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UNIFIED PR(IRAM C(NSMIDATED F(RM <br /> IAZARDQJS MATERIALS <br /> IAZARD(US MATERIALS INVENT(RY - CIEMICAL DESCRIPTI N <br /> 10/21/2009 - 10:14:23 AM <br /> Page of <br /> I. FACILITY INFQtMATI N <br /> BISMSS NAME(Same as FACILITYNAME <br /> SVC CTR <br /> CIEMICAL L(CATIW 201 CIEMICAL LCCATI(NC0FIMNTIAL,EPCRA 202 <br /> CAS SERVICE BLDGS IAZ WASTE STM BLDG5 METER SHP, ��� <br /> XAT A D T'.IJUTCT'. nJ.r,S [::]NJ <br /> FACILITYIDX 1 MAPred by X �EE:::] <br /> 203/204 <br /> Required by SJ C4-D3 <br /> II. CIEMICAL INF(RMATI(N <br /> CLEMICAL NAME 205 TRAE SECRET(11) ❑YES ®IVD 206 <br /> RTV 157 SILIC(NE RUBBER SEALANT If Subject to EPCRA,refer to instructions <br /> COAM(NNAME 207 EB* ❑YES ®� 208 <br /> RTV 157 SILIC(NE RUBBER SEALANT <br /> CAS# 209 <br /> MIXTURE *If EIE 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 P-41OCTIAE ❑YES ®NO 212 CIRIES 0 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑SOLID ®LIQUID ❑CAS 214 LARCEST CWA I1 ER 2.8 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ❑FIRE ❑REACTIVE ❑PRESSIRE RELEASE ❑ACITE IEALTH ❑C1-R(NC IEALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAM(QiF1i' 217 IMA11MIM DAILYAM(41F1T 218 AN4AL WASTE AMMF 219 STATE WASTE C Q E 220 <br /> 67.75 102.13 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 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 ❑TANKWAG(N <br /> ❑PLASTIC/N(NMETALLIC DRUM ❑BOL ❑RAIL CAR <br /> ®CAN ❑CYLINDER ❑(FIER <br /> 223 <br /> ST(RALE PRESSiRE ®AMBIENT ❑AB(YE AMBIENT ❑BEL(YV AMBIENT 224 <br /> ST(RALE TEMPERATIRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZARDW C0/IP(DENT(For mixture or caste only EB CAS# <br /> 5 226 METHYL TRIACETONSILAiFE 227 ❑YES ®NO 228 4253-34-3 229 <br /> 80 230 P(IL)UfL(R0?REM RIBBER 231 ❑YES ®NO 232 70131-67-8 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> A nTI04AL L(CALLYC(LLECTEDINF(RMATI(N (33)U-ITEDNATI(M IDX(DfP) 1133 246 <br /> (34)WHYT IS MATERIAL <br /> iSEDF(R? SEALANT <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign Hare <br />