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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> (aw page per mnmdal per bwlding m situ <br /> ❑ ADD ❑ DELETE ❑ REVISE 200 Page 29 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 LOCATIONzol CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> ❑ YES ❑ NO <br /> FACILITY m N 1 <br /> MANlw—p 203 GRIDN(rorww3 204 <br /> FA0007213 <br /> II.CHEMICAL INFORMATION <br /> CHEMICAL NAME toy TRADE SECRET ❑ Yes ® No 206 <br /> HYDRAULIC OIL If subject to EPCRA mfm m imausocm <br /> COMMONNAME 201 EHS' ❑ Yes ® No 208 <br /> TEXACO RANDO HD 22-68 <br /> CASA 209 <br /> If BUS is"Yes",all amounts below must be in lbs <br /> FIRE CODE HAZARD CLASSES(Complete umywred by CUPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑ c.WASTE 211 RADIOACTIVE ❑ Yes [@ No 212 <br /> CURIES 0.00 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE E] a.SOLID ® b.LIQUID ❑c GAS 216 LARGEST CONTAINER 215 <br /> (Cheek one item anly) 55.00 <br /> FED HAZARD CATEGORIES 216 <br /> (Checkallmstamly) ® aFIRE [:3 b.REACTIVE ❑ c PRESSURE RELEASE ❑ it ACUTE HEALTH ❑ e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 211 MAXIMUM DAILY AMOUNT 218 I ANNUALWASTEAMOUNT 219 STATEWASTECODE 220 <br /> 110.00 220.00 <br /> UNITS- ® a GALLONS ❑ b.CUBIC FEET E] c.POUNDS E] d.TONS 221 DAYS ON SITE: 222 <br /> (Check one item only) 365 <br /> •HEHS,amount must be in pounds. <br /> STORAGE ❑ a ABOVE GROUND TANK ❑ e PLASTICNONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m.GLASS BOTTLE ❑q.RAIL CAR <br /> CONTAINER ❑ b.UNDERGROUND TANK ❑ f CAN ❑j.BAG ❑ n.PLASTIC BOTTLE ❑ r OTHER <br /> ❑ a TANK INSIDE BUILDING ❑8,CARBOY ❑ k.BOX ❑ o.TOTE BIN <br /> ® d.STEEL DRUM ❑ It SILO ❑ I.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE ® a AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE B a AMIBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 226 221 Yes No 228 229 <br /> 2 230 231 ❑ Yes No 232 233 <br /> 3 234 235 ❑ Yes ❑ No 236 231 <br /> 4 238 239 ❑ Yes No 240 241 <br /> 5 242 243 ❑ Yes No 244 245 <br /> Ifmonhazardouscorn nmo.nprmltngreater than 1%by weightunon-uncinogeniq or 0.1%by weight ircurcinogeniqmuch additional theist ofpaper capturing the inumd information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />