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UNIFIED PROGRAM CONSOLIDATED FORM <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br />10/14/2009 - 05:05:02 PM <br />1'a-e of <br />I. FACILITY INFORMATION <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) <br />31 <br />PG&E STOCKTON GAS PLANT <br />CHEMICAL LOCATION 201 <br />LOCATION CONFIDENTIAL EPCRA <br />202 <br /> <br />rHEMICAL <br />0 YES❑ NO <br />FACILITY ID# 1 <br />MAP#GRID# ��''�� 1 <br />Required by Sj :� N/A <br />II. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 <br />TRADE SECRET (11) ❑ YFS B NO <br />206 <br />BLACKTOP PATCH <br />If Subject to EPCRA, refer to instructions <br />COMMON NAME 207 <br />208 <br />BLACKTOP PATCH <br />EHS OYES ®NO <br />CAS # 209 <br />N/A <br />*If EHS is "Yes", all amounts must be in lbs. <br />FIRE CODE HAZARD CLASSES (Complete if required by CUPA) <br />210 <br />LEAVE BLANK <br />HAZARDOUS MATERIAL . a. PURE B b. MIXTURE (3c. WASTE 211 <br />RADIOACTIVE O YES B NO 212 <br />CURIES N/A <br />213 <br />TYPE (Check one item only) <br />PHYSICAL STATE 214 <br />(Check one item only) B SOLID ❑ LIQUID ❑ GAS <br />LARGEST CONTAINER 60 <br />215 <br />FED HAZARD CATEGORIES ❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE B ACUTE HEALTH ❑ CHRONIC HEALTH <br />2 1 h <br />(Check all that apply) <br />AVERAGE DAILY AMOUNT 217 <br />MAXIMUM DAILY AMOUNT 2l <br />ANNUAL WASTE AMOUNT 219 <br />STATE WASTE CODE <br />220 <br />400 <br />600 <br />N/A <br />N/A <br />UNITS* ❑ GAL ❑ CU FT B LBS ❑ TONS 22l <br />DAYS ON SITE <br />-'-' <br />(Check on item only * If EHS, amount must be in pounds. <br />365 <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 <br />223 <br />STORAGE PRESSURE B AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />224 <br />STORAGE TEMPERATURE B AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />225 <br />%WT <br />HAZARDOUS COMPONENT (For mixture or waste on[ <br />EHS <br />CAS# <br />226 <br />ASPHALT 227 <br />❑YES ONO 228 <br />8052-42-4 <br />229 <br />UNK 230 <br />NAPHTHA 231 <br />❑ YES ® NO 232 <br />8030-30-6 <br />233 <br />UNK 234 <br />SILICA, CRYSTALLINE-QUARTZ 235 <br />❑ YES B NO 236 <br />14808-60-7 <br />237 <br />239 <br />❑ YES ❑ NO 240 <br />241 <br />238 <br />242 <br />243 <br />❑ YES ❑ NO 244 <br />245 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 1999 <br />246 <br />(34) WHAT IS MATERIAL <br />USED FOR? ROOF PATCHING <br />UPCF (Rev. 12/2007) If EPCRA, Please Sign Here <br />