Laserfiche WebLink
UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION <br /> lane pegs per material err building m sees) <br /> ❑ ADD ❑ DELETE ❑ REVISE 200 Page 20 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 mi CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> ❑ YES ❑ NO <br /> FACILITY ID# FA0007213 I I MAP#("omnia) 2m GRID#tomo d) 204 <br /> II.CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET ❑ Yes ®No 206 <br /> OXIGEN COMPRESSED If sab).t to EPCRA,refer to imWctims <br /> COMMON NAME <br /> OXIGEN 207208 <br /> EHS• ❑ Yes ® No <br /> CAS# 209 <br /> 7782-44_7 •If EHS is"Yes",all amounts below mus(be in lbs <br /> FIRE CODE HAZARD CLASSES(campiee ifregaired by cuPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑ c.WASTE 211 RADIOACTIVE ❑ Yes E) No 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑ a.SOLID El b.LIQUID El c.GAS 214 LARGEST CONTAINER 15 <br /> (Check one item only) 300.00 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ❑ a FIRE ❑ b.REACTIVE ❑ c.PRESSURE RELEASE ❑ it ACUTE HEALTH ❑ e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217MAXIMUM DAILY AMOUNT 218 1 ANNUAL WASTE AMOUNT 215 STATE WASTE CODE 220 <br /> 560.00 840.00 <br /> UNITS' ❑ a GALLONS M b.CUBIC FEET ❑ c.POUNDS ❑ it TONS 221 1 DAYS ON SITE: 222 <br /> (Check one 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 ❑i.BAG ❑ n.PLASTIC BOTTLE ❑ r.OTHER <br /> ❑ c.TANK INSIDE BUILDING ❑ 15.CARBOY ❑ k.BOX ❑ o.TOTE BIN <br /> ❑ it STEEL DRUM ❑ h.SILO M I.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE ❑ a. AMBIENT ® b. ABOVEAMBIENT ❑ c. BELOW AMBIENT 4 <br /> STORAGE TEMPERATURE ® a AMIBIENT ❑ b. ABOVEAMBIENT ❑ c. BELOWAMBIENT ❑ d. CRYOGENIC 225 <br /> O WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 226 222 ❑ Yes No 228 19 <br /> 2 230 231 ❑ Yes No 232 233 <br /> 3 234 235 O Yes ❑ No 236 237 <br /> 4 239 239 El Yes El No 240 241 <br /> 5 242 243 0 Yes E:] No 244 245 <br /> If mum ha irdous components am pmmot at greater than]%by weight if non-earcinoWniq or 0.1%by weight if carainaeenia,sawb additional sheets titular capturing the"uircd information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> IfEPCRA,Please Sign Here <br /> UPCF(1/99) <br />