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0 0 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS AUG 2 6 2011 <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> (One page per material per building or area) SAN JOAQUIN COUNTY <br /> ❑ ADD ❑ DELETE Z REVISE 200. Page of <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 /> ❑ YES Z NO <br /> FACILITY ID# _ L MAP#(opeiormq 303. GRID#(Optiormt) _2N__ <br /> (Agency Use Only) <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 305. TRADE SECRET 306. <br /> Propane If subject0WRA,refer mimtrvctimu ❑Yes 0 N <br /> COMMON NAME 20¢ 11M. 208. <br /> Propane ❑Yes ED No <br /> CAS# 209. *If EHS is"Yes,"all amounts below most be in lbs. <br /> 74-98-6 <br /> FIRE CODE HAZARD CLASSES(Complete ijrequired by CUPA) mo. <br /> Flammable Gas <br /> HAZARDOUS MATERIAL zu. RADIOACTIVE 31x. <br /> TYPE (Check one item only) ❑a.PURE Z ❑c.WASTE b.MIXTURE CURIES 313. <br /> 11 Yes ®No <br /> PHYSICAL STATE 314. LARGEST CONTAINER 315. <br /> (Check one item only) ❑a.SOLID Zb.LIQUID Zc.GAS 20# cylinder <br /> FED HAZARD CATEGORIES 5 gallon capacity) 216 <br /> (Check all that apply) ®a.FIRE ❑b.REACTIVE Z c.PRESSURE RELEASE ❑d.ACUTE HEALTH ❑e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 319_ ANNUAL WASTE AMOUNT 219 <br /> - STATE WASTE CODE xzo. <br /> 50 gallons 90 gallons <br /> UNITS* ®a.GALLONS ❑b.CUBIC FEET 3z1. 232 <br /> ❑c.POUNDS ❑d.TONS DAYS ON 517E <br /> (Check one item only) •If EHS,amount must be in pounds. 365 <br /> STORAGE ❑a. ABOVEGROUND TANK <br /> CONTAINER ❑f. CAN ❑k. BOX El P. TANK WAGON zz3. <br /> ❑b. UNDERGROUND TANK ❑g. CARBOY 01. CYLINDER ❑q. RAIL CAR <br /> ❑c. TANK INSIDE BUILDING ❑h. SILO ❑m. GLASS BOTTLE ❑r. OTHER <br /> ❑d. STEEL DRUM ❑i. FIBER DRUM ❑n. PLASTIC BOTTLE <br /> ❑e. PLASTIC/NONMETALLIC DRUM ❑I. BAG ❑o. TOTE BIN <br /> STORAGE PRESSURE ❑a. AMBIENT ®b. ABOVE AMBIENT ❑c. BELOW AMBIENT 2z4. <br /> STORAGE TEMPERATURE ®a. AMBIENT ❑b. ABOVE AMBIENT ❑c. BELOW AMBIENT ❑d. CRYOGENIC 225. <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> a7.5- M Propane 227. ❑Yes 228. <br /> 329. <br /> 100% ® No 74-98-6 <br /> 230 _vIz3z. 233. <br /> 2. 0-7% Ethane . ❑Yes Z No 74-84-0 <br /> 3. 0-5% 2 Propylene 115-07-1 237. <br /> 235. 336. <br /> ❑Yes ® No <br /> 333. <br /> 4. 0-2.5% Butanes ❑Yes Z No x39. 240. 341. <br /> 106-97-8 <br /> 5. P" xoz. <br /> Ethyl Mercaptan 241 E]Yes Z No 244 75-08-1 245. <br /> If mart hwMeus components are present n greater than 1%by weight if non-carcinogenic,or O.1%by weight if nrcinogeniq attach additional ahrets of paper npturing the re,ind informarion. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> DOT Hazard Class:2.1 -Flammable Gas UN 1978 <br /> IfEPCRA,Please Sign Here. <br /> UPCF Rev. (12/2007)-3/2 www.unidocs.org <br />