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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 - 02:00:30 AM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNAM <br /> SVC CTR <br /> CIEMICAL L(CATIW 201 IEMICAL LCCATI(NC(AFIIENITAL EPCRA 202 <br /> CAS DEPT STIR C(NTS,(PS BLDG,ST(R BLDGWELD SIH �� <br /> XAT A DT'.1J%TQ MWS [::]NJ <br /> FACILITYIDX 1 MAPred by X �E:::1 <br /> 203/204 <br /> Required by S7 5 C6 3-C4 N/A <br /> II. CIEMICAL INF(RMATI(N <br /> CLEMICAL NAME 205 TRA E SECRET(11) ❑YES ®IVD 206 <br /> C(MPRESSED AIR If Subject to EPCRA,refer to instructions <br /> C(OAM(NNAME 207 208 <br /> 031PRESSED AIR EIB* ❑YES ®ND <br /> CAS# 209 <br /> MIXTURE *If EIB is "Yes",all amounts must be in lbs. <br /> FIRE CGE HAZARDCLASSES( Complete if required by CtPA) 210 <br /> LEAVE BLANK <br /> HAZARD 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 440 215 <br /> (Check one item only) <br /> FEDHAZARDCATECERIES ❑FIRE ❑REACTIVE ®PRESSUZE RELEASE ❑ACLTE IEALTH ❑CHR(NC IEALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAMW 217 IMA11MIM D1ILYAM(41F1f 218 ANNA,WASTE AMMF 219 ST,UCE WASTE C Q E 220 <br /> 2,227 3,240 N/A N/A <br /> U4TS* ❑CAL ®CU FT ❑LBS ❑T(NS 221 DAYS 01SITE 222 <br /> (Check on item only *If EHi,amount must be in pounds. 365 <br /> ST(RACE ❑AB(VE CROJND TANK ❑CARB(Y ❑CLASS B(FTLE ❑(Oher... <br /> CWA I',ER ❑UNDER CROWD 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(RAE PRESSiRE ❑AMBIENT ®AB(YE AMBIENT ❑BEL(YV AMBIENT 224 <br /> ST(RALE TEMPERATLRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZARDW C(OAPGENF(For mixture or caste only EIB CAS# <br /> 80 226 MTROEN 227 ❑YES ®NO 228 7727-37-9 229 <br /> 20 230 Oa EN 231 ❑YES ®NO 232 7782-44-7 233 <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( LLECTEDIl*,F(RMMI(N (33)134TEDNURM IDX(DCr) 1002 246 <br /> (34)WHU IS MATERIAL <br /> iSEDF(R? WELII1,13, <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign Hare <br />