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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 - 03:19:55 AM <br /> Page of <br /> I. FACILITY INFURMATI N <br /> BiSMSS NAME(Same as FACILITYNAM <br /> ST(WET(N SVC CTR <br /> CIEMICAL L(CATI N 201 IEMICAL LCCATI(NIC0FIIENITAL,EPCRA 202 <br /> STWET(N CNGCNGFILL STATI N, STIR BLDG2, WAREHYSE MWS ❑NJ <br /> FACILITYIDX 1 I MAP203/204 <br /> Requiredred by by SJ 2 C6 3-C4 /A N/A <br /> II. CIEMICAL INF(RMATI(N <br /> CLEMICAL NAME 205 TRA E SECRET(11) ❑YES ®NJ 206 <br /> NITRWN If Subject to EPCRA,refer to instructions <br /> CO AM(NNAME 207 208 <br /> NITRWEN EHi* ❑YES ®ND <br /> CAS# 209 <br /> 7727-37-9 ''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 P-41OCTIAE ❑YES ®NO 212 CIRIES 0 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑SOLID ❑LIQUID ®CAS 214 LAR(EST CO>II'Ai1SER 255 215 <br /> (Check one item only) <br /> FEDHAZARDCATE(IRIES ❑FIRE ❑REACTIVE ®PRESSIRE RELEASE ❑ACLTE IEALTH ❑C1-R(DIC IEALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAM@iF1i' 217 IMA11MIM D11LYAM@IF1f 218 AN }M WASTE AVIMF 219 ST,UCE WASTE C Q E 220 <br /> 1,306 1,959 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(RAE ❑AB(VE CROJND TANK ❑CARBO.' ❑(LASS B(FTLE ❑(Oher... <br /> CWA I',ER ❑UNDER GROJND 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(RAE PRESSiRE ❑AMBIENT ®AB(YE AMBIENT ❑BEL(YV AMBIENT 224 <br /> ST(RALE TEMPERATLRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZARD4S C(MPGENF(For mixture or caste only EIB CAS# <br /> 100 226 MTROEN 227 ❑YES ®NO 228 7727.37-9 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> AinTI0I4L L(CALLYC@LECTEDINFORMATI(N (33)134TEDNATI(M IDX(DCr) 1066 246 <br /> (34)WHU IS MATERIAL <br /> iSEDF(R? OL PRESERVATI(D NTRA18F(RMERS <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign Hare <br />