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` UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> (mea popper malarial p building or <br /> ❑ ADD ❑ DELETE ❑ REVISE 200 Page 5 m`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 2, CFIEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> ❑ YES ❑ NO <br /> FACILITY ID# FA0007213 1 I MAP#(optiauB 203 GRID#(optional) 204 <br /> 11.CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET ❑ Yes ® No 206 <br /> CARBON DIOXICE, REFRIGERATED LIQUID IfmbjenmEPCRA,mfawimmci <br /> COMMON NAME <br /> CARBON DIOXIDE 07 ExS4 ❑ Yes No 08 <br /> CAS# 209 <br /> 124-38-9 •IfEHS is"Yes",all amounts below must be in lbs <br /> FIRE CODE HAZARD CLASSES(c.,kn irnyairm by COPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑ c.WASTE 211 RADIOACTIVE ❑ Yes M No 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑ a SOLID ® b.LIQUID ❑ c.GAS 214 LARGEST CONTAINER 213 <br /> (Check one item only) 3,000.00 <br /> FED HAZARD CATEGORIES RE216 <br /> (Check all that apply) a FIRE ❑ <br /> ❑ b. ACTIVE ® c.PRESSURE RELEASE ❑ d.ACUTE HEALTH ❑ e.CHRONIC ALTH <br /> AVERAGE DAILY AMOUNT 2MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATEWASTECODE 220 <br /> 1 G 500.00 3,000.00 <br /> UNITS. ® a GALLONS ❑ It CUBIC FEET ❑ c.POUNDS ❑ d.TONS 221 DAYS ON SITE: 222 <br /> (Check one ilem only) <br /> •IfERS,emounl moat tem pounds. 365 <br /> STORAGE ® a ABOVE GROUND TANK ❑ e.PLASTICMONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m.GLASS BOTTLE ❑ q.RAIL CAR <br /> CONTAINER ❑ b.UNDERGROUNDTANK ❑ F CAN ❑).BAG ❑ n,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 ® It. ABOVEAMBIENT ❑ c. BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ❑ a AMIBIENT ❑ b. ABOVE AMBIENT ® c. BELOWAMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 226 N/A 227 ❑ Yes ❑ No 228 229 <br /> 7 230 231 ❑ Yes No 232 233 <br /> 3 234 235 ❑ Yes ❑ No 236 237 <br /> q 238 239 ❑ Yes ❑ No 240 241 <br /> 5 242 243 Yes ❑ No 244 245 <br /> If mon him rdous components in pnaent at Inner than 1%by weight if non-urcim,,,ni4 or 0.1%by�8ht irnnim,coc.eWch additional sheets orpcper capturing the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> ff EPCRA,Please Sign Here <br /> UPCF(1/99) <br />