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5 F <br /> UNIFIED PROGRAM CONSOLIDATED FOR <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> 10/31/2011 - 01:28:53 PM <br /> Page of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> HEADWATERS RESOURCES INC(CLOSED) <br /> CHEMICAL LOCATION 201 rHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> 0 YES Q NO <br /> FACILITY ID# 1 MAP#GRID#====203/204 <br /> ' 10482Required by S] <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I 1) ❑YES ❑NO 206 <br /> If SubjeCt to EPCPA,refer to instructions <br /> COMMON NAME 207 208 <br /> EHS* ❑YES ❑NO <br /> CAS# 209 <br /> *If EHS is "Yes",all arnonnts must be in Ibs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> HAZARDOUS MATERIAL [3 a,PURE E7 b.MIXTURE [3c.WASTE 211 RADIOACTIVE YES ❑NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑SOLID ❑LIQUID ❑GAS 214 LARGEST CONTAINER 215 <br /> (Check one item only) <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 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> UNITS* ❑GAL ❑CU FT ❑LBS ❑TONS 22E 1 DAYS ON SITE 222 <br /> i <br /> (Check on item only *If EHS,amount must be in pounds. j <br /> STORAGE ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other.., <br /> CONTAINER [3 UNDER GROUND TANK ❑S1L0 ❑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 <br /> 223 <br /> STORAGE PRESSURE ❑AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ❑AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste onl EHS CAS# <br /> 226 227 ❑YES ©NO 228 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> ❑YES ❑NO <br /> 234 238 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? <br /> UPCF(Rev. 12/2007) If EPCRA,Please Sign Here <br /> or Official Use Only: ❑C OR ❑S Last Web Update: <br /> I <br />