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NIFIED PROGRAM CONSOLIDATED FO <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> (09/13/2011 -05:11:01 PM <br /> Page_ of_ <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> NORTH RIVER MILLWORK <br /> CHEMICAL LOCATION ICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> 201 HEM <br /> LUBE OIL SHED ❑X YES❑NO <br /> FACILITY ID# 1 MAP#GRID SJ 1 G-4# 04 <br /> 203/2 <br /> 14597 Required by F-3 A A A <br /> 11. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I1) ❑YES ®NO 206 <br /> DIESEL If Subject to EPCRA.refer to instructions <br /> COMMON NAME 207 208 <br /> DIESEL EHS* ❑YES IH NO <br /> CAS# 209 <br /> MIX 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 O a.PURE ®b.MIXTURE ❑c.WASTE 211 RADIOACTIVE❑YES ®NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ❑SOLID IN LIQUID ❑GAS LARGEST CONTAINER 250 <br /> FED HAZARD CATEGORIES O FIRE []REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 2111ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 100 250 0 NA <br /> UNITS* ®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 ❑UNDERGROUND 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 /> 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE INAMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste onl EHS CAS# <br /> 226 227 ❑YES ❑NO 228 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1993 246 <br /> (34)WHAT IS MATERIAL I <br /> USED FOR? FUEL <br /> i <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br /> For Official Use Only: ®C ❑R [IS Last Web Update: 08/14/2011 <br />