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UNIFIED PROGRAM CONSOLIDATED FORM <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br />(03/15/2012 - 03:13:08 PM) <br />Page of <br />I. FACILITY INFORMATION <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 <br />UNIVAR USA INC <br />CHEMICAL LOCATION 201 <br /> <br />CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br />El Y E S 1111 NO <br />FACILITY 1D# I 14720 MAP#GRID# <br />Required by SIC 203/204 <br />H. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 <br />CBA <br />TRADE SECRET (11) D YES NO 206 <br />If Subject to EPCRA. refer to instructions <br />COMMON NAME 207 <br />HIGH SOLIDS CALCIUM HYDROXIDE SLURRY <br />208 <br />EHS* D YES 1:i2 N 0 <br />CAS # 209 <br />1305-62-0 If EHS is "Yes", all amounts must be in lbs. <br />FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 <br />LEAVE BLANK <br />HAZARDOUS MATERIAL 213 <br />item only) DR. PURE El b. MIXTURE ID c. WASTE 211 TYPE (Check one item only) RADIOACTIVE DYES tg1 NO 2121 CURIES <br />PHYSICAL STATE 214 <br />(Check one item only) 0 SOLID El LIQUID 0 GAS <br />215 <br />LARGEST CONTAINER 10,000 <br />FED HAZARD CATEGORIES 0 FIRE El REACTIVE 0 PRESSURE RELEASE 123 ACUTE HEALTH 0 CHRONIC HEALTH 216 <br />(Check all that apply) <br />AVERAGE DAILY AMOUNT 217 <br />9,000 <br />MAXIMUM DAILY AMOUNT 218 <br />20,000 <br />ANNUAL WASTE AMOUNT 219 <br />N/A <br />STATE WASTE CODE 220 <br />N/A <br />UNITS* 181 GAL 0 CU FT 0 LBS 0 TONS 221 <br />(Check on item only * If EHS, amount must be in pounds. <br />DAYS ON SITE 222 <br />365 <br />STORAGE ta ABOVE GROUND TANK 0 CARBOY 0 GLASS BOTTLE 0 Other... <br />CONTAINER 0 UNDER GROUND TANK 0 SILO 0 PLASTIC BOTTLE <br />El TANK INSIDE BUILDING 0 FIBER DRUM 0 TOTE BIN <br />0 STEEL DRUM 0 BAG 0 TANK WAGON <br />0 PLASTIC/NONMETALLIC DRUM 0 BOX 0 RAIL CAR <br />0 CAN 0 CYLINDER 0 OTHER 223 <br />STORAGE PRESSURE MI AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT 224 <br />STORAGE TEMPERATURE 181 AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT 0 CRYOGENIC 225 <br />%WT HAZARDOUS COMPONENT (For mixture or waste only EHS CAS# <br />38-70 226 HYDRATED LIME 227 0 YES NO 228 1305-62-0 229 <br />30-62 230 BRUC1TE 231 0 YES10'0 NO — - 232 1309-42-8 233 <br />1 234 QUARTZ 235 0 YES RI_ NO 236 14808-60-7 237 <br />238 239 DYES 0 NO 240 241 <br />242 243 0 YES 0 NO 244 245 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A 2-1() <br />(34) WHAT IS MATERIAL _ <br />USED FOR? NEUTRALIZATION <br />UPCF (Rev. 12/2007) If EPCRA, Please Sign Here