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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 - 03:20:06 AM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNAM A-IDing Business As) 3 <br /> PG&E ST(WET(N SVC CTR <br /> CIEMICAL L(CATIW 201 IEMICAL LCCATI(NC0FIIENITAL EPCRA 202 <br /> GARAGE ❑X IES ❑NJ <br /> FACILITYIDX 1 MAPredby X 203/204 <br /> Required by S7 55 <br /> II. CIEMICAL INF(RMATI(N <br /> CLEMICAL NAME 205 TRA E SECRET(11) ❑YES 0110 206 <br /> AROWCARB(N DIOXIDE If Subject to EPCRA,refer to instructions <br /> C(MM(NNAME 207 208 <br /> AROWCARB(N DIOXIDE EB* ❑IES ®ND <br /> CAS# 209 <br /> MIXTURE ''If EIE is "Yes",all amounts must be in lbs. <br /> FIRE CGE HAZARDCLASSES( Complete if required by CtPA) 210 <br /> LEAVE BLANK <br /> HAZARD MATERIAL ❑a.PURE ®b.MIXTURE ❑c.WASTE 211 RAIIOCTIAE ❑YES 0 NO 212 CtRIES 0 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑SOLID ❑LIQUID ®CAS 214 LARCEST C(AII'AI1SER 280 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ❑FIRE ❑REACTIIE 0 PRESSIRE RELEASE ❑ACUE IEALTH ❑CHR(NC IEALTH 216 <br /> (Check all that apply) <br /> AIERALE D4LYAMW 217 IMA11MIM D1ILY,,111 1f 218 AN4AL WASTE AMMF 219 ST,UCE WASTE C Q E 220 <br /> 187 280 N/A N/A <br /> U4TS* ❑CAL 0 CU FT ❑LBS ❑T(NS 221 DIPS 01SITE 222 <br /> (Check on item only *If EHi,amount must be in pounds. 365 <br /> ST(RACE ❑AB(VE CRQJND TANK ❑CARB(Y ❑CLASS B(FTLE ❑(Oher... <br /> CWA I',ER ❑UNDER CRQJND TANK ❑SILO ❑PLASTIC BATTLE <br /> ❑TANKINSIDE BUILDING ❑FIBER DRUM ❑T(TE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANKWAGN <br /> ❑PLASTIC/N(NMETALLIC DRUM ❑BOL ❑RAIL CAR <br /> ❑CAN 0 CYLINDER ❑(FIER <br /> 223 <br /> ST(RAE PRESSiRE ❑AMBIENT 0 AB(YE AMBIENT ❑BELOV AMBIENT 224 <br /> ST(RALE TEMPERATIRE 0 AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZARD4S C(OAPGENF(For mixture or caste only EB CAS# <br /> 75 226 AR(M 227 ❑YES ®NO 228 7440-37-1 229 <br /> 25 230 CARB0JI0JIE 231 ❑YES ®NO 232 12-38-9 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> AInTI04AL L(CALLYC(LLECTEDIl*,F(RMMI(N (33)134TEDNURM IDX(DfP) 1956 246 <br /> (34)WHIZ'IS MATERIAL <br /> iSEDF(R? WELI11,13, <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign Hare <br />