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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/21/2010-01:33:40 PM <br /> Page of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Sa <br /> <br /> LOCATION 201 rCAL LOCATION <br /> BAY & OUTSIDE WASH BAY AYES❑NO <br /> FACILITY ID# 1 MA # /A /A 203/204 <br /> Requiredired by by S1 <br /> IL CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES ®NO 206 <br /> VPW ACID WASH If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS ❑YES ONO 208 <br /> TORNADO ACID WASH <br /> CAS# 209 <br /> 7664-39-3/7664-93-9 *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 MATERIAL213 <br /> TYPE(Check one item only) ®a.PURE ❑b.MIXTURE ❑c.WASTE 211 RADIOACTIVE E]YES ®NO 212 CURIES <br /> PHYSICAL STATE 214 LARGEST CONTAINER 215 <br /> (Check one item only) [I SOLID ®LIQUID [I GAS 55 GAL <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 /> 110 165 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 he 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 ❑BAG ❑TANK WAGON <br /> ®PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ❑CAN ❑CYLINDER ❑OTHER 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT or mixture or waste onl EHS CAS# <br /> I <br /> 20 226 SULFURIC ACID 227 ®YES ❑NO 228 7664-93-9 229 <br /> 10 230 HYDROFLUORIC ACID 231 N YES ❑NO 232 766439-3 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 [1 YES [I NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1790 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? CLEANING <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />