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RECEIVE® <br /> UNIFIED PROGRAM CONSOLIDATED FORM MAY — 3 M2 <br /> HAZARDOUS MATERIALS <br /> • HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIP IRO NrAI <br /> (04/27/2012- 10:47:12 A N <br /> Page u TMENT <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same ss FACILITY NAME or DBA-Doing Business As) 3 <br /> ALCO METALS <br /> <br /> ❑X YES❑NO <br /> FACILITY ID# 14637 1 <br /> <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) [1 YES ®NO 206 <br /> LIQUID OXYGEN If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS YES ®NO 208 <br /> LIQUID OXYGEN <br /> CAS# 209 <br /> 7752447 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 O b.MIXTURE ❑e.WASTE 211 RADIOACTIVE❑YES NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATEp SOLID M LIQUID 13 GAS 214 LARGEST CONTAINER 480 LITERS <br /> 215 <br /> (Check one item only) <br /> FED HAZARD CATEGORIES D FIRE ®REACTIVE 10 PRESSURE RELEASE M ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> • AVERAGE DAILY AMOUNT 217 MMOUNT 218AXIMUM DAILY AANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 650 800 1 N/A I N/A <br /> UMTS* N GAL ❑CU FT ❑LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only -If EHS,amount must be in pounds. 365 <br /> STORAGE ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> I]TANK INSIDE BUILDING ❑FIBER DRUM f]TOTE BIN <br /> ❑STEEL DRUM ❑BAG 13 TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ❑CAN ®CYLINDER ❑OTHER 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVEAMBIENT ❑BELOWAMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVEAMBIENT ❑BELOWAMBIENT [I CRYOGENIC 225 <br /> %wr HAZARDOUS COMPONENT(For mixture or waste only EHS CAS# <br /> 226 227 [:1 YES [:]No 228 229 <br /> 230 231 DYES ❑NO 732 233 <br /> 234 235 D YES ❑NO 236 237 <br /> 238 139 ❑YES ❑NO 240 241 <br /> 242 243 1 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1073 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? TORCH CUTTING <br /> • UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />