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` UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> (mw page pa matmel per building or uea) <br /> ❑ ADD ❑ DELETE ❑ REVISE 200 Page 36 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 k FA0007213 I I MAP#(optiauh 203 GRIT"Iwtionep 204 <br /> II.CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET ❑ Yes ® No <br /> RUST PREVENTIVE Ifaubjct m EPCRA,mfm usinelmpipn <br /> COMMON NAME <br /> BONDERITE 3080 REPLENISHING °y 08 <br /> EHS' ❑ Yes ® No <br /> CAS# 209 <br /> 'If EHS is"Yes",all amounts below most be in lbs. <br /> FIRE CODE HAZARD CLASSES(ce eplae irrequired by COPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE [3 c.WASTE 211 RADIOACTIVE C) Yes ® No 21CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑ a SOLID ® b.LIQUID ❑c.GAS 214 LARGEST COWA1NER 215 <br /> (Check one item only) 380.00 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ❑ a FIRE ❑ b.REACTIVE ❑u PRESSURE RELEASE ❑ d.ACUTE HEALTH ®e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 211 MAXIMUM DAILY AMOUNT HI I ANNUAL WASTE AMOUNT 219 STATEWASTECODE 220 <br /> 380.00 760.00 <br /> UNITS' ®a GALLONS ❑ b.CUBIC FEET ❑ c POUNDS ❑ d.TONS T21 DAYS ON SITE: 222 <br /> (Ch«k one item only) If am365 <br /> • EHS,mount moat be in pounds. <br /> STORAGE ❑a ABOVE GROUND TANK ❑ is PLASTIC NONMETALLIC DRUM ❑ i.FIBER DRUM ❑ ..GLASS BOTTLE ❑ q.RAIL CAR <br /> CONTAINER ❑ b.UNDERGROUND TANK ❑ E CAN ❑j.BAG ❑ n.PLASTIC BOTTLE ® r.OTHER <br /> ❑ <br /> C.TANK INSIDE BUILDING ❑g.CARBOY ❑ k.BOX ❑ o.TOTE BIN <br /> ® d.STEEL DRUM ❑ It SILO ❑ 1.CYLINDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE ® a AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ® a AMIBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 60.00 226 ZINC DUHYDROGEN PHOSPHATE 227 ❑ Yes ❑ No us 13598-37-3 229 <br /> 2 10.00 230 PHOSPHORIC ACID 231 E] Yes Ej No 232 7664-38-2 233 <br /> 3 23s HYDROFLUOSILICIC 235 Ej Yes ❑ No 236 16961-834 237 <br /> 4 238 239 <br /> Yes � No 240 zsl <br /> 5 242 243 Yes ❑ No 244 245 <br /> If more hmrdous components are prei nt at greater than 1%by weight if non-cartinugenie.or 0.1%by weight seartmogenio attach additional rheas of paper capturing[be required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />