDENT |
Original |
16-JUN-11 |
Section 4. Facility Identification
TRI Facility ID: 33020LLDPH2040L
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
BROWARD |
FL |
33020 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
FL |
33020 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
NO |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
SAME AS TECHNICAL |
No Data |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325998 |
YES |
All Other Miscellaneous Chemical Product and Preparation Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
NA |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N511
1.2 Toxic Chemical or Chemical Category Name: NITRATE COMPOUNDS
1.3 Generic Chemical Name: NA
PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

Reporting Year: 2010
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
JEFFERY ROSE |
VICE PRESIDENT |
Original |
16-JUN-11 |
Section 4. Facility Identification
TRI Facility ID: 33020LLDPH2040L
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
BROWARD |
FL |
33020 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
FL |
33020 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
NO |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
SAME AS TECHNICAL |
No Data |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325998 |
YES |
All Other Miscellaneous Chemical Product and Preparation Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
NA |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 000095636
1.2 Toxic Chemical or Chemical Category Name: 1,2,4-TRIMETHYLBENZENE
1.3 Generic Chemical Name: NA
PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

Reporting Year: 2010
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
JEFFERY ROSE |
VICE PRESIDENT |
Original |
16-JUN-11 |
Section 4. Facility Identification
TRI Facility ID: 33020LLDPH2040L
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
BROWARD |
FL |
33020 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
FL |
33020 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
NO |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
SAME AS TECHNICAL |
No Data |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325998 |
YES |
All Other Miscellaneous Chemical Product and Preparation Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
NA |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 000108883
1.2 Toxic Chemical or Chemical Category Name: TOLUENE
1.3 Generic Chemical Name: NA
PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

Reporting Year: 2010
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
JEFFERY ROSE |
VICE PRESIDENT |
Original |
16-JUN-11 |
Section 4. Facility Identification
TRI Facility ID: 33020LLDPH2040L
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
BROWARD |
FL |
33020 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
FL |
33020 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
NO |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
SAME AS TECHNICAL |
No Data |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325998 |
YES |
All Other Miscellaneous Chemical Product and Preparation Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
NA |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 000067561
1.2 Toxic Chemical or Chemical Category Name: METHANOL
1.3 Generic Chemical Name: NA
PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

Reporting Year: 2010
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
JEFFERY ROSE |
VICE PRESIDENT |
Original |
16-JUN-11 |
Section 4. Facility Identification
TRI Facility ID: 33020LLDPH2040L
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
BROWARD |
FL |
33020 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
FL |
33020 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
NO |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
SAME AS TECHNICAL |
No Data |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325998 |
YES |
All Other Miscellaneous Chemical Product and Preparation Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
NA |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 001330207
1.2 Toxic Chemical or Chemical Category Name: XYLENE (MIXED ISOMERS)
1.3 Generic Chemical Name: NA
PART I. FACILITY IDENTIFICATION INFORMATION (FORM A)

Reporting Year: 2010
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
JEFFERY ROSE |
VICE PRESIDENT |
Original |
16-JUN-11 |
Section 4. Facility Identification
TRI Facility ID: 33020LLDPH2040L
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
BROWARD |
FL |
33020 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ALLIED PHOTO OFFSET SUPPLY CORP |
2040 LEE ST |
HOLLYWOOD |
FL |
33020 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
NO |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
SAME AS TECHNICAL |
No Data |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
325998 |
YES |
All Other Miscellaneous Chemical Product and Preparation Manufacturing |
4.7 Dun Numbers
DUNS NUMBER |
---|
NA |
5. Parent Company Information
Parent Company Name: No US Parent Company
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N096
1.2 Toxic Chemical or Chemical Category Name: COBALT COMPOUNDS
1.3 Generic Chemical Name: NA