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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> (are peso per maicod pa bwlding or encs) <br /> ❑ ADD ❑DELETE ❑ REVISE zoo <br /> Page 22 of 36 <br /> I.FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) <br /> METALSA STRUCTURAL 3 <br /> CHEMICAL LOCATION 201 1 CHEMICAL LOCATION CONFIDENTIAL EPCRA <br /> ❑ YES ❑NO zox <br /> MI-B.ITY we 1 MAP#(opapnd) 203 GRID#(opticod7 <br /> FA0007213 20+ <br /> II.CHEMICAL INFORMATION <br /> CHEMICAL NAME 2h5 TRADE SECRET <br /> ❑ Yes No 206 <br /> PETROLEUM OIL PRODUCTS mbjwtb EPCRA ncv o tsw po <br /> COMMON NAMEne <br /> MOBIL GEAR 630-INDUSTRIAL GEAR OIL 207 EHS• ElYes ®No Zoe <br /> CAS# <br /> 64742-54-7 2W •If EHS is"Yes",all amounts below must be in lbs <br /> FIRE CODE HAZARD CLASSES(canplme ipncgnird by I:UPA) <br /> 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑ c.WASTE 211 RADIOACTIVE <br /> TYPE(Check one item only) ❑ Yes ® NO 212 CURIES 213 <br /> PHYSICAL STATE <br /> (Check one item only) ❑ aSOLID ® b.LIQUID ❑ eGAS 216 LARGEST CONTAINER 5,00 215 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all thin apply) ® a FIRE ❑ b.REACTIVE ❑ c.PRESSURE RELEASE ❑ d.ACUTE HEALTH ❑ e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 7N —WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 50.00 100.00 <br /> UNITS. ® a GALLONS ❑ b.CUBIC FEET ❑ c.POUNDS ❑ d.TONS 211 1 DAYS ON SITE: 222 <br /> (Check one item only) <br /> •If EHS,amount must be in pounds 365 <br /> STORAGE ❑ a ABOVE GROUNDTMK ❑ e PLASTIC/NONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m.GLASS BOTTLE ❑ q.RAILCAR <br /> CONTAINER ❑ b.UNDERGROUND TANK ❑ f CAN ❑I.BAG ❑ n.PLASTIC BOTTLE ❑ c OTHER <br /> ❑ c.TANK INSIDE BUILDING ❑S.CARBOY ❑ k.BOX ❑o.TOTE BIN <br /> ® <br /> it STEEL DRUM ❑ h.SILO ❑ I.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE ® a AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 <br /> STORAGETEMPERATURE ® a AMIBIENT ❑ b. ABOVEAMBIENT ❑ c. BELOW AMBIENT ❑ it CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 95.00 226 REFINED MINERAL OILS 227 ❑ Yes ❑ No 229 229 <br /> 2 5.00 23o ADDITIVES&OTHER INGREDIENTS 23t yes No 232 233 <br /> 3 234 235 ❑ Yes ❑ No 236 237 <br /> 4 238 $39 ❑ Yes ❑ No 240 241 <br /> 5 242 2a3 Yes ❑ No 244 245 <br /> U niore h,iardo s components arc preeem at greeter than 1%by weight itnon-nrtinogeniq or 0.1%by weight if nrcinogenit,anach additional shwa of paper capturing the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> if EPCRA,Please Sign Here <br /> UPCF(1/99) <br />