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HEALTH AND SAFETY PLAN <br />' Hazardous Materials Summary Check waste type and estimate amounts by category <br />' Chemicals (Amounts/Units) NIA <br /> [ ] Acids [ ] Halogens [ ] Cyanides <br /> [ ] Caustics [ ] Metals [ ] Phenols <br /> { ] Dyes/Inks [ ] Pickling Liquors [ ] PCBs <br /> [ ] Cyanides [ ] Pesticides [ ] Other (Specify) <br /> Solids (Amounts/Units) NIA <br /> [ ] Fly Ash [ ] Ferrous Smelter <br />' [ ] Asbestos [ ] Non-ferrous Smelter <br /> [ ] Milling/Mine Tailings [ ] Other (Specify) <br /> Sludges. (Amounts/Units) N/A <br /> 1 i <br /> [ ] Paint Pigments [ ] Metals Sludges <br /> [ ] POTW Sludge [ ] Aluminum <br /> [ ] Other (Specify) <br /> Solvents: (Amounts/Units) N/A <br /> [ ] Halogenated Solvents [ ] Other (Specify) <br /> [ ] Non-Halogenated Solvents <br />' Ods (Amounts/Units) N/A <br /> [ ] Oily Wastes [ ] Other (Specify) <br /> Other- (Amounts/Units) N/A <br />' [ ] Laboratory [ ] Radiological <br /> [ ] Pharmaceutical [ ] Municipal <br />' [ ] Hospital [ ] Other (Specify) <br /> Overall Hazard Evaluation [ ] High j ] Medium [ x ] Low <br /> [ ] Unknown <br /> Fire/Explosion Potential: [ ] High [ ] Medium [ x ] Low <br /> [ ] Unknown <br /> Background Review: [ x] Complete [ ] Incomplete <br /> Page 6 of 27 <br /> 1 <br />