Laserfiche WebLink
UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> I.w,Por minimal per bolldins err me.) <br /> ❑ ADD ❑ DELETE ❑ REVISE zoo <br /> Page 13 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 IDN 1 FA0007213 MAP#bi Tuna) xto GRID#(worno l) 201 <br /> II.CHEMICAL INFORMATION <br /> CHEMICAL NAME 203 TRADE SECRET ❑ yes ® No 206 <br /> FIRE RESISTANT HYDRAULIC FLUID Ifmbjxl m EPCRA referm uninamons <br /> COMMON NAME <br /> CITGO GLYCOL PH-40XD 207 EHS- ❑ Yes ® No 208 <br /> CAS# <br /> 209 <br /> .If EHS is"Yes",all amounts below must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Cres me,If treated by CUPA) 210 <br /> HAZARDOUS MATERIAL <br /> TYPE(Cheek oneitem only) ❑ %PERE ❑ b.MIXTURE ❑ c.WASTE Z11 RADIOACTIVE ❑ Yes M No xlx CURIES 213 <br /> PHYSICAL STATE ❑ a SOLID ® b.LIQUID ❑ c.GAS 214 LARGEST CONTAINER 215 <br /> (Check one item only) 55,00 <br /> FED HAZARD CATEGORIES 216 <br /> (Cheekallidatapply) ® .FIRE ❑ b.REACTIVE ❑ e.PRESSURE RELEASE ❑ d.ACUTE HEALTH ❑ e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 21) MAXIMUM DAILY AMOUNT "I ANNUALWASTEAMOUNT 219 STATEWASTECODE 220 <br /> 55.00 220.00 <br /> UNITS- ® .GALLONS ❑ b.CUBIC FEET ❑ c.POUNDS ❑d.TONS 221 1 DAYS ON SITE: 222 <br /> (Check ane item only) <br /> -WEBS,amount must be in pounds. 365 <br /> STORAGE ❑ a ABOVE GROUND TANK ❑ e.PLASTICNONMETALLIC DRUM ❑ i.FIBER DRUM ❑ or,GLASS BOTTLE ❑ q.RAIL CAR <br /> CONTAINER ❑ b.UNDERGROUND TANK ❑ E CAN ❑j.BAG ❑ e.PLASTIC BOTTLE ❑ r OTHER <br /> ❑ c.TANK INSIDE BUILDING ❑g.CARBOY ❑ k.BOX ❑ ..TOTE BIN <br /> ® d.STEEL DRUM ❑ h.SILO [11.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE [!9 . AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ® . AMIBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture Or waste only) EHS CAS# <br /> 1 50.00 226 DIETHYLENE GLYCOL 223 ❑ Yes ❑ No 228 111-46-6 2n <br /> 2 3.00 230 MORPHOLINE 231 ❑ Yes ❑ No 232 233 <br /> 3 234 235 Yes NO 236 237 <br /> 4 238 239 ❑ Yes No 240 241 <br /> 5 242 243 E] Yes El No 244 245 <br /> union hazardous romponntl am present at scoter than YG by weight if non-carcinogenic.or 0.1%by weight irnrrinogmic,munch additional atone of paper capturing the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />