Laserfiche WebLink
UNIFIED PR(O RAM C(NSMIDATED F(RM <br /> IAZARDQJS MATERIALS <br /> IAZARD(4JS MATERIALS INVENT(RY - CIEMICAL DESCRIPTI N <br /> 01/06/2010 - 01:54:41 AM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNAM <br /> N SVC CTR <br /> CIEMICAL L(C)ITI N 201 IEMICAL LCCATI(NC(AFIIENITAL EPCRA 202 <br /> GARAGE FLAM CABINETS,GAS DEPT.ST(R.C(NTAINER,FUEL <br /> TMWS <br /> FACILITYIDX 1 MAPre TRIO% �EE:::]�� 203/204 <br /> Required by S7 C-5 4 /A N/A <br /> II. CIEMICAL INF(RMATI(N <br /> CkEMICAL NAME 205 TRAE SECRET(11) ❑YES ®IVO 206 <br /> DIESEL FUEL If Subject to EPCRA,refer to instructions <br /> COAM(NNAME 207 EHi ❑YES ®� 208 <br /> CIEVR(N DIESEL FUEL NCR <br /> CAS# 209 <br /> 68476-34-6 *If EIB is "Yes",all amounts must be in lbs. <br /> FIRE CUE HVARDCLASSES( Complete if required by CtPA) 210 <br /> LEAVE BLANK <br /> HAZARDON MATERIAL ❑a.PURE ®b.MIXTURE ❑c.WASTE 211 RAIIOCTIAE ❑YES ®NO 212 CIRIES 0 213 <br /> TYPE(Check one item only) <br /> PLICAL STATE ❑SOLID ®LIQUID ❑CAS 214 LARCEST C(DII'A TSER 10,000 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ❑FIRE ❑REACTIVE ❑PRESSURE RELEASE ®ACLTE IEALTH ❑CHR(NC IEALTH 216 <br /> (Check all that apply) <br /> A�ERALE D4LYAM(QiF1i' 217 IMA11MIM D11LYAM(41F1f 218 AN }M WASTE AMCQ F 219 STATE WASTE COE 220 <br /> 6,724 10,035 0 N/A <br /> U4TS* ® CAL ❑CU FT ❑LBS ❑T(NS 221 1 DIPS 01SITE 222 <br /> (Check on item only *If EHi,amount must be in pounds. 365 <br /> ST(RACE ❑ABCYE CRQJND TANK ❑CARB(Y ❑CLASS B(FTLE ®(Ohher... <br /> CWA I',ER ®UNDER CRQJND TANK ❑SILO ❑PLASTIC BATTLE <br /> ❑TANKINSIDE BUILDING ❑FIBER DRUM ❑T(TE BIN <br /> ®STEEL DRUM ❑BAG ❑TANKWAG(N <br /> ❑PLASTIC/N(NMETALLIC DRUM ❑BOL ❑RAIL CAR <br /> ® CAN ❑CYLINDER ❑(FIER <br /> 223 <br /> ST(RALE PRESSt RE ®AMBIENT ❑AB(YE AMBIENT ❑BELOV AMBIENT 224 <br /> ST(RALE TEMPERATLRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZAIRDW C0/IPOENF(For mixture or caste only EB CAS# <br /> 99.9 226 FUELS,UESEL 1�02 227 ❑YES ®NO 228 68476-34-6 229 <br /> .01 230 I-MR(DESTLFIRIZEDMIEELE USTI 231 ❑YES ®NO 232 64742-80-9 233 <br /> .01 234 GAS OL,1-10-T 235 ❑YES ®NO 236 64741-44-2 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> AinTI04AL L(CALLYCOLLECTEDII*,F(RMATI(DI (33)134TEDNATI(M IDX(DfP) 1993 246 <br /> (34)WHU IS MATERIAL <br /> iSEDF(R? FUEL FOR FLEET�EHCLES <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign H:re <br />