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RECEIVED <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRI�JOAQUIN COU <br />03/24/2011 - 04:34:38 PM EMERGEiynx <br />Page of <br />I. FACILITY INFORMATION <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 <br />AT&T MOBILITY -FRENCH CAMP <br /> <br /> <br /> <br /> <br /> <br /> <br />II. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 TRADE SECRET (1 1) ❑ YES ® NO 206 <br />DIESEL #2 <br />If Subject to EPCRA, refer to instructions <br />COMMON NAME 207 208 <br />DIESEL EHS* ❑ YES ONO <br />CAS # 209 <br />6847-34-6 *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 ❑ a. PURE ® b. MIXTURE ❑ c. WASTE 21 1 <br />TYPE (Check one item only) <br />RADIOACTIVE ❑ YES ® NO 21 _' <br />CURIES 0 213 <br />PHYSICAL STATE ❑SOLID 214 <br />(Check one item only) O LIQUID ❑ GAS <br />215 <br />LARGEST CONTAINER 100 <br />FED HAZARD CATEGORIES 19 FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ® CHRONIC HEALTH 216 <br />(Check all that apply) <br />AVERAGE DAILY AMOUNT 217 <br />MAXIMUM DAILY AMOUNT 218 <br />ANNUAL WASTE AMOUNT 219 <br />STATE WASTE CODE 220 <br />100 <br />100 <br />N/A I <br />N/A <br />UNITS* ® GAL ❑ CU FT ❑ LBS ❑ TONS 221 <br />DAYS ON SITE 222 <br />(Check on item only * If EHS, amount must be in pounds. <br />1 365 <br />STORAGE ® ABOVE GROUND TANK ❑ CARBOY ❑ GLASS BOTTLE O Other... <br />CONTAINER ❑ UNDER GROUND TANK [I SILO <br />❑ TANK INSIDE BUILDING ❑ FIBER DRUM [3 TOTE BIC1yBOTTLE <br />❑ STEEL DRUM ❑ BAG ❑ TANK WAGON <br />❑ PLASTIC/NONMETALLIC DRUM ❑ BOX ❑ RAIL CAR <br />❑ CAN ❑ CYLINDER ❑ OTHER <br />223 <br />STORAGE PRESSURE O AMBIENT ❑ABOVE AMBIENT ❑ BELOW AMBIENT <br />224 <br />STORAGE TEMPERATURE M AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC 225 <br />%WT <br />HAZARDOUS COMPONENT (For mixture or waste onl <br />EHS <br />CAS# <br />N/A 226 <br />N/A 227 <br />❑ YES ❑ NO 228 <br />N/A 229 <br />230 <br />231 <br />❑ YES ❑ NO 232 <br />233 <br />234 <br />235 <br />❑ YES ❑ NO 236 <br />237 <br />238 <br />239 <br />❑ YES ❑ NO 240 <br />241 <br />242 <br />243 <br />❑ YES ❑ NO 244 <br />245 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 2794 246 <br />(34) WHAT IS MATERIAL <br />USED FOR? EMERGENCY BACK-UP GENERATOR <br />UPCF (Rev. 12/2007) If EPCRA. Please Sign Here <br />Ty <br />=RVICES <br />