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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 - 03:25:43 AM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNAM Ding Business As) 3 <br /> PG&E ST(WET(N SVC CTR <br /> CFEMICAL L(C)UIW 201 FEMICAL LCCATI(NC(AFIMNITAL EPCRA 202 <br /> WAREHYSE ❑X wS ❑NJ <br /> FACILITYIDX 1 MAPredby X 4 203/204 <br /> Required by S7 C4-D3 <br /> II. CIEMICAL INF(RMATI(N <br /> CI-EMICAL NAME 205 TRAE SECRET(11) ❑YES ®IVD 206 <br /> C(NCRETE MIX If Subject to EPCRA,refer to instructions <br /> COAM(NNAME 207 208 <br /> C(NCRETE MIX 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 /> PLICAL STATE ®SOLID ❑LIQUID ❑CAS 214 LARCEST C(DII'A TSER 60 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ❑FIRE ❑REACTIVE ❑PRESSIRE RELEASE ®ACLTE I-EALTH ❑CHR(NC I-EALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAM(QiF1i' 217 IMA11MIM D11LY,,111 1f 218 AN4AL WASTE AMCQ F 219 STATE WASTE C Q E 220 <br /> 6,720 10,080 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 O 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 ❑BEL(YV AMBIENT 224 <br /> ST(RALE TEMPERATLRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZAIRDW C0/IP(DENF(For mixture or caste only EB CAS# <br /> UK 226 CALCIUM ACUMINATE 227 ❑YES ®NO 228 65997-16-2 229 <br /> LFK 230 CALCIUM FMR(X[IE 231 ❑YES ®NO 232 1305-62-0 233 <br /> M 234 P(RTLAPDCEMENT 235 ❑YES ®NO 236 65997-15-1 237 <br /> U,K 238 SILICA,AM(RPFIE FMRATED 239 ❑YES ®NO 240 7631-86-9 241 <br /> M 242 SILICA,CRNSTALLII\E-QAYRTZ 243 ❑YES ®NO 244 14808-60-7 245 <br /> AinTI04AL L(CALLYC@LECTEDINF(RMATI(DI (33)13ITEDNATI(M IDX(DCr) 3082 246 <br /> (34)WHU IS MATERIAL <br /> USEDF(R? C(WRETE <br /> UPCF(Rev. 12/2007) If EPCRA Please Sign H:re <br />