Laserfiche WebLink
• UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> (onc page per meterid perboildin9 m area) <br /> ❑ ADD ❑ DELETE ❑REVISE 200 Page 4 of 36 <br /> I.FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business AS) 3 <br /> METALSA STRUCTURAL PRODUCTS INC <br /> CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA xoz <br /> ❑ YES ❑ NO <br /> FACILITY ID# 1 <br /> MAP#(apoessm 203 1 GRIDq opmenu) 304 <br /> FA0007213 <br /> 11.CHEMICAL INFORMATION <br /> CHEMICAL NAME 21 TRADE SECRET ❑ Yes ® No 206 <br /> BATTERIES If... oEPCRA ref toiuwtiwa <br /> COMMON NAME 203 EHS ❑ YesNo 208 <br /> ® <br /> BATTERIES <br /> CAS# 209 <br /> If EHS is"Yes",all amounts below most be in lbs. <br /> FIRE CODE HAZARD CLASSES(complete ifreydred by CUPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑ c.WASTE 211 RADIOACTIVE ❑ Yes ® No 13 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ® a SOLID ❑ In.LIQUID ❑c.GAS 210 LARGEST CONTAINER215 <br /> (Check one item only) 95'00 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all the apply) ❑ aFIRE ❑ b.REACTIVE ❑ c.PRESSURE RELEASE ❑ d.ACUTE HEALTH ❑ is CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 113 MAXIMUM DAILY AMOUNT 219 1 ANNUAL WASTE AMOUNT 219 STATEWASTECODE 220 <br /> 900.00 900.00 <br /> UMTS• ❑ a GALLONS [-] b.CUBIC FEET ® c.POUNDS [:1 it TONS 221 DAYS ON SITE: 222 <br /> (Check nne dem oily) 365 <br /> •If EHS,amount must be in pounds. <br /> STORAGE ❑ a ABOVE GROUND TANK ❑e.PLASTICINONMETALLIC DRUM ❑ i.FIBER DRUM ❑ to GLASS BOTTLE ❑ q.RAIL CAR <br /> CONTAINER ❑ b.UNDERGROUNDTANK ❑ f CAN ❑j.BAG ❑ o.PLASTIC BOTTLE ❑ r.OTHER <br /> ❑ c.TANK INSIDE BUILDING ❑ g.CARBOY ® k.BOX ❑ o.TOTE BIN <br /> ❑ d.STEEL DRUM ❑ h.SILO ❑ I.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE ® a AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 <br /> STORAGETEMPERATURE N1 a AMIBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste Only) EHS CAS N <br /> 1 226 N/A 222 ❑ Yes [] No 229 229 <br /> 2 230 DI ❑ Yes ❑ No 232 233 <br /> 3 234 235 ❑ Yes ❑ No 236 237 <br /> 4 239 239 ❑ Yes ❑ No 210 241 <br /> 5 242 343 Yes ❑ NO z44 245 <br /> 1f mon hevrdom eompon om ere prevenbt,ona r then 1%by weight if non-ceminogenic,or 0.1%by weight if carcinogem,euacb eddirionel eM1eety of paper capturing Ou requiretl informaion. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />