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0 0 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS AUG 2 6 ZOr <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIP JJPN <br /> (One page per material per building or area) JOAQUIN COON <br /> ❑ ADD ❑ DELETE ® REVISE 200. Page of VIC�c <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) 3 <br /> CRLLC/76#5447 <br /> CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL EPCRA 202. <br /> <br /> ID# _ L MAP#(Optional) 203. GRID#(Optional) xo4. <br /> (Agency Use Only) <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 2057TRADE SECRET F06. <br /> Carbon Dioxide Ifsubject toEC ,rerocmlmwcnom El Yes 0 N <br /> COMMON NAME 207EHS- los. <br /> Carbon Dioxide ❑Yes E No <br /> CAS# 209 -If EHS is"Yes,"all amounts below must be in lbs. <br /> 124-38-9 <br /> FIRE CODE HAZARD CLASSES(Complete rjreyuired by CUPA) 210 <br /> Non-Flammable Gas <br /> HAZARDOUS MATERIAL 211. RADIOACTIVE <br /> TYPE (Ch212. <br /> eck one item only) E a.PURE Elb.MIXTURE CURIES z13. <br /> ❑c.WASTE ❑Yes ®No <br /> PHYSICAL STATE xt<. LARGEST CONTAINER 215. <br /> (Check one at.only) ❑a.SOLID El It.LIQUID E c.GAS 50 <br /> FED HAZARD CATEGORIES 216 <br /> (Checkaa that apply) ❑a.FIRE ❑b.REACTIVE E c.PRESSURE RELEASE ❑d.ACUTE HEALTH ❑e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 21s. <br /> STATE WASTE CODE zzo. <br /> 25 50 <br /> UNITS- ❑a.GALLONS ❑b.CUBIC FEET ®c.POUNDS ❑d.TONS 221. DAYS ON SITE 222. <br /> (Check one item only) .If EHS,amount must be in l ow ls. 3655 <br /> STORAGE ❑a. ABOVEGROUND TANK ❑f CAN ❑k. BOX2z3. <br /> CONTAINER [Ib. UNDERGROUND TANK ❑P. TANK WAGON <br /> ❑g. CARBOY E I. CYLINDER ❑q. RAIL CAR <br /> ❑c. TANK INSIDE BUILDING ❑h. SILO ❑In. GLASS BOTTLE ❑I. OTHER <br /> ❑d. STEEL DRUM ❑i. FIBER DRUM ❑n. PLASTIC BOTTLE <br /> ❑e. PLASTICMONMETALLIC DRUM ❑j. BAG ❑o. TOTE BIN <br /> STORAGE PRESSURE ❑a AMBIENT Mb. ABOVE AMBIENT <br /> ❑c. BELOW AMBIENT 224. <br /> STORAGE TEMPERATURE Ea. AMBIENT ❑b. ABOVE AMBIENT ❑c. BELOW AMBIENT ❑d. CRYOGENIC 225. <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1. 100% 226, Carbon Dioxide 227 <br /> ❑Yes E No 228, 124-38-9 229. <br /> 230, 231. 232. 233. <br /> 2. ❑Yes ❑ No <br /> 234. 235. 236. 237. <br /> 3. [1 Yes ❑ No <br /> 238. 239. 240. 241. <br /> 4• 11 Yes C] Na <br /> z+2. 243. x44. 245. <br /> 5� 11 Yes E] No <br /> If mom b.nr tom mmpmnmm are Loom nt at emmar Nan I%by weight if nomcaminoeenlc,ar 0.1%bywd¢nt ummimotenic mneh vdditi...l ohmto mrpaper capmm,the reyuirtd ierormseon. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> DOT Hazard Class:2.2-Non-Flammable Gas UN 1013 <br /> If EPCRA,Please Sign Here. <br /> UPCF Rev. (12/2007)-7/2 www.unidoes.org <br />