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UNIFIED PR(ORAM C(NSMIDATED F(RM <br /> IAZARDQJS MATERIALS <br /> IAZARD(4JS MATERIALS INVENT(RY - CIEMICAL DESCRIPTI N <br /> 01/06/2010 - 02:00:07 AM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNAM <br /> E ST(WET(N SVC CTR <br /> CIEMICAL L(CATIW 201 IEMICAL LCCATI(NC(AFIIENITAL EPCRA 202 <br /> GAS DEPT STM C(NT, OC FLAM CAB,GARAGE,FUEL ISLAND ❑X wS ❑NJ <br /> FACILITYIDX 1 MAPred by X �EE::]�� 203/204 <br /> Required by S7 4 7 -3-4-5 N/A <br /> II. CIEMICAL INFMMATIOu <br /> CLEMICAL NAME 205 TRAE SECRET(11) ❑YES ®NJ 206 <br /> CASMINE If Subject to EPCRA,refer to instructions <br /> COAM(NNAME 207EHi ❑YES ®� 208 <br /> CIEVR(N UNLEADED GASMINE <br /> CAS# 209 <br /> N/A *If EIE is "Yes",all amounts must be in lbs. <br /> FIRE CUE HAZARDCLASSES( 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 ®ACUTE IEALTH ❑CHR(NC IEALTH 216 <br /> (Check all that apply) <br /> ANERALE D4LYAM(QiF1i' 217 IMA11MIM D11LYA 11W 218 AN�M WASTE AMCQ F 219 STATE WASTE C Q E 220 <br /> 6,769 10,103 0 N/A <br /> U4TS* ® CAL ❑CU FT ❑LBS ❑T(NS 221 DIPS 01SITE 222 <br /> (Check on item only *If EHi,amount must be in pounds. 365 <br /> ST(RA T- ❑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 PRESSURE ®AMBIENT ❑AB(YE AMBIENT ❑BELOV AMBIENT 224 <br /> ST(RALE TEMPERATIRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZAIRDW C0/IPGENF(For mixture or caste only EHi CAS# <br /> 2 226 NgpFrHALEM 227 ❑YES ®NO 228 91-20-3 229 <br /> 3 230 ETHYL.EI�E BEINZEI�E 231 ❑YES ®NO 232 100-41-4 233 <br /> 10 234 ETI 235 ❑YES ®NO 236 64-17-5 237 <br /> 5 238 BENLEI'%E 239 ❑YES ®NO 240 71-43-2 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> A nTI04AL L(CALLYC(LLECTEDINF(RMMI(N (33)134TEDNURM IDX(DCr) 1203 246 <br /> (34)WHU IS MATERIAL <br /> iSEDF(R? FUEL F(R FLEET�EHCLES <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign H:re <br />