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RECEIVE® <br />.._ <br />UNIFIED PROGRAM CONSOLIDATED FORM 20, <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCjE USNROUN <br />K1ftF:EMrjzA <br />03/14/2011 - 01:50:29 PM) <br />Page of <br />I. FACILITY INFORMATION <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) ? <br />AT&T MOBILITY -N WEST LN & E BIANCHI RD <br /> <br /> <br /> <br />rHEMICAL <br />OX YES[] NO <br />FACILITY IU# I <br />MAP <br />13780 <br />Required J�203/204 <br />H. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 <br />TRADE SECRET (11) ❑ YES ® NO 206 <br />HYDROGEN GAS <br />If Subject to EPCRA. refer to instructions <br />207 <br />COMMON NAME2 <br />8 <br />EHS* E3 YES ®NO <br />HYDROGEN <br />CAS # 209 <br />*[f EHS is "Yes", all amounts must be in lbs. <br />7333-74-0 <br />FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 <br />LEAVE BLANK <br />HAZARDOUS MATERIAL ® a. PURE O b. MIXTURE p e. WASTE 21 1 <br />RADIOACTIVE [3YES ® NO 212 <br />CURIES 213 <br />TYPE (Check one item only) <br />PHYSICAL STATE 214 <br />❑SOLID LIQUID ®GAS <br />❑ <br />215 <br />LARGEST CONTAINER 500 <br />(Check one item only) <br />FED HAZARD CATEGORIES ® FIRE ❑ REACTIVE 119 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 />9,566 <br />9,566 <br />N/A <br />N/A <br />221 <br />DAYS ON SITE 222 <br />UNITS* ❑ GAL ®CU FT ❑ LBS ❑ TONS <br />365 <br />1 <br />(Check on item only * If EHS, amount must be in pounds. <br />STORAGE ❑ ABOVE GROUND TANK ❑ CARBOY ❑ GLASS BOTTLE ❑ Other... <br />CONTAINER ❑ UNDER GROUND TANK ❑ SILO ❑ PLASTIC BOTTLE <br />❑ TANK INSIDE BUILDING ❑ FIBER DRUM ❑ TOTE BIN <br />❑ STEEL DRUM ❑ BAG ❑ TANK WAGON <br />❑ 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 <br />HAZARDOUS COMPONENT (For mixture or waste onl <br />EHS <br />CAS# <br />N/A 226 <br />227 <br />❑ YES ❑ NO 228 <br />229 <br />❑ YES ❑ NO 232 <br />233 <br />N/A 210 <br />231 <br />235 <br />❑ YES ❑ NO , <br />237 <br />N/A231 <br />239 <br />❑ YES ❑ NO 240 <br />241 <br />N/A 238 <br />N/A 242 <br />243 <br />❑ YES ❑ NO 244 <br />245 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 1049 246 <br />(34) WHAT IS MATERIAL — <br />USED FOR'? !FUEL CELL <br />UPCF (Rev. 12/2007) If EPCRA, Please Sign Here <br />