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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 - 04:04:09 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 /> CIEMICAL L(CATI N 201 IEMICAL LCCATI(NC(AFIIENITAL EPCRA 202 <br /> WSA-IRZ WASTE ST(RACE BLDG MWS ❑NJ <br /> FACILITYIDX 1 I 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 OL W/BRAKE FLUID AND GLYCM ETIER If Subject to EPCRA,refer to instructions <br /> C(MM(NNAME 207 EB* ❑YES ®� 208 <br /> WASTE GL W/BRAKE FLUID AND GLYC%ETIER <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 CLRIES N/A 213 <br /> TYPE(Check one item only) <br /> PLICAL STATE ❑SOLID ®LIQUID ❑CAS 214 LARCEST C(DII'A ICER 55 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ❑FIRE ❑REACTIVE ❑PRESSIRE RELEASE ❑ACLTE IEALTH ❑CHR(NC IEALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAM(QiF1i' 217 IMA11MIM D1ILYAM(41F1f 218 AN�M WASTE AMMF 219 STATE WASTE C Q E 220 <br /> 20 77 82 1331 <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(RAE 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(MPGENF(For mixture or caste only EB CAS# <br /> 50 226 Q,)r(D,ETI-ERS 227 ❑YES ®NO 228 229 <br /> 10 230 FIYIIRCFREATEDIEAVYNAPFTIENC 231 ❑YES ®NO 232 64742-52-5 233 <br /> TTQTTT T ATF <br /> 40 234 TRIETHLEI*,E CLWO- 235 ❑YES ®NO 236 112-27-6 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> AInTI04AL L(CALLYC(LLECTEDINF(RMATI(DI (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 />