Laserfiche WebLink
UNIFIED PROGRAM CONSOLIDATED FOR <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> 10/14/2009 - 02:25:44 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 20lrICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> STORED IN LOAD OUT SILO AND STORAGE WAREHOUSE <br /> px vEspivo <br /> t <br /> FACILITY ID# I MAP#GRID# ��2031204 <br /> 10482 Required by 51 l/D3;E2-I2 1A/12 1B/B2-I2 <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES ONO 206 <br /> COAL ASH If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 208 <br /> FLY ASH EHS* ❑YES ®NO <br /> CAS# 209 <br /> 71243-67-9 *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL ®a.PURE p b.MIXTURE pc.WASTE 211 RADIOACTIVE❑YES ONO 212 CURIES NIA 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ®SOLID ❑LIQUID ❑GAS LARGEST CONTAINER 100,000 cu.yd. <br /> FED HAZARD CATEGORIES ❑FIRE ❑REACTIVE ❑PRESSURE RELEASE O ACUTE HEALTH O CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 15,000 160,000 0 1 N/A <br /> UNITS* ❑GAL 0 CU FT ❑LBS ®TONS 223 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE ❑ABOVE GROUND TANK []CARBOY ❑GLASS BOTTLE ®Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO,; [3 PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX n ❑RAIL CAR <br /> ❑CAN ❑CYLINDER ❑OTHER <br /> 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE O AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixtti're or waste onl EHS CAS# <br /> 100 226 NUSIENCE DUST 227 ❑YES ®NO 228 NIA 229 <br /> TRACE 230 MISCELLANEOUS 231 ❑YES ®NO 232 233 <br /> 234 235 0 YES 0 NO 236 237 <br /> I <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) NIA 246 <br /> (34)WHAT 1S MATERIAL <br /> USED FOR? additive in concrete(replaces cement} <br /> t i <br /> UPCF(Rev. 1212007) if EPCRA,Please Sign Here <br /> I <br /> Fr Official Use Only: ®C ❑R ❑S Last Web Update: 06/23/2006 <br />