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RECEIVE[ <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIAI 4 INVENTORY - CHEMICAL DESCRIPTION <br />_ SAN JO <br />Page EMERG (t <br />1. FACILITY INFORMA'T'ION <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 <br />AT&T h1OBILITY-MANTECA <br /> <br /> <br /> <br />rHEMICAL <br />YES NO <br />FACILITY IDX I <br />to t <br /> <br /> <br /> <br /> <br /> <br />11. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 <br />TRADE SECRET(I 1) ❑ YES ® NO 20o <br />LEAD -ACID BATTERIES <br />If Subject to EPCRA, refer to instructions <br />COMMON NAME 207 <br />EHS* W YES ONO 208 <br />LEAD -ACID BATTERIES <br />CAS d 209 <br />*If EHS is "Yes", all amounts mus[ be in lbs. <br />SEE INVENTORY BELOW <br />FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 <br />LEAVE BLANK <br />HAZARDOUS MATERIAL PURE M b. MIXTURE Dc. WASTE 211 <br />RADIOACTIVE 13YES ® NO 212 <br />CURIES 0 111 <br />D a. <br />TYPE (Check one item only) <br />PHYSICAL STATE 214 <br />®SOLID ❑LIQUID ❑GAS <br />LARGEST CONTAINER 138 <br />(Check one item only) <br />FED HAZARD CATEGORIES ❑ FIRE ® REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH 01 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 />3,311 <br />13,311 <br />N/A <br />N/A <br />221 <br />DAYS ON SITE 222 <br />UNITS* ❑GAL ❑ CU FT ®LBS ❑TONS <br />1 <br />365 <br />(Check on item only * If EHS, amount must be in pounds. <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 N OTHER 27-3 <br />STORAGE PRESSURE ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT 224 <br />STORAGE TEMPERATURE O AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC 225 <br />%WT <br />HAZARDOUS COMPONENT (For mixture or waste only <br />EHS <br />CASH <br />70% 226 <br />LEAD (PB) 227 <br />❑ YES ONO 228 <br />7439-92-I 229 <br />9% 230 <br />SULFURIC ACID (H2SO4) 231 <br />® YES ❑ NO 232 <br />7564-91-9 2.33 <br />12% 234 <br />WATER (H20) Z35 <br />❑ YES ® NO 236 <br />7732-18-5 237 <br />239 <br />❑ YES ONO, 40 <br />241 <br />238 <br />242 <br />243 <br />❑ YES ❑ NO 244 <br />245 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS IDr (DOT) 2794 246 <br />(34) WHAT IS MATERIAL --- -- <br />USED FOR? EMERGENCY BACKUP BA'I-PERIES <br />UPCF (Rev. 12/2007) If EPCRA. Please Sign Here <br />, j <br />J I J <br />COUNTY <br />ICY SERVICE, <br />