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UNIFIED PROGRAM CONSOLIDATED FORM <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br />12/28/2009 - 04:10:56 P <br />Page of <br />I. FACILITY INFORMATION <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) <br />3 <br />PG&E STOCKTON GAS PLANT <br />CHEMICAL LOCATION 201 <br />HEMICAL LOCATION CONFIDENTIAL EPCRA <br />202 <br /> <br />Q YES❑ NO <br />FACILTCY [D# t <br />MAP#GRID# <br />Required by SJ i/ � � � �E=203/204 <br />H. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 <br />TRADE SECRET (1 l) ❑ YES ® NO <br />206 <br />WASTE LATEX PAINT <br />If Subject to EPCRA, refer to instructions <br />COMMON NAME 207 <br />208 <br />WASTE LATEX PAINT <br />EHS ❑YES ®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 />'- 1 0 <br />LEAVE BLANK <br />HAZARDOUS MATERIAL ❑ a. PURE p b. MIXTURE N c. WASTE 211 <br />RADIOACTIVE ❑ YES ® NO 212 <br />CURIES 0 <br />313 <br />TYPE (Check one item only) <br />PHYSICAL STATE® SOLID [3 LIQUID ❑ GAS 214 <br />(Check one item only) <br />LARGEST CONTAINER 458.15 <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 MAXIMUM DAILY AMOUNT 218 <br />ANNUAL WASTE AMOUNT 219 <br />STATE WASTE CODE <br />220 <br />415 1,660 <br />2060 1291 <br />UNITS* ❑ GAL ❑ CU FT I@ LBS ❑ TONS 221 1 <br />DAYS ON SITE <br />222 <br />(Check on item only * If EHS, amount must be in pounds. <br />355 <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 N AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />224 <br />STORAGE TEMPERATURE N AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />225 <br />%WT <br />HAZARDOUS COMPONENT (For mixture or waste onl <br />EHS <br />CAS# <br />5 226 <br />DIETHYLENE GLYCOL MONOBUTYL 227 <br />❑ YES ONO 228 <br />112-34-5 <br />229 <br />5 230 <br />ETHYLENE GLYCOL 231 <br />❑ YES N NO 232 <br />107-21-1 <br />233 <br />15 234 <br />TITANIUM DIOXIDE 235 <br />❑ YES ONO 236 <br />13463-67-7 <br />237 <br />239 <br />❑ YES ❑ NO 240 <br />241 <br />238 <br />242 <br />243 <br />❑ YES ❑ NO 244 <br />245 <br />A DDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 1263 <br />-Jo <br />(+ 1) WHAT IS MATERIAL <br />USED FOR? IWASTE MATERIAL <br />UPCF (Rev. 12/2007) If EPCRA, Please Sign Here <br />