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UNIFIED PR(O RAM C(NSMIDATED F(RM <br /> IAZARDQJS MATERIALS <br /> IAZARD(4JS MATERIALS INVENT(RY - CIEMICAL DESCRIPTI N <br /> 01/06/2010 - 03:31:08 AM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYNA ness As) 3 <br /> PG&E ST(WET(N SVC CTR <br /> CIEMICAL L(C)UIW 201 IEMICAL LCCATI(NC(AFIIENITAL EPCRA 202 <br /> IhZ WASTE STIR BLDG MWS ❑NJ <br /> FACILITYIDX 1 MAPredby X 203/204 <br /> Required by SJ 7 <br /> II. CIEMICAL INF(RMATI(N <br /> CLEMICAL NAME 205 TRA E SECRET(11) ❑YES ®NJ 206 <br /> WASTE ASBEST®(FRIABLE) If Subject to EPCRA,refer to instructions <br /> C(OAM(NNAME 207 EHi ❑YES ®� 208 <br /> WASTE ASBEST®(FRIABLE) <br /> CAS# 209 <br /> WASTE ''If EIB is "Yes",all amounts must be in lbs. <br /> FIRE CUE HAZARDCLASSES( Complete if required by CiPA) 210 <br /> LEAVE BLANK <br /> HAZARD MATERIAL ❑a.PURE ❑b.MIXTURE ®c.WASTE 211 RMOCTIAE ❑YES ®NO 212 CMIES 0 213 <br /> TYPE(Check one item only) <br /> PLICAL STATE ®SOLID ❑LIQUID ❑CAS 214 LARCEST C(AII'AI1SER 458.15 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ❑FIRE ❑REACTIVE ❑PRESSIRE RELEASE ®ACLTE IEALTH ®CHR(NC IEALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAMW 217 jM,,*1M1M D1ILYAM(41F1f 218 AN }M WASTE AMCQ F 219 STATE WASTE C Q E 220 <br /> 8,000 32,000 320200 1151 <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 ❑(cher... <br /> CWA I',ER ❑UNDER(ROUND 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 TEMPERATLRE ®AMBIENT ❑AB(VE AMBIENT ❑BELOV AMBIENT ❑CRY(AENIC 225 <br /> %WT HAZAIRDW C(OAPGENF(For mixture or caste only EB CAS# <br /> 50 226 ASBEST(3 227 ❑YES ®NO 228 1332-21-4 229 <br /> 230 231 ❑YES ❑NO 232 233 <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@LECTEDINF(RMMI(Dl (33)U4TEDNATIOS IDX(DCr) 2590 246 <br /> (34)WHU IS MATERIAL <br /> iSEDF(R? NA <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign H:re <br />