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UNIFIED PR(O RAM C(NS(EIDATED FORM <br /> IAZARDQJS MATERIALS <br /> IAZARD(4JS MATERIALS INVENT(RY - CIEMICAL DESCRIPTIQN <br /> 01/06/2010 - 04:14:48 AM <br /> Page of <br /> I. FACILITY INF(RMATI N <br /> BISMSS NAME(Same as FACILITYN ) 3 <br /> PG&E ST(WKT(N SVC CTR <br /> CIEMICAL L(CATI N 201 IEMICAL LCCATI(NC0FIIENTIAL,EPCRA 202 <br /> WSA-IAZ WASTE ST(RACE BLDG MWS ❑NJ <br /> FACILITYIDX 1 MAPredby X 203/204 <br /> Required by SJ 7 <br /> II. CIEMICAL INFORMATIOX <br /> CFEMICAL NAME 205 TRAE SECRET(11) ❑YES ®IVD 206 <br /> WASTE SOK.AND IVDRWARB(NS If Subject to EPCRA,refer to instructions <br /> C(MM(AINAME 207 EB* ❑YES ®� 208 <br /> WASTE SOK.AND IVDR(FARB(NS <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 CLRIES N/A 213 <br /> TYPE(Check one item only) <br /> PLICAL STATE ®SOLID ❑LIQUID ❑CAS 214 LARCEST C(NrA TSER 458.15 215 <br /> (Check one item only) <br /> FEDHAZARDCATECIRIES ®FIRE ❑REACTIVE ❑PRESSIRE RELEASE ❑ACLTE IEALTH ❑CIR(NC IEALTH 216 <br /> (Check all that apply) <br /> AAERALE D4LYAM(QiF1i' 217 MAIIMIM DAILYAM(41F1T 218 AN }M WASTE AMCQ F 219 STATE WASTE C Q E 220 <br /> 650 2,600 2960 1352 <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 ❑(Oher... <br /> CWA I',ER ❑UNDER CROJND TANK ❑SILO ❑PLASTIC BATTLE <br /> ❑TANKINSIDE BUILDING ❑FIBER DRUM ❑T(TE BIN <br /> ®STEEL DRUM ❑BAG ❑TANKWACI(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 HAZARDW C(MPOENF(For mixture or caste only EB CAS# <br /> 5 226 FMR(IFARB(AIMIXTIRE 227 ❑YES ®NO 228 229 <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@LECTEDI1*,F(RMMI(D1 (33)134TEDNURM IDX(DCr) N/A 246 <br /> (34)WHAT IS MATERIAL <br /> iSEDF(R? WASTE <br /> tPCF(Rev. 12/2007) If EPCRA Please Sign H:re <br />