Laserfiche WebLink
UNIFIED PROGRAM CONSOLIDATED FORM <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br />10/21/2009 - 10:14:21 A <br />Page of <br />I. FACILITY INFORMATION <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) <br />PG&E STOCKTON GAS PLANT <br />CHEMICAL LOCATION 201 <br />LOCATION CONFIDENTIAL EPCRA <br />202 <br /> <br />rHEMICAL <br />YES[:] NO <br />FACILITY ID# l <br />I MAP#G <br />� � 203/204 <br /> � <br />Required by SjSJ <br />y <br />H. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 <br />TRADE SECRET (11) ❑ YES ® NO <br />206 <br />CONCRETE MIX <br />If Subject to EPCRA, refer to instructions <br />COMMON NAME 207 <br />208 <br />CONCRETE MIX <br />EHS* ❑ YES N 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 H b. MIXTURE p c. WASTE 211 <br />RADIOACTIVE ❑ YES 181 NO 212 <br />CURIES 0 <br />213 <br />TYPE (Check one item only) <br />PHYSICAL STATE 214 <br />(Check one item only) H SOLID ❑ LIQUID ❑ GAS <br />LARGEST CONTAINER 60 <br />215 <br />FED HAZARD CATEGORIES ❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />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 <br />220 <br />2,480 <br />3,720 <br />N/A <br />N/A <br />UNITS* ❑ GAL ❑ CU FT ® LBS ❑ TONS 221 1 <br />DAYS ON SITE <br />222 <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 I@ AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />224 <br />STORAGE TEMPERATURE ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />225 <br />%WT <br />HAZARDOUS COMPONENT (For mixture or waste onl <br />EHS <br />CAS# <br />UNK 226 <br />CALCIUM ALUMINATE 227 <br />❑ YES ® NO 228 <br />65997-16-2 <br />229 <br />UNK 230 <br />CALCIUM HYDROXIDE 231 <br />❑ YES ONO 232 <br />1305-62-0 <br />233 <br />UNK 234 <br />PORTLAND CEMENT 235 <br />[1 YES ® NO 236 <br />65997-15-1 <br />237 <br />UNK 238 <br />SILICA, AMORPHOUS HYDRATED 239 <br />❑ YES ® NO 240 <br />7631-86-9 <br />241 <br />UNK 242 <br />SILICA, CRYSTALLINE -QUARTZ 243 <br />❑ YES ONO 244 <br />14808-60-7 <br />245 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 3082 <br />110 <br />(34) WHAT IS MATERIAL <br />USED FOR? CONCRETE <br />UPCF (Rev. 12/2007) If EPCRA, Please Sign Here <br />