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UNIFIED PR(ORAM C(NSMIDATED F(RM <br /> IAZARDQJS MATERIALS <br /> IAZARD(4JS MATERIALS INVENT(RY - CIEMICAL DESCRIPTI N <br /> 01/06/2010 - 02:53:11 AM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNAM <br /> T(N SVC CTR <br /> CIEMICAL L(CATI N 201 IEMICAL LCCATI(NC(AFIIENITAL EPCRA 202 <br /> S M eGF BUILDINGS WAREHYSEOERATI NS BLDG,GAS ST(RA-SWIMWS <br /> FACILITYIDX 1 MAPredby X 4 203/204 <br /> Required by S7 C4-D3 <br /> II. CIEMICAL INF(RMATI(N <br /> CLEMICAL NAME 205 TRAE SECRET(11) ❑YES ®NJ 206 <br /> PROPANE If Subject to EPCRA,refer to instructions <br /> C(MM(NNAME 207 208 <br /> PROPANE EB* ❑YES ®ND <br /> CAS# 209 <br /> N/A ''If EIB is "Yes",all amounts must be in lbs. <br /> FIRE CUE HAZARDCLASSES( Complete if required by CtPA) 210 <br /> LEAVE BLANK <br /> HAZARD MATERIAL ❑a.PURE ®b.MIXTURE ❑c.WASTE 211 RMOCTIAE ❑YES ®NO 212 CIRIES 0 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑SOOLID ❑LIQUID ®CAS 214 LARCEST C(DII'A ICER 540 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ®FIRE ❑REACTIVE ®PRESSIRE RELEASE ❑ACLTE IEALTH ❑CI-R(NC IEALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAM(QiF1i' 217 IMA11MIM D1ILYAM(41F1f 218 AN }M WASTE AMCQ F 219 STATE WASTE C Q E 220 <br /> 757 1,137 0 N/A <br /> U4TS* ❑CAL ®CU FT ❑LBS ❑T(NS 221 DAYS 01SITE 222 <br /> (Check on item only *If EHi,amount must be in pounds. 365 <br /> ST(RACE ❑AB(VE CROJND TANK ❑CARB(Y ❑CLASS B(FTLE ❑(Oher... <br /> CWA I',ER ❑UNDER CROWD TANK ❑SILO ❑PLASTIC BATTLE <br /> ❑TANKINSIDE BUILDING ❑FIBER DRUM ❑T(TE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANKWAG(N <br /> ❑PLASTIC/N(NMETALLIC DRUM ❑BOL ❑RAIL CAR <br /> ❑CAN ®CYLINDER ❑(FIER <br /> 223 <br /> ST(RALE PRESSiRE ❑AMBIENT ®AB(YE AMBIENT ❑BEL(YV AMBIENT 224 <br /> ST(RALE TEMPERATLRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZARD CCO/IPGENF(For mixture or caste only EIB CAS# <br /> 100 226 PR(FAIE 227 ❑YES ®NO 228 74-98-6 229 <br /> 5 230 ETHANE 231 ❑YES ®NO 232 74-84-0 233 <br /> 5 234 PR®YLEW 235 ❑YES ®NO 236 115-0701 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> AinTI04AL L(CALLYC@LECTEDINF(RMMI(Dl (33)U-ITEDNATI(M IDX(DOT) 1978 246 <br /> (34)WHU IS MATERIAL <br /> iSEDF(R? FEU ATIDMA NFEN*UE <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign Hare <br />