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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> (one page per mmmi tl par building ce amq <br /> ❑ ADD ❑ DELETE ❑ REVISE 200 Page 16 of 36 <br /> 1.FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> METALSA STRUCTURAL PRODUCTS INC <br /> CHEMICAL LOCATION 20l CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> ❑ YES ❑ NO <br /> FACILITY ID# I FA0007213 MAP#Inpatient, 203 GRID#(opuntsB 2N <br /> 11.CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET ❑ Yes ® No 206 <br /> HAZARDOUS SUBSTANCE LIQUID(LIQUID,REACTIVE IRRITAI` If eubjcl w EPCRA refer to uatmctiom <br /> COMMON NAME 202 EHS' El Yes ® No 208 <br /> ACCELERATOR 131 <br /> CAS# <br /> 09 <br /> .If EHS is"Yes",all amounts below must be in lbs <br /> FIRE CODE HAZARD CLASSES(Camplem irmquhed by cuPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑ c.WASTE 211 RADIOACTIVE ❑ Yes ® NO 212 CURIES 2D <br /> TYPE(Check one item only) <br /> PHYSICAL STATE <br /> (Check one item only) ❑ %SOLID ® b.LIQUID ❑ c.GAS 214 LARGEST CONTAINER 55.00 215 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ® a FIRE E] b.REACTIVE ❑c PRESSURE RELEASE ❑ d.ACUTE HEALTH ❑e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 211 1 MAXIMUM DAILY AMOUNT 218 1 ANNUAL WASTE AMOUNT 219 STATEWASTECODE 220 <br /> 55.00 110.00 <br /> UNITS' ® a GALLONS ❑ b.CUBIC FEET ❑ c.POUNDS ❑ d.TONS 221 1 DAYS ON SITE: R2 <br /> (Chock ane item only) 365 <br /> •If EHS,amount must be in pounds. <br /> STORAGE ❑ a ABOVE GROUND TANK ❑ e.PLASTICMONMETALLIC DRUM ❑ i.FIBER DRUM ❑ ..GLASS BOTTLE ❑q.RAIL CAR <br /> CONTAINER ❑ b.UNDERGROUND TANK ❑ f CAN ❑j.BAG ❑ n.PLASTIC BOTTLE ® r.OTHER <br /> ❑ c.TANK INSIDE BUILDING ❑g.CARBOY ❑ k.BOX ❑ o.TOTE BIN <br /> ® d.STEEL DRUM ❑ h.SILO ❑ 1.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE ® a AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 24 <br /> STORAGETEMPERATURE ® a AMIBIENT ❑ b. ABOVEAMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS N <br /> 1 40.00 226 SODIUM NITRATE 227 Yes No 238 7632-00-0 229 <br /> 2 230 231 ❑ Yes No 252 233 <br /> 3 231 235 ❑ Yes No 236 237 <br /> 4 238 239 <br /> Yes Na zoo 241 <br /> 5 242 343 Yes No 241 245 <br /> Ifmom hoaordrm components ore prevent st emitter than 1%by weight ifnon-carcinogenic.or 0.1%by weight ifcamino8enip attach additional rl nofpaper coplunn8 the required informrtion. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />