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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 - 04:20:13 AM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNAM 3 <br /> PG&E ST(WKT(N SVC CTR <br /> CFEMICAL L(CATIW 201 FEMICAL LCCATI(NC0FIIENTIAL,EPCRA 202 <br /> IhZARDQJS WASTE ST(RACE AREA MWS ❑NJ <br /> FACILITYIDX 1 I MAPredby X 7 203/204 <br /> Required by SJ <br /> II. CIEMICAL INF(RMATI(N <br /> CFEMICAL NAME 205 TRAE SECRET(11) ❑YES ®NJ 206 <br /> WASTE C(ANTAMINATED SQL W/GAS4%INE AND DIESEL&TPH If Subject to EPCRA,refer to instructions <br /> C(MM(AINAME 207 EB* ❑YES ®� 208 <br /> WASTE C(DNTAMINATED SQL W/GASMINE AND DIESEL&TPH <br /> CAS# 209 <br /> N/A ''If EIB is "Yes",all amounts must be in lbs. <br /> FIRE CUE HAZARDCLASSES( Complete if required by CtPA) 210 <br /> LEAVE BLANK <br /> HAZARD MATERIAL ❑a.PURE ❑b.MIXTURE ®c.WASTE 211 RAIIOCTIAE ❑YES ®NO 212 CtRIES 0 213 <br /> TYPE(Check one item only) <br /> PLICAL STATE ®SOLID ❑LIQUID ❑CAS 214 LARCEST C(DII'A TSER 458.15 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ®FIRE ❑REACTIVE ❑PRESSIRE RELEASE ❑ACUE FEALTH ®CFR(NC FEALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAM(QiF1T 217 MAIIMIM DAILYAM(41F1T 218 AN�M WASTE AMMF 219 STATE WASTE COE 220 <br /> 900 3,600 14360 1223 <br /> U4TS* ❑CAL ❑CU FT ®LBS ❑T(NS 221 DAYS 01SITE 222 <br /> (Check on item only *If EIB,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 PRESStRE ®AMBIENT ❑AB(YE AMBIENT ❑BEL(YV AMBIENT 224 <br /> ST(RALE TEMPERATIRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZAIRDW C0/1P0ENT(For mixture or caste only EIB CAS# <br /> 5 226 UESEL MEL N.J2 227 ❑YES ®NO 228 68476-34-6 229 <br /> 5 230 FM R((rARB(NMIXTLRE 231 ❑YES ®NO 232 233 <br /> 5 FMR(TREATEDFEAVYNAPHTFENC 235 ❑YES ®NO 236 64742-52-5 237 <br /> 234 TTCTTt r ATF <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> A nTI04AL L(CALLYC(LLECTEDI1*,F(RMATI(D1 (33)134TEDNATIOS IDX(DIT) N/A 246 <br /> (34)WHU IS MATERIAL <br /> iSEDF(R? WASTE <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign H:re <br />