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N%-ONIFIED PROGRAM CONSOLIDATED FORM.' <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> 10/14/2009 - 05:10:04 PM) <br /> Page of <br /> I. FACILI'T'Y INFORMATION <br /> BUSINESS NAMF(Same as FACILITY NAME or DSA-Doing Business As) 3 <br /> ROCKITE CO <br /> CHEMICAL LOCATION 201 rHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> INSIDE SHOP,ALONG SOUTH AND FAST WALLS. ❑X YES❑NO <br /> FACILITY ID# 1 I MAP#GRID1/ 203120A <br /> 13907 Required by <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I I) ❑YES C9 NO 206 <br /> CALCIUM SULFATE II Subject to EFCRA,refer t0 inStructionS <br /> COMMON NAME 207 208 <br /> ROCKITE CEMENT EHS* ❑YES ®NO <br /> CAS# 209 <br /> 7778-18-9 *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODF HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL I]a.PURE H b.MIXTURE 0 e.WASTE 211 RADIOACTIVE❑YES ®NO 212 CURIES N/A 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STA I'E 214 215 <br /> (Check one item only) ®SOLID ❑LIQUID ❑GAS LARGEST CONTAINER l00 <br /> FED HAZARD CATEGORIES []FIRE ❑REACTIVE ®PRESSURE RELEASE ❑AC'UTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT' 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUN"f 219 1 STATE WASTE CODE 220 <br /> 24,000 48,000 0 N/A <br /> I:NITS* []GAL ❑CU FT ®LBS ❑TONS 221 DAYS ON SITE 222 <br /> (Check on itetn only *If hHS,amount must be in pounds. 20 <br /> STORAGE ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS 130TTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ®BAG ❑TANK WAGON <br /> ❑PLASTICINONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> []CAN ❑CYLINDER []OTHER <br /> 223 <br /> S I'ORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STURAGE:I'EMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> ,�W I' HAZARDOUS COMPONT N I'(For mixture or waste on] EHS CAS# <br /> 226 227 ❑YES ❑NO 228 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ©NO 236 237 <br /> 238 2.39 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) N/A 246 <br /> (34)WHA T IS MATERIAL 1 [ <br /> USED FOR? EXPANSION CEMENT FOR ANCHORING <br /> UPCF(Rev. 1212007) If EPCRA,Please Sign Here <br /> or Official Use Only: ®C ❑R ❑S Last Web Update: 07/23/2009 <br />