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UNIFIED PR(ORAM C(NSMIDATED F(RM <br /> IAZARDQJS MATERIALS <br /> IAZARD(4JS MATERIALS INVENT(RY - CIEMICAL DESCRIPTI N <br /> 10/14/2009 - 02:39:31 PM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNA <br /> PG&E ST(WET(N SVC CTR <br /> CIEMICAL L(C)ITI N 201 IEMICAL LCCATI(NC(AFIIENITAL EPCRA 202 <br /> STMACE BUILDINGS WELD SUP,CARACE,WAREIMSE, ❑X wS ❑NJ <br /> FACILITYIDX 1 I MAPredby X -5 203/204 <br /> Required by S7 4-5 C4-D3 C6 /A N/A <br /> II. CIEMICAL INF(RMATI(N <br /> CLEMICAL NAME 205 TRA E SECRET(11) ❑YES ®IVD 206 <br /> MYGEN,C04PRESSED If Subject to EPCRA,refer to instructions <br /> C(MM(AINAME 207 208 <br /> (XYGEN EHi* ❑YES ®ND <br /> CAS# 209 <br /> 7782-44-7 ''If EIB is "Yes",all amounts must be in lbs. <br /> FIRE CGE 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 /> PHYSICAL STATE ❑SOLID ❑LIQUID ®CAS 214 LARCEST C(AII'AI1SER 250 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ®FIRE ❑REACTIVE ®PRESSIRE RELEASE ®ACUE IEALTH ❑CI-R(NC I-EALTH 216 <br /> (Check all that apply) <br /> A�ERALE D4LYAM(QiF1i' 217 IM,,*IMIM D11LYAM(41F1f 218 AN }M WASTE AMMF 219 ST,UCE WASTE C Q E 220 <br /> 2,417 3,625 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(RACE ❑AB(VE CRQJND TANK ❑CARB(Y ❑CLASS B(FTLE ❑(Oher... <br /> CWA I',ER ❑UNDER CRQJND TANK ❑SILO ❑PLASTIC BATTLE <br /> ❑TANKINSIDE BUILDING ❑FIBER DRUM ❑T(TE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANKWAGN <br /> ❑PLASTIC/N(NMETALLIC DRUM ❑BOL ❑RAIL CAR <br /> ❑CAN ®CYLINDER ❑(FIER <br /> 223 <br /> ST(RAE PRESSiRE ❑AMBIENT ®AB(YE AMBIENT ❑BELOV AMBIENT 224 <br /> ST(RALE TEMPERATIRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZARD4S C(OAPGENF(For mixture or caste only EIB CAS# <br /> 226 227 ❑YES ❑NO 228 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> AInTI04AL L(CALLYC(LLECTEDINF(RMATI(N (33)134TEDNATI(M IDX(DCr) 1072 246 <br /> (34)WHU IS MATERIAL <br /> iSEDF(R? WELII1,13, <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign Hare <br />