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%ftoUNIFIED PROGRAM CONSOLIDATED FOR vs <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> 05/07/2009 - 02:40:15 PM <br /> Page_ of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> CRYSTAL VALLEY CELLARS LLC <br /> CHEMICAL LOCATION 201 HEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> QX YES❑NO <br /> FACILITY[D# 1 MAP#GRID# <br /> <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I 1) ❑YES ®NO 206 <br /> OAKITE FISAN 500 M If Subject to EPCRA,refer to instructions <br /> COMMONNAME <br /> 207 208 <br /> N/A-MIXTURE EHS* ❑YES H NO <br /> CAS# 209 <br /> 0001310732 *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL 0 a,PURE M b.MIXTURE [3c.WASTE 211 RADIOACCIVE❑YES ®NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE214 215 <br /> (Check one item only) ❑SOLID ®LIQUID p GAS LARGEST CONTAINER g5 <br /> FED HAZARD CATEGORIES ❑FIRE O REACpI V E ❑PRESSURE RELEASE ❑ACUTE HEALTH H CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 25 55 N/A N/A <br /> UNITS* N GAL E3 CU FT ❑LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EES,amount must be in pounds. 365 <br /> STORAGE 0 ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER 0 UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> N PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> 0 CAN ❑CYLINDER ❑OTHER 223 <br /> STORAGE PRESSURE R AMBIENT 0 ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE S AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste onl EHS CAS# <br /> 40.5 226 SODIUM HYDROXIDE 227 ❑YES M NO 228 0001310732 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) N/A 246 <br /> (34)WHAT IS MATERIAL. L <br /> USED FOR? SANITATION OF TANKS/TARTRATE REMOVAL <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br /> or Official Use Only: MC ❑R EIS Last Web Update: 02/27/2006 <br />