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0 <br />• <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY — CHEMICAL <br />20 <br />®ADD ❑DD•LETE []REVISE <br />I. FACILITY INFORMATION <br />FACILITY 1D 8 <br />CHEMICALNAME <br />Carbon Dioxide Refrigerated Lit <br />COMMON NAME <br />Carbon Dioxide <br />CASP <br />124-38-9 <br />FIRE CODE HAZARD CLASSES (Complem if regauee by [ <br />HAZARDOUS MATERIAL <br />TYPE (Check one item roily) 0a. PURE ❑b. MIXTL <br />PHYSICAL STATE <br />(Check one he. only) 0 a. SOLID 0 b. LIQU <br />FED HAZARD CATEGORIES FERE Ob. RBAC <br />(Check all that oPPIY) <br />AVE RAGE DAILY AMOUNT 20 <br />MAXI <br />200 lbs / 24gallons* <br />452 <br />UNITS' ®a. GALLONS Yr <br />Check one hens aal EH: <br />STORAGE <br />CONTAINER TANK 130.1 <br />a. ABOVE DANK <br />O UNDERGROUND T❑ f. CA <br />®c. TANK INSIDE BUILDING 090 <br />0 d. STEEL DRUM 0 h. SRR <br />STORAGE PRESSURE ❑ a. AMBIENT I <br />STORAGE TEMPERATURE. ❑a. AMBIENT I <br />%WT <br />HAZARDOUS COMP( <br />1 226 <br />235 ❑ Yes ❑ No 236 <br />2 230 <br />zi9 ❑Yes ❑ No 240 <br />3 234 <br />4 233 <br />mnn t= <br />n mora naxa���"> ���,........... _._.. _ _.. _.. <br />HAZARD CLASS OR DIVISION 0_2.2— <br />If EPCRA, Please Slgn Here <br />" The gas cubic foot capacity of the IigL <br />However,the material in the tank is lige <br />Revised (5/03) <br />RECEIVE[ <br />OCT -4 2010 <br />VIUIN COUNTY <br />3 <br />❑ YES <br />(opuon4b <br />H. CHEMICAL INFORMATION <br />NO <br />(*Pnom) <br />Irsub)M to EPCRA• nferto innmomnl <br />EHS* ❑ Yes ® No <br />'If EHS is "Yes", all amounts below must be in lbs. <br />RE 0 c. WASTE 211 RADIOACTIVE ❑ Ycs ON' 212 CURIES <br />214 LARGEST CONTAINER 48 gallons <br />D 0c. GAS <br />IVB ®c. PRESSURE RELEASE 0d. ACUTE HEALTH O e. CHRONIC HEALTH <br />lbs / 48 gallons NIA lvrr <br />222 <br />221 DAYS ON SITE: <br />BIC FEET ❑ C. POUNDS ❑ d. TONS 365 <br />amount inustbe in Pounds <br />LASTIC/NONMETALLIC DRUM ❑ i. FIBER DRUM O on. GLASS BOTTLE 0 q. RAIL CAR <br />❑ n. PLASTIC BOTTLE 0 r. OTHER <br />V 0 J. BAG <br />RBOY 0 k. BOX O o. TOTE BM <br />1 ❑ I. CYLINDER 0 p. TANK WAGON <br />221 <br />b. ABOVE AMBIENT ❑ c. BELOW AMBIENT <br />224 <br />] b. ABOVE AMBIENT N c. BELOW AMBIENT ❑ d. CRYOGENIC <br />225 <br />WENT (For mixture or waste only) EHS CASH <br />223 ❑ Yes ❑ No 22a <br />229 <br />231 ❑ Yes ❑ No 222 <br />D3 <br />235 ❑ Yes ❑ No 236 <br />233 <br />zi9 ❑Yes ❑ No 240 <br />241 <br />IL _ _ I 0_ E A AZARD SA_ 246 <br />UNri_2187 <br />carbon dioxide tank is 3,959 of for gas. DES Fmrn 2731 <br />and is only transformed into a gas state_^"cQeC <br />