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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 - 04:47:50 PM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNA IDing Business As) 3 <br /> PG&E ST(WET(N SVC CTR <br /> CIEMICAL L(C)UIW 201 IEMICAL LCCATI(NC(AFIMNITAL EPCRA 202 <br /> WAREHYSE ❑X wS ❑NJ <br /> FACILITYIDX 1 MAPredby X - 203/204 <br /> Required by S7 3-C4 <br /> II. CIEMICAL INF(RMATI(N <br /> CFEMICAL NAME 205 TRAE SECRET(11) ❑YES ®NJ 206 <br /> NITRWN/WDRM:N If Subject to EPCRA,refer to instructions <br /> COAM(NNAME 207 208 <br /> NITR(PEN/IYDR(D+N EIB* ❑YES ®I`D <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 360 215 <br /> (Check one item only) <br /> FEDHAZARDCATECERIES ®FIRE ❑REACTIVE ®PRESSIRE RELEASE ❑ACUE IEALTH ❑CHR(NC IEALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAM(QiF1i' 217 IMA11MIM D1ILYAM(41F1f 218 AN4AL WASTE AMCQ F 219 STATE WASTE C Q E 220 <br /> 240 360 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 C(MPGENF(For mixture or caste only EB CAS# <br /> 40 226 Fh RWEN 227 ❑YES ®NO 228 1333-74-0 229 <br /> 60 230 NTROEN 231 ❑YES ®NO 232 7727-37-9 233 <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(RMMI(N (33)134TEDNURM IDX(DfP) 1956 246 <br /> (34)WHU IS MATERIAL <br /> iSEDF(R? WELII1,13 <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign H:re <br />