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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS y '3 �Z <br /> • HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPi <br /> 04/27/2012- 11:03:24 AND Ro <br /> VAL <br /> Page_ EPaR 'SVT <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> ALCO METALS <br /> <br /> 0 YES❑NO <br /> FACILITY ID# 1 <br /> ���� <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) O YES ®NO 206 <br /> WASTE OIL If Subject m EPCRA,refer to instructions <br /> COMMON NAME 207 EHS O YES ®NO 208 <br /> WASTE OIL <br /> CAS# 209 <br /> N/A 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 [3a.PURE O b.MIXTURE B c.WASTE 211 RADIOACTIVE O YES ONO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ❑SOLID IM LIQUID ❑GAS LARGEST CONTAINER $$ <br /> FED HAZARD CATEGORIES ®FIRE O REACTIVE O PRESSURE RELEASE B ACUTE HEALTH ®CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> • AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219STATE WASTE CODE 220 <br /> 200 400 11500 1221 <br /> UNITS* B GAL ❑CU FT O LBS O TONS 221 1 DAYS ONSITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE O ABOVE GROUND TANK O CARBOY O GLASS BOTTLE ❑Other... <br /> CONTAINER O UNDER GROUND TANK O SILO O PLASTIC BOTTLE <br /> O TANK INSIDE BUILDING O FIBER DRUM O TOTE BIN <br /> B STEEL DRUM O BAG ❑TANK WAGON <br /> O PLASTICINONMETALLIC DRUM O BOX O RAIL CAR <br /> O CAN O CYLINDER O OTHER 223 <br /> STORAGE PRESSURE O AMBIENT O ABOVE AMBIENT O BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE O AMBIENT O ABOVE AMBIENT O BELOW AMBIENT O CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only FES CAS# <br /> 226 227 0 YES 0 NO 228 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? WASTE OIL FROM EQUIPMENT <br /> • UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />