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NIFIED PROGRAM CONSOLIDATED FO <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> 10/14/2009-01:32:19 PM <br /> Page_ of <br /> 1. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> TED'S WELDING&REPAIR <br /> CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> ®YESQ NO <br /> FACILITY ID# 1 I MAP#GRID# ���203/204 <br /> 2876 Required by SI <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES IN NO 206 <br /> ACETYLENE If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS ❑YES ®NO 208 <br /> ACETYLENE <br /> CAS# 209 <br /> 74-86-2 *V 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 <br /> ®e.PURE ❑b.MIXTURE ❑c.WASTE 211 RADIOACI7VE❑YES ®NO 212 CURIES N/A 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ❑SOLID ❑LIQUID IO GAS LARGEST CONTAINER 290 <br /> FED HAZARD CATEGORIES ®FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 200,500 500 N/A <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 ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM 0 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 IN AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> 96WT HAZARDOUS COMPONENT For mixture or waste on[ 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) 1001 246 <br /> (34)WHAT IS MATERIAL L <br /> USED FOR? <br /> i <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br /> Fur Official Use Only: ®C ❑R ❑S Last Web Update: 09/22/2006 <br />