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• • RECEIVE® <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> US MATERIALS <br /> HAZARDOUSOMAY - 3 202 <br /> • HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPT10 <br /> 04/27/2012- 10:20:38 AM 9IV <br /> AL <br /> P -ALT <br /> agenO DFPeR MENT <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> ALCO METALS <br /> <br /> ❑X YES❑NO <br /> FACILITY ID# 14637 1 <br /> <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES ®NO 206 <br /> COMPRESSED OXYGEN If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS ❑yES ®NO 208 <br /> COMPRESSED OXYGEN <br /> CAS# 209 <br /> 77$2-44.7 *If BHS 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 ®e.PURE 0 b.MIXTURE p c.WASTE 211 RADIOACTIVE❑YES ®NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) [3 SOLID ❑LIQUID ®GAS LARGEST CONTAINER 2g2 <br /> FED HAZARD CATEGORIES O FIRE []REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 1,692 1,692 1 N/A I N/A <br /> UNITS* ❑GAL ®CU FT ❑LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO [3 PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM p TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> 0 PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ❑CAN ®CYLINDER ❑OTHER 223 <br /> STORAGE PRESSURE ❑AMBIENT ®ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only EHS CAS# <br /> 100 226 OXYGEN 227 [1 YES ®NO 228 7782-44-7 229 <br /> 230 231 IJ YES ❑NO 232 233 <br /> 234 735 ❑YES ❑NO 236 237 <br /> 238 ?39 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 2,49 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1072 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? WELDING,TORCHCUTTING <br /> • UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />