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1 ' UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> (one page per material per bliddin%or ems) <br /> ❑ ADD ❑ DELETE ❑ REVISE 200 Page 7 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 202 <br /> ❑ YES ❑ NO <br /> FACILITY ID# 1 MAP#lroNmep 203 GRID#m,no d) 204 <br /> FA0007213 <br /> II.CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET ❑ Yes ® No 206 <br /> CORROSIVE LIQUIDS,N.O.S. d tat EPc u.mmo�mmlipe <br /> COMMON NAME 207 EHS" ® Yes ❑ No 208 <br /> ADDITIVE 100 <br /> CAS# 209 <br /> "If EHS is"Yes",all amounts below must be in lbs <br /> FIRE CODE HAZARD CLASSES(Complete ifropned by CUBA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑ c.WASTE 211 RADIOACTIVE ❑ Yes ® NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE a.SOLID ® b.LIQUID ❑ o GAS 214 LARGEST CONTAINER215 <br /> (Check one item only) 55.00 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ❑ a FIRE ❑ b.REACTIVE ❑ c.PRESSURE RELEASE ® d.ACUTE HEALTH ❑ e CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT "I I ANNUALWASTEAMOUNT 219 STATEWASTECODE 220 <br /> 250.00 500.00 <br /> (NITS[ ❑ a GALLONS ❑ b.CUBIC FEET ® c.POUNDS ❑ d.TONS 221 1 DAYS ON SITE: 222 <br /> (Chak one item only) 365 <br /> •If EHS,amount must be in pounds. <br /> STORAGE a ABOVE GROUND TANK ❑ e.PLASTICNONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m.GLASS BOTTLE ❑ q.RAIL CAR <br /> I]CONTAINER ❑ b.UNDERGROUND TANK ❑ f CAN ❑I.BAG ❑ n.PLASTIC BOTTLE ® r.OTHER <br /> ❑ o TANK INSIDE BUILDING ❑ g.CARBOY ❑ k.BOX ❑ o.TOTE BIN <br /> ® d.STEEL DRUM ❑ It,SILO ❑ 1.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE ® a. AMBIENT ❑ b. ABOVEAMBIENT ❑ c. BELOWAMBIENT 4 <br /> STORAGETEMPERATURE ® a AMIBIENT ❑ b. ABOVEAMBIENT ❑ a BELOWAMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS 4 <br /> 1 10.00 226 HYDROFLUORIC ACID 227 Yes No 228 7664-39-3 229 <br /> 2 30.00 23o HYDROFLOSILICIC ACID 231 Yes No 232 16961-83-4 233 <br /> 3 234 235 ❑ Yes E] NO 236 237 <br /> 4 238 239 ❑ Yes NO 240 241 <br /> 5 242 343 [:] Yes No 244 245 <br /> If more M1aardoar mmponenb art present at grtater Nun 1%by weight if non-cartinogeniq or Ol%by weight if carcinogenic,aaach additiond sheets of paper capturing the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> IfEPCRA,Please Sign Here <br /> UPCF(1/99) <br />