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4 ' UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> I.pi pc,materiel pm building or arae) <br /> ❑ADD ❑ DELETE ❑ REVISE 200 Page 9 of36 <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# I I MAP#(optima) 203 GRID#(nmann 2041 <br /> FA0007213 <br /> H.CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET ❑ Yes ® No 206 <br /> CORROSIVE LIQUIDS,N.O.S. Bsubject to EPCRA nr to esu c6mw <br /> COMMON NAME <br /> 207 EHS- El Yes ® No oe <br /> HEAT EXCHANGER ACID CLEANER <br /> CAS# 209 <br /> "If EHS is"Yes",all amounts below mus[be in lbs <br /> FIRE CODE HAZARD CLASSES(Cmr imelrrequmci1by CUPA) 210 <br /> HAZARDOUS MATERIAL1 <br /> TYPE(Check one item only) <br /> E] a PURE ❑ b.MIXTURE [3c.WASTE 211 RADIOACTIVE ElYCS ® NO CURIES 213 <br /> PHYSICAL STATE ❑a SOLID IT b.LIQUID C.GAS 214 LARGEST CONTAINER 213 <br /> (Check one item only) 55.00 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ® a FIRE El b.REACTIVE E_ c.PRESSURE RELEASE El d.ACUTE HEALTH ® e CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 311 1 MAXIMUM DAILY AMOUNT 218 1 ANNUALWASTEAMOUNT 219 STATE WASTE CODE 220 <br /> 55.00 110.00 <br /> UNFFS• ® is GALLONS ❑ b.CUBIC FEET ❑ c.POUNDS ❑ d.TONS 221 DAYS ON SITE: 222 <br /> (Check one item only) 365 <br /> •[TENS,amount muss be in pounds. <br /> STORAGE ❑ is ABOVE GROUND TANK ❑e.PLASTICMONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m.GLASS BOTTLE ❑ q.RAILCAR <br /> CONTAINER El b.UNDERGROUNDTANK ElI.CAN ❑j.BAG ❑ n.PLASTIC BOTTLE ® c OTHER <br /> ❑ c.TANK INSIDE BUILDING ❑g.CARBOY ❑ k.BOX ❑ o.TOTE BIN <br /> ® <br /> it STEEL DRUM ❑ It SILO ❑ I.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE M a AMBIENT ❑ It. ABOVEAMBIENT ❑ c. BELOW AMBIENT 4 <br /> STORAGE TEMPERATURE El a AMIMENT ❑ b. ABOVEAMBIENT ❑ c. BELOW AMBIENT ❑ it CRYOGENIC 223 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 45.00 226 PHOSPHORIC ACID 229 [:] Yes [:] No 22g 7664-38-2 229 <br /> 2 15.00 23o NITRIC ACID 231 E Yes E] No 232 7697-37-2 233 <br /> 3 234 WATER 233 ❑ Yes 0 No 236 7732-18-5 233 <br /> 4 238 239 1:1 Yes 0 No 240 241 <br /> 5 242 243 ❑ Yes E] NO 244 245 <br /> If mon M1wrdous mmponenb an Prmmiut 8nner 1M1m 1•.by weight if non-nrtinogenip ar 0.1X by weight if carcinagenlc.stanch additional sheets of Paper capturing the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />