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RECEIVE® <br />UNIFIED PROGRAM CONSOLIDATED FORM HA�0�1 <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY - CHEMICAL Dlb!6{i1�p�N COON <br />03/14/2011 - 11:04:23 AM FEMEIry N <br />Page of <br />I. FACILITY INFORMATION <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) t <br />kT&T MOBILITY-ELMWOOD <br /> <br /> <br /> <br />rHEMICAL <br />❑X YES❑ NO <br />FACILITY ID# I <br /> <br /> <br />II. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 <br />TRADE SECRET (1 I) ❑ YES ONO _Ut, <br />LEAD ACID BATTERIES <br />If Subject to EPCRA, refer to instructions <br />COMMON NAME 207 <br />208 <br />BATTERIES <br />EHS* ® YES ❑ NO <br />CAS # 209 <br />SEE INVENTORY BELOW <br />*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 ❑ a. PURE ® b. JIIXTURE O c. WASTE 211 <br />TYPE (Check one item only) <br />RADIOACTIVE YES N NO 212 <br />CURIES 0 213 <br />PHYSICAL STATE 214 <br />(Check one item only) O SOLID ❑ LIQUID ❑ GAS <br />215 <br />LARGEST CONTAINER 126 <br />FED HAZARD CATEGORIES []FIRE ® REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ® CHRONIC HEALTH 216 <br />(Check all that apply) <br />AVERAGE DAILY AMOUNT 217 <br />MAXIMUM DAILY AMOUNT 218 <br />ANNUAL WASTE AMOUNT 219 <br />STATE WASTE CODE 220 <br />3,736 <br />3,736 <br />N/A <br />N/A <br />UNITS* ❑GAL ❑ CU FT ®LBS p'CONS 221DAYS <br />ON SITE 222 <br />(Check on item only * If EHS, amount must be in pounds. <br />365 <br />STORAGE ❑ ABOVE GROUND TANK []CARBOY ❑ GLASS BOTTLE ❑ Other... <br />CONTAINER ❑ UNDER GROUND TANK ❑ SILO ❑ PLASTIC BOTTLE <br />❑ TANK INSIDE BUILDING ❑ FIBER DRUM ❑ TOTE BIN <br />❑ STEEL DRUM ❑ BAG ❑ TANK WAGON <br />❑ PLASTIC/NONMETALLIC DRUM ❑ BOX ❑ RAIL CAR <br />❑ CAN ❑ CYLINDER ® OTHER <br />STORAGE PRESSURE N ANIBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT „4 <br />STORAGE TEMPERATURE O AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC "5 <br />W, I' <br />HAZARDOUS COMPONENT (For mixture or waste onl <br />EHS <br />CAS# <br />69% 226 <br />LEAD (PB) 227 <br />❑ YES ®NO 228 <br />7439-92-1 -" <br />9% 230 <br />SULFURIC ACID (H2SO4) 231 <br />® YES ❑ NO 232 <br />7664-93-9 23 3 <br />13% 234 <br />WATER (H2O) 235 <br />❑ YES ® NO 236 <br />7732-18-5 237 <br />238 <br />239 <br />❑ YES ❑ NO 240 <br />241 <br />242 <br />243 <br />❑ YES ❑ NO 144 <br />245 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 2794 246 <br />(34) WHAT IS MATERIAL <br />USED FOR? (EMERGENCY BACKUP BATTERIES <br />UPCF (Rev. 12/2007) If EPCRA, Please Sign Here <br />