Laserfiche WebLink
UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/21/2010-01:26:20 P <br /> Page of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAM <br /> <br /> TION CONFIDENTIAL <br /> ON 3 SEPERATE ROLLAROUND CARTS BAYS 4 THRU 8 IN SHOP pX YES[:]NO <br /> FACILITY ID# 1ID# 203/204 <br /> UD3-F3 1/D3 /A /A /A <br /> H- CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES ®NO 206 <br /> ACETYLENE <br /> COMMON NAME If Subject to EPCRA,refer to instructions <br /> 207 <br /> ACETYLENE EHS* 11YES ®NO 208 <br /> CAS# 209 <br /> 74-86-2 *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 H a PURE p b.MIXTURE p c.WASTE 211 RADIOACTIVE❑YES ®NO 212 213 <br /> TYPE(Check one item only) CURIES N/A <br /> PHYSICAL STATE p SOLID ❑LI 214 215 <br /> UID <br /> (Check one item only) Q ®GAS LARGEST CONTAINER 125 <br /> FID HAZARD CATEGORIES O FIRE O REACTIVE ®PRESSURE RELEASE ❑CHRONIC HEALTH <br /> (Check all that apply) ®ACUTE HEALTH 216 <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 800 1,000 N/A 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 <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO p GLASS BOTTLE ❑Other... <br /> ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM p BOR ❑RAIL CAR <br /> ❑CAN N CYLINDER ❑OTHER <br /> 223 <br /> STORAGE PRESSURE ❑AMBIENT ®ABOVE AMBIENT ❑BELOW AMBIENT <br /> 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %wT HAZARDOUS COMPONENT or mixture or waste onl EHS CAS# <br /> 226 227 ❑YES ❑NO 228 <br /> 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 <br /> 237 <br /> 238 239 ❑YES ❑NO 240 <br /> 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 <br /> USED FOR? WELDING AND CUTTING <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />