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UNIFIED PROGRAM CONSOLIDATED FORT <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> 10/14/2009- 05:00:17 PM <br /> Page of <br /> 1. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> HEADWATERS RESOURCES INC(CLOSED) <br /> CHEMICAL LOCATION 201 �CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> 2025 WEST HAZELTON AVE.SHOP []X YESE,]NO <br /> FACILITY IDN 1 MAP#GRID# 1/E-2 /A /A IA 203!204 <br /> 10482 Required by SI /A <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(1 l) ❑YES ®NO 206 <br /> WASTE OIL If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 208 <br /> WASTE OIL EH5* ❑YES ONO <br /> CAS# 209 <br /> NIA *If EHS is "Yes",all amounts must be in tbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL213 <br /> TYPE(Check one item only) 13 a.PURE p b.MIXTURE H c.WASTE 211 RADIOACTIVE❑YES ®NO 212 CURIES N/A <br /> PHYSICAL STATE <br /> (Check one item only) ❑SOLID ®LIQUID [3 GAS 214 215 <br /> LARGEST CONTAINER 55 <br /> FED HAZARD CATEGORIES 19FIRF ❑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 /> 25 155 55221 <br /> UNITS* ®GAL ❑CU FT ❑LBS ❑TON5 <br /> 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE ®ABOVE GROUND TANK ❑CARBOY 1a GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO 1 ❑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 /> 100. 226 MIXTURE 227 ❑YES ®NO 228 MIXTURE 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 /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS IDN(DOT) 9189 246 <br /> (34)WHAT IS MATERIAL - <br /> USED FOR? Air Blowers and Compressors <br /> i <br /> I <br /> UPCF(Rev.1212007) if EPCRA,Please Sign Here <br /> or Official Use Only: SC [:]R ❑S Last Web Update: 07/07/2008 <br /> i <br /> _ I <br />