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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> ane rate Du material Per bulldin mares <br /> ❑ ADD ❑ DELETE ISI REVISE 200. Page 3 of 10 <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3. <br /> Sprint Nextel Cell Site SF03UB073 <br /> <br /> E] YEs ® No <br /> FACILITY ID# 1 <br /> <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205. TRADE SECRET Yes 0 No 2M, <br /> Lead/Lead Compounds If Subject mEP ,refeetoinstructlona <br /> COMMON NAME 207. No <br /> EHS" ❑ Yes 0No <br /> Lead/Lead Compounds <br /> CAS# 209. <br /> "If EHS is"Yes,"all amounts below must be in lbs. <br /> 7439-92-1 <br /> FIRE CODE HAZARD CLASSES(Complete if required by local agency) 210. <br /> Other Health Hazard Material <br /> 2D. <br /> HAZARDOUS MATERIAL ❑a.PURE ®b.MIXTURE ❑c.WASTE 211. RADIOACTIVE ❑Yes ®No 212. 1 CURIES <br /> TYPE (Check one item only) <br /> 215. <br /> PHYSICAL STATE 214. LARGEST CONTAINER 1440 Pounds <br /> (Check one item only) ISI a.SOLID ❑b.LIQUID ❑C.GAS <br /> FED HAZARD CATEGORIES 216. <br /> (Check all that apply) ❑a.FIRE ❑b.REACTIVE ❑C.PRESSURE RELEASE ❑d.ACUTE HEALTH ®e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 212, MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219, STATE WASTE CODE 220, <br /> 17280 17200 n/a n/a <br /> 221. DAYS ON SITE 222. <br /> UNITS' ❑a.GALLONS ❑b.CUBIC FEET ®c.POUNDS ❑d.TONS 365 <br /> Check one item only) a If EHS amount must be in pounds. <br /> STORAGE <br /> CONTAINER ❑a. ABOVEGROUND TANK ❑c. PLASTIONONMETALLIC DRUM ❑i. FIBER DRUM ❑m. GLASS BOTTLE ❑q. RAILCAR <br /> ❑b. UNDERGROUND TANK ❑C CAN ❑j. BAG ❑It. PLASTIC BOTTLE ®r OTHER <br /> ❑c. TANK INSIDE BUILDING ❑g. CARBOY ❑k.BOX ❑o. TOTE BIN <br /> ❑d. STEEL DRUM ❑h. SILO ❑1. CYLINDER ❑p. TANK WAGON 2n, <br /> STORAGE PRESSURE ISI a. AMBIENT ❑b. ABOVE AMBIENT ❑c. BELOW AMBIENT 2N, <br /> STORAGE TEMPERATURE ®a. AMBIENT ❑b. ABOVE AMBIENT ❑c. BELOW AMBIENT ❑d. CRYOGENIC 225. <br /> %wT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1, 226. 227 ❑Yes ❑ No 228, 229. <br /> 2. 230. 231. ❑Yes ❑ No 232. 233. <br /> 3. 234. 235. ❑Yes ❑ No 236. 231. <br /> 4. 238. 239. ❑Yes ❑ No 240. 241, <br /> 5. 242 N3. ❑Yes ❑ No 244. 245. <br /> If mare haaardons components are prescut at greater thm 1%by weight if nm-carcinogenic,w O.1%by weight if carcinogenic,attach additional sheets of paper capturing the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246, <br /> DOT Hazard Class: <br /> If EPCRA,Please Sign Here. <br /> Note: If this facility is subject to Federal Emergency Planning and Community Right to Know Act(EPCRA)reporting requirements,a signature is required <br /> at the bottom of the form if the page lists any Extremely Hazardous Substance(EHS)handled at or above its Federal Threshold Planning Quantity <br /> (TPQ)or 500 pounds,whichever is less. <br /> UN-020UPCF-3/11 www.unidoes.org Rev.07/24/06 <br />