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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> (oro page pa eemmiu per building a w) <br /> ❑ ADD ❑ DELETE ❑REVISE 2W Page I I 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 LOCATIONCHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> z01 <br /> ❑ YES ❑ NO <br /> FACILITY ID# I I MA"(opboron 203 GRID#biraesea 204 <br /> FA0007213 <br /> 11.CHEMICAL INFORMATION <br /> CHEMICAL NAME los TRADE SECRET ❑ Yes ® No 2% <br /> FRMP 3001 Bmbiatm EPcaA,mra to imwebnna <br /> COMMON NAME 207 EHS" ❑ Yes ® No 208 <br /> POWERCRON BLACK PASTE <br /> CAS# los <br /> "If EHS is"Yes",all amounts below must be in lbs. <br /> FIRE CODE HAZARD CLASSES Tcmpmniftei,u by CUPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE [:Ib.MIXTURE ❑ c.WASTE 311 RADIOACTIVE Yes ® No 213 CURIES 213 <br /> TYPE(Chink one item only) �•�� <br /> PHYSICAL STATE ❑ a SOLID M b.LIQUID ❑c.GAS 214 LARGEST CONTAINER215 <br /> (Cheek one item only) 250.0 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ❑ e.FIRE ❑ It REACTIVE ❑ c.PRESSURE RELEASE ❑d.ACUTE HEALTH ®e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 210 MAXIMUM DAILY AMOUNT 319 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 500.00 1,000.00 <br /> UNITS' ® a GALLONS ❑ b.CUBIC FEET ❑ c.POUNDS ❑ d.TONS 221 1 DAYS ON SITE: 222 <br /> (Check one item only) <br /> •If EHS,amount must be in pounds 365 <br /> STORAGE ❑ a ABOVE GROUND TANK ❑ e.PLASTICMONMEFALLIC DRUM ❑ i.FIBER DRUM ❑ m.GLASS BOTTLE ❑ q.RAIL CAR <br /> CONTAINER ❑ It UNDERGROUND TANK ❑ I:CAN ❑j.BAG ❑ a.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. ABOVEAMBIENT ❑ c. BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ® a AMIBIENT ❑ b. ABOVE AMBIENT ❑ c BELOW AMBIENT ❑ it CRYOGENIC 225 <br /> -/.WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 40.00 226 ALUMINUM SILICATE 227 Yes ❑X No 229 1327-58-7 239 <br /> Z 5.00 230 CARBON BLACK 231 Yes ❑X No 232 1333-864 231 <br /> 3 5.00 234 PLASTICIZER 235 ❑ Yes ❑X No 236 143-29-3 237 <br /> 4 5.00 239 PROPYLENE GLYCOL MONOBUTYL ETHER 2J9 [:] Yes ❑X No 340 5131-66-8 241 <br /> 5 5.00 242 DIBUTYL TIN OXIDE 243 E] Yes ❑X No 244 818-08-6 245 <br /> Umore hmrduuv comporcn4 are prevent m[renter to.,IV.by weight if non-carcinogenic,or oI%by weight if cvrtinogenic,an¢b additiontl thmv of paper upneru,the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> IfEPCRA,Please Sign Here <br /> UPCF(1/99) <br />