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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> (me page per material Per building or areal <br /> ❑ ADD ❑ DELETE ❑ REVISE 2W Page 25 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 ID A I FA0007213 MAP#(options) 203 1 GRID4(opdaw) 204 <br /> 11.CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET ❑ Yes ® No 206 <br /> RUST PREVENTIVE Ifeubiml b EPCRA,refs N is matmna <br /> COMMON NAME <br /> °' EHS' El Yes No 08 <br /> ADDITIVE I10 <br /> CAS# 209 <br /> •If EHS is"Yes",all amounts below must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete ifrenwrea by CUPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑ c.WASTE 211 RADIOACTIVE ❑ Yes ® No 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑ •SOLID215 <br /> (Check one item only) ® b.LIQUID ❑ c.GAS 214 LARGEST CONTAEJER 55.00 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ❑ a FIRE ❑ b.REACTIVE ❑ e PRESSURE RELEASE ❑ d.ACUTE HEALTH ® e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 2 V MAXIMUM DAILY AMOUNT 218 1 ANNUAL W ASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 55.00 110.00 <br /> UNITS- ® a GALLONS ❑ b.CUBIC FEET ❑ c.POUNDS ❑ d.TONS 221 DAYS ON SITE: 222 <br /> (Check one item only) <br /> •ITEM,amount meat be in pggnaa. 365 <br /> STORAGE ❑ a ABOVE GROUND TANK ❑ e.PLASTIC/NONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m.CLASS BOTTLE ❑ q.RAIL CAR <br /> CONTAINER ❑ b.UNDERGROUND TANK ❑ f CAN ❑j.BAG ❑ n.PLASTIC BOTTLE ® r.OTHER <br /> ❑c.TANK INSIDE BUILDING ❑ a.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 224 <br /> STORAGE TEMPERATURE ® a AMIBIENF ❑ b. ABOVEAMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS fl <br /> 1 45.00 226 SODIUM NITRATE 220 El Yes Q No 228 7631-99-4 229 <br /> 2 230 231 ❑ Yes ❑ No 232 233 <br /> 3 234 235 ❑ Yes ❑ No 236 237 <br /> 4 238 239 ❑ Yes ❑ No 240 241 <br /> 5 242 243 0 Yes ❑ No 244 245 <br /> Ifeuse,himmehiu e.,samisare,runs at are.*,than 1%by weight irnon-carcinogenic.or 0.1.6 by weight ifra no,m M <br /> .attach additional sls of Paper capturing the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />