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UNIFIED PROGRAM CONSOLIDATED FORM! HAZARDOUS MA'T'ERIALS HAZARDOUS MATERIALS INVENTORY•CHEMICAL DESCRIP7 j SANjOgpC/N 10/21!2009- 10:16:36 A f 01JVY Page_ or_ rSfRV/Cfg I. FACILITY INFORMATION BUSINESS NAME(Same as FACILITY NAMEor DBA-Doing Business As) 3 ARCH ARCO AM/PM ®YES(❑NO FACILITY IDK 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET(11) OYES 0N 206 PROPANE If SuWeet to EPCRA,refer to instructions COMMONNAME 207 EHS* OYES ONOEtbs. PROPANE CASK 209 "if EHS is "Yea",all amounts roust be i N/A FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 LEAVE BLANK HAZARDOUS MATERIAL 213 TYPE(Cbuk ane item only) ®e.PURE Q b.MIXTURE O a WASTE 211 RADIOACCIVI?❑S'ES ONO 212 CURIES 0 ZIS PHYSICAL STATE p SOLID ❑LIQUID H GAS 214 LARGEST CONTAINER IS (Check one item only) FED HAZARD CATEGORIES216 (Check all that apply) ID f1RE ❑RFACTTVE [3 PRESSURE RELEASE ❑ACItiE HEALTH 0[=itROMC HEALTH �\ AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21S ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 40 50 N/A N/A 221 DAYS ON SITE 2 UNITS' ®GAL ❑CU FT ❑LBS ❑TONS 365 (Check on item only a If EHS.amount must be in pounds. STORAGE ,1 VE GROUND TANK a CARBOY O GLASS BOTTLE ❑Other... CONTAINER ❑UNDER GROUND TANK C3 SILO ❑PLASTIC BOTTLE J3 TANK INSIDE BUILDING ❑FIBER DRUM O TOTE BIN E3 STEEL DRUM ❑BAG [I TANK WAGON ❑PLASTICMONMETALLIC DRUM 11 BOX 0®CYLINDER ❑RAIIiX,C R 223 ❑CAN STORAGE PRESSURE ❑AMBIENT MABOVEAMBIENT OBELOWAMBIENT 224 STORAGE TEMPERATURE ❑AMBIENT ❑ABOVB AMBIENT ®BELOW AMBIENT ❑CRYOGENIC 225 %wr HAZARDOUS COMPONENT For mixture or waste etl IRS CASK NIA 226 227 ❑YES ❑NO 228 229 230 231 ❑YES ❑NO 232 233 235 ❑YES ❑NO 296 237 234 239 ❑YES El NO zao 241 238 242 243 ❑YES ❑NO 244 245 ADDITIONAL LOCALLY COLLECTED INFORMATION: (m)UNITED NATIONS IDK(DOT) N/A 246 (34)WHAT 75 MATERIAL USED FOR? PROPANE CYLINOER SOLD OR EXCHANGE TO CUSTOMERS _ if EPCRA,Please Sign Here /` UPCF(Rcv.12/2007)