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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> (om page per material per building or are) <br /> ❑ ADD ❑ DELETE ❑ REVISE 200 Page 35 of 36 <br /> I.FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) <br /> METALSA STRUCTURAL PRODUCTS INC 3 <br /> CHEMICAL LOCATION 201 1 CHEMICAL LOCATION CONFIDENTIAL EPCRA M2 <br /> ❑ YES ❑ NO <br /> FACILITY ID a l MAPA(amoaa0 203 GRIDa(oµ;o�w) <br /> FA0007213 201 <br /> 11.CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET <br /> ❑ Yes ® No 2% <br /> ACETYLENE I'sub)ect to EPi mla to imunoture <br /> COMMON NAME <br /> ACETYLENE 307 EH$' ❑ Yes ® No tog <br /> cpsa <br /> 74-86-2 09 'If EHS is"Yes",all amounts below must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Cmnplme Hrequied by COPA) 210 <br /> HAZARDOUS MATERIAL El a PURE ❑ b.MIXTURE El211 c.WASTE RADIOACTIVE <br /> TYPE(Check one item only) El Yes ® NO 31 CURIES 213 <br /> PHYSICAL STATE ❑ a SOLID ❑ b.LIQUID ®c.GAS 211 LARGEST CONTAINER 215 <br /> (Check one item only) 300.00 <br /> FED HAZARD CATEGORIES s.FIRE 216 <br /> (Check all that apply) ® ❑ b.REACTIVE ❑ c.PRESSURE RELEASE El d.ACUTE HEALTH Ele.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21B ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 280.00 420.00 <br /> UNITS- ❑a GALLONS ® b.CUBIC FEET ❑ c.POUNDS ❑ it TONS 321 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.PLASTICINONMETALLIC DRUM ❑ i.FIBER DRUM ❑ ..GLASS BOTTLE ❑ q.RAILCAR <br /> CONTAINER ❑ b.UNDERGROUND TANK ❑ E CAN ❑1.BAG ❑ rt PLASTIC BOTTLE ❑ r.OTHER <br /> ❑ c TANK INSIDE BUILDING ❑g.CARBOY ❑ k.BOX ❑ ..TOTE BM <br /> ❑ d.STEEL DRUM ❑ I.SILO ® I.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE ❑a AMBIENT ® b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 1 <br /> STORAGETEMPERATURE ® a AMIBIENT ❑ b. ABOVEAMBIENT ❑ c. BELOW AMBIENT ❑ it CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 226 227 ❑ Yes No 229 tri <br /> 2 230 231 ❑ Yes No 232 233 <br /> 3 234 235 ❑ Yes No 236 237 <br /> 4 239 339 ❑ Yes ❑ No 240 241 <br /> 5 242 243 E] Yes ❑ No 244 245 <br /> ❑more hanrdma mmponenb are present greater than YG by weight if non-carcinoUniq or&1%by weight if carcinogenic,attach additional sheets of paper capturing the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />