I won't vote right now, since I have some questions about this run that I would like to be answered first. There are also some comments here too :)
1. You should REALLY do something about your authors comments. It's WAY too short. Are you sure you read the submission instructions? Here's a link if you didn't:
http://tasvideos.org/SubmissionInstructions.html#submission_instructions_
2. Are you sure that it's as fast as possible? :) A hard question to answer perhaps, but I mean, compare this to the NES Tetris run and you can see a lot of differences. First of all, are you sure it's not faster to get a full "Tetris" (take out 4 rows with one block) instead of doing as you do right now, taking out one or two rows at a time? Perhaps your way is faster, I haven't tried it out :)
3. Do you speed up the blocks so they fall faster as soon as you can? It seemed they could be accellerated a little better.
4. I'm pretty sure that you in the beginning could set all the options (the level and high) a bit faster. Use frame advance here.
Yeah, that's all I can think of for now. It was fun watching my childhood game get beaten so fast, but I'm sure it can be done even faster. I hope you improve this!
EDIT: After watching through this again, I have to vote no on this. I didn't know that you used 0 rerecords either. As Omega said, read the "Why and how" page before submitting anything. I hope you improve this though, and this time with tool assistance ;)