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HomeMy WebLinkAboutHistoric Chem InventoryFORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one la a ler malerial itir building or area ❑ADD [—]DELETE ❑RE:VISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) HANSON AGGREGATES CHEMICAL LOCATION M< CHEMICAL LOCATION CONFIDENTIAL EPCfRA ❑ YES NO FACILITY ID # FAI002505 MAP# GRID# (Agency use only) H. CHEMICAL INFORMATION CHEMICAL NAME S O L O M O N COLORS TRADE SECRET ❑Yes ❑ No TTSabjerl to EI'CRA, refer to instructions COMMON NAMI: SoLOMON COLORS EHS* ❑Yes ❑ No CAS# *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) HAZARDOUS MATERIAL TYPE ❑ a. PURE ❑x b. MIXTURE ❑ c. WASTE RADIOACTIVE ❑ Yes []No CURIES (Check one item only) PHYSICAL STATE. SULIU ®b. LIQUID ❑ a GAS ❑ a. L� LARGEST CONTAINER A 00.0 (Check one item only) FED HAZARD CATEGORIES ❑ a FIRE ❑ b, REACTIVE ❑ a PRESSURE RELEASE ❑ d. ACUTE HEALTH ❑ e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATV WASTE CODE 3000.0 1 4400.0 UNITS* �X a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS DAYS ON SITE: ^ ^ 5.0 NV (Check one item only) *lf EHS, amount must be in pounds. V{ STORAGE 0 a ABOVE GROUND TANK 13 e. PLASTIC/NONMETALLIC DRUM El L F113FIt DRUM in. GLASS BOTTLE CONTAINER ❑ h. UNDERGROUND TANK ❑ f. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE 0 q. RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY [3 k. BOX ❑ o. TOTE BIN ❑ r. OTHER ❑ d. STEEL DRUM ❑ h. SILO 0 I. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE ❑x a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE 0 a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC I IRON (III) OXIDE ❑ Yes [] No ❑ Yes ❑ No 3 ❑ Yes ❑ No 4 ❑ Yes ❑ No 5 ❑ Yes ❑ No Irmorehatai-com components are present at greater Man I'Ya hywdgh! Ir non -carcinogenic, ora.S% by weight ifear[IKpgra[c, Kunrlt rulditianal fllerfs or paper rapturlug Ibr required information. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA Please Sign Ile re FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one a per material per hnildin or Wren) ❑ADD ❑DELETE REVISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA— Doing Business As) HANSON AGGREGATES CHEMICAL LOCATIOP CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES ❑ NO FACILITY ID # FA0002505 MAP# GRID# (Agency use only) H. CHEMICAL INFORMATION CHEMICAL NAME Da rawe I d C TRADE SECRET El Yes 0 No If Subject to EPCRA, refer to instructions COMMON NAME Daraweld C EHS* ❑Yes ❑ No CAS# If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete i£required by CUPA) Carcinogen (CARC), Toxic (Tox) HAZARDOUS MATERIAL TYPE ❑ a. PURE ❑' b. MIXTURE ❑ c. WASTE (Check one item only) RADIOACTIVE ❑ Yes ❑ No CURIES PHYSICAL STATE ❑ a SOLID ❑' b. LIQUID ❑ c. GAS LARGEST CONTAINER 0.023 (Chook one item only) FED HAZARD CATEGORIES (Check all that apply) ❑ a. FIRE ❑ b. REACTIVE [I c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 3.0 1 5.0 UNITS* Q a. GALLONS Q b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS DAYS ON SITE - 0 (Check (Check one item only) *If EHS, amount must be in pounds. . STORAGE a, ABOVE GROUND TANK a e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE CONTAINER ❑ b. UNDERGROUND TANK I, f. CAN ❑ j. BAG ❑ n_ PLASTIC BOTTLE ❑ % RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX ❑ o. TOTE BIN r. OTHER ❑ d. STEEL DRUM ❑ h. SILO [11. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE 0 a. AMBIENT ❑ b. ABOVE AMBIENT [3c. BELOW AMBIENT STORAGE TEMPERATURE 0 a. AMBIENT ❑ b, ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC %WT HAZARDOUS COMPONENT For mixture or waste on! EHS CAS # 5.0 2-methylpentane-2,4-diol ❑ Yes ® No 107-41-5 2 1.0 vinyl acetate I ❑ Yes ®No 108-05-4 ❑ Yes ❑ No 4 ❑ Yes ❑ No 5 ❑ Yes ❑ No If more hasurdous compo nests Are pmcnl at greater Than I% by,*60ht if non-cardna&wk, or 0.11Y. by wright it carrinopenie, ntterb ndd itimt al sherie of paiter rapm rink the required infot•masion. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA Please Sip n Here FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY cone page x•r niatcrinI to buiidin' or area) ❑ADD ❑[]EL> FE 17f:VIS! I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA— Doing Business As) HANSON AGGREGATES CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES ❑ NO FACILITY ID # FA0002505 MAPS GRID# (Agency use only) H. CHEMICAL INFORMATION CHEMICAL NAME Da i I I TRADE SECRET Ij Yes No raf If Subject to EPCRA, refer to instructions COMMONNAME Darafill EHS* ❑Yes ❑ No CAS# *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE 111I.:1 R 1) CLASSES (Complete if required by CUPA) Carcinogen (CARC), Sensitizer (Sens), Toxic (Tox) HAZARDOUS MATERIAL TYPE ❑ a PURE b, MIXTURE 0 c. WASTE RADIOACTIVE []Yes❑ No CURIES (Check one item only) PHYSICAL STATE a. SOLID 0 b. LIQUID c, GAS LARGEST CONTAINER 0.094 (Check one item only) FED HAZARD CATEGORIES ® a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ® d. ACUTE HEALTH Joe. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 3.0 1 5.0 UNITS* Q a. GALLONS Q b CUBIC FEET ❑ c. POUNDS ❑ d. TONS DAYS ON SITE: (Check one item only) *If EHS, amount must be in pounds. STORAGE 13 a. ABOVE GROUND TANK El e. PLASTICIN GNME'I'ALLIC DRUM 13 i. FIBER DRUM in. GLASS ROT ME CONTAINER ❑ b. UNDERGROUND TANK ❑ I. CAN ❑ j. BAG ❑ n, PLASTIC BOTTLE ❑ q RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX ❑ o. TOTE BIN r, OTHER ❑ d. STEEL DRUM ❑ It. SILO [11. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE ED.. AMBIENT ❑ b. ABOVE AMBIENT [1c. BELOW AMBIENT STORAGE TEMPERATURE Q a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c BELOW AMB[ENT 0 d. CRYOGENIC I 100.0 Coconut fatty acid diethanolamide ❑ Yes ® No 68603-42-9 2 5.0 Diethanolamine ❑ Yes ® No 111-42-2 3 ❑ Yes ❑ No d ❑ Yes ❑ No S ❑ Yes ❑ No Er more hazardous components are present at greater I b an E % by wei gtl l if .non-calY in ogcn fr, or 0.1 % by weight if c nro n agenir, n earls addi lionat sh rclx a f paper cnplurin g the required informmioa. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA Please Sia n lie re FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one Ile er material er building or tires ❑ADD ❑DELETE ❑REVISE 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) HANSONAGGREGAIES CI11'"MICAL LOCATION Mi SE CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES ❑ NO FACILITY 1D # FA0002505 MAP# GRID# (Agency use only) H. CHEMICAL INFORMATION CHFMICAL NAME PO LARS ET TRADE SECuT ❑ Yes ONo If Subject to EPCRA, refer to instructions COMMON NAME POLARSET EHS* ❑Yes ❑ No CAS# *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) HAZARDOUS MATERIAL TYPE ❑ a. PURE ❑>< In, MIXTURE ❑ c. WASTE RADIOACTIVE ❑ Yes [IN. CURIES (Check one item only) PI [YSICAL STATE ❑ a SOLID 0 b, LIQUID ❑ c. GAS LARGEST CONTAINER 5�0.0 (Check one item only) FED HAZARD CATEGORIES ❑ a FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ❑x d. ACUTE HEALTH ❑x e. CHRONIC HEALTH (Check all that apply) AVERAGr DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 1300.0 1800.0 UNITS* ❑X a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS DAYS ON SITE: 365.0 (Check one item only) *If EHS, amount must be in paundx STORAGE 0 a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i; FIBER DRUM on. GLASS BOTTLE CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE ❑ q. RAIL CAR ❑ c. TANK INSIDE BUILDING 0 g. CARBOY ❑ k. BOX ❑ o. TOTE BIN ❑ r.OTHER ❑ d. STEEL DRUM ❑ In. SILO ❑ I. CYLINDER ❑x p. TANK WAGON STORAGE PRESSURE ❑a a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE ❑x a. AMBIENT ❑ In, ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d, CRYOGENIC a •0r mlx I net: I 10.0 CALCIUM BROMIDE ❑ Yes ❑ No 007789-41-5 z 25.0 CALCIUM NITRATE ❑ Yes ❑ No 010124-37-5 3 25.0 CALCIUM NITRITE ❑ Yes ❑ No 013780-06-8 4 10.0 DIETHYLENE GLYCOL ❑ Yes ❑ No 000111-46-6 S 10.0 METHYLDIETHANOLAMINE ❑ Yes ❑ No 000105-59-9 If morn linens'iuna cunlyunen t] are preseid al Rlta ter th an I h by wrighI if Iwo• rare in a Gen ie, or tl.i%, try weighs if cart in n ee niI xu nch ad d h ion n l sheets of paper capturing lie Ilred inrormauun. ADDITIONAL LOCALLY COLLECTED INFORMATION Ir RPCRA Pimp- Sipa litre FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one page per material Per buildirv, or area) ❑ADD ❑DELETE REVISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA— Doing Business As) HANSON AGGREGATES CHEMICAL LOCATION �, ; H CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES ❑ NO FACILITY ID # FA0002505 MAP# GRID# (Agency use only) II. CHEMICAL INFORMATION CHEMICAL NAME LIQUID � � � � � � � � � � HAMMER TRADE SECRET ©Yes ©>�o instructions If Subject to IPCRA, refer to COMMONNAME LIQUID HAMMER EHS* ❑Yes ❑ No CAS# *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) HAZARDOUS MATERIAL TYPE ❑ a- PURE ❑x b, MIXTURE ❑ c. WASTE RADIOACTIVE Yes ❑ No CURIES (Check one item only) PH Y SICAL STATE ❑ a. SOLID ❑x b, LIQUID ❑ G GAS LARGEST CONTAINER � y � / y L v (Check one item only) . FED HAZARD CATEGORIES a- FIRE ❑ G b. REACTIVE ❑ PRESSURE RELEASE ❑x d. ACUTE HEALTH ❑x e. CHRONIC HEALTH El(Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 200.0 250.0 UNITS* ❑X a. GALLONS ❑ b. CUBIC FEET [I c. POUNDS ❑ d. TONS DAYS ON SITE: 365.0 (Check one item only) *If EHS, amount must be in pounds. STORAGE ❑ a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i_ FIBER DRUM ❑ m- GLASS 130TTLE CONTAINER ❑ b, UNDERGROUND TANK ❑ f. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE ❑ q. RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k, BOX 0 o. TOTE BIN ❑ r. OTHER ❑ d. STEEL DRUM ❑ h, SILO ❑ 1, CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE 0 a, AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE 0 a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 ❑ Yes ❑ No ❑ Yes ❑ No 3 ❑ Yes ❑ No 4 ❑ Yes ❑ No 5 ❑ Yes ❑ No If more hazardous components are present at greater than 1% by weight if non -carcinogenic, or 0.1% by weight it earcinogeair, punch additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION Ir EPC RA. Please Sin Here FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one page per material per buildiu or area ❑ADD ❑DELETE REVISE I. FACILITY INFORMATION Iil ISfNP.551IfyME (Satre as F CILfTY NAME or DBA _ I?oi51 Business As) HANSONAG-GREGATES CHEMICAL LOCATION ASH CliEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES ❑ NO FACILITY ID # FA0002505 MARK GRID# (Agency use only) II. CHEMICAL INFORMATION CHEMICAL NAME CAR WASH 2O00 Tf�1DE SECRET Yes ❑ No If Subject to EPCRA, refer to instructions COMMON NAME CAR WASH 2O00 EHS* ❑Yes []No CAS# FIRE CODE HAZARD CLASSES (complete if required by CUPA) *If EHS is "Yes", all amounts below must be in lbs. HAZARDOUS MATERIAL TYPE ❑ a. PURE El b. MIXTURE ❑ e. WASTE RADIOACTIVE ❑ Yes ❑ No CURIES (Check one item only) PH YSICAL STATE SOLID h. LIQUID c GAS LARGEST CONTAINFR 250.0 (Check one item only) ❑ a. ❑ FED HAZARD CATEGORIES ❑ a. FIRE ❑ b. REACTIVE ❑ c, PRESSURE RELEASE ❑ d. ACUTE HEALTH ❑x e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTI: AMOUNT STATE WASTE CODE 200.0 250.0 UNITS* ❑X a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d, TONS DAYS ON SITE: (Check one item only) *If EHS, amount must be in poundx STORAGE E9 a. ABOVE GROUND TANK e. PLASTICINONM ETAI. LIC DRLA4f i. FIBER DRUM ❑ in, GLASS BO'Cf1 G CONTAINER ❑ b, UNDERGROUND TANK ❑ t. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE ❑ q. RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX ❑ o. TOTE BIN ❑ r. OTHER ❑ d. STEEL DRUM ❑ h. SILO ❑ 1. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE a. AMBIENT ❑ b, ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE a, AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 0 HAZARDOUS COMPONENTS AT 1% OR GREATEI ❑ Yes []No 2 ❑ Yes ❑ No 3 ❑ Yes ❑ No d ❑ Yes ❑ No i ❑ Yes ❑ No I nnunr bara rdism cnmpnueafs arr preirot nit #rciaer tlrmr IOA by ierixbI it non-ra rriaugenie. or Il.1 Yr by wriglu IF cnrri nugenni r, atl Beb addi l iun aisheo% nr paper rnp l is ring the ADDITIONAL LOCALLY COLLECTED INFORMATION FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY lone nat•c 13cr material 13cr building or area) ®ADD ❑ DELETC []REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA— Doing Business As) 3 anson Aggregates CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 ❑ YES ® NO I MAP# (optional) 203 GRID# (optional) 2N FACILITY ID # TT--F I 1 -1. -1-t I I T2 D-7 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes t@ No 2W Crete -Off Concrete Dissolver if Subject to EPCRA, refer to instructions COMMON NAME 209 20s EHS* El Yes ElNo CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 23 o zit HAZARDOUS MATERIAL TYPE ❑ a. PURE ® b. MIXTURE [:1 c. WASTE 212 RADIOACTIVE ❑ Yes ® No 213 CURIES (Check one item only) 214 PHYSICAL STATE ❑ a. SOLID ® b. LIQUID ❑ c. GAS 215 LARGEST CONTAINER 250-- (Check one item only) 216 FED HAZARD f'ATFCTnRTFS ❑ a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ® d. ACUTE HEALTH ® e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTECODE 220 200 1 250— 1 UNITS" ®a. GALLONS [Ib. CUBIC FEET ❑ c. POUNDS [Id. TONS 221 DAYS ON SITE: 222 (Check one item only) "If EHS, amount must be in pounds. 365 STORAGE Ll a. ABOVE GROUND TANK e. PI.ASTiC/NONML•TALLIC DRUM t7 i. FIBER DRUM m. GLASS BOTTLE 223 CONTAINER © b. UNDERGROUND TANK ❑ f. CAN ❑ I. BAG ❑ n. PLASTIC BOTTLE ❑ r. OTHER © c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX ® o. TOTE BIN ❑ q. RAIL CAR ❑ d. STEEL DRUM ❑ h. SILO ❑ 1. CYLINDER ❑ p. TANK WAGON 224 STORAGE PRESSURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC �a5 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 10-30 Organic Acid Proprietary ❑ Yes ❑ No 230 231 232 233 2 ❑ Yes ❑ No 234 ns 236 237 3 ❑ Yes ❑ No 239 239 240 241 4 ❑ Yes ❑ No 242 243 244 2115 5 ❑ Yes ❑ No If more hazardous components are present at greater than t °4� by weight if non.carcinogenic, or 0.1 % by weight irtarcinogenic, Attach additional sheets or paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Piease Sion licrc C:\Documents and Settings\coverIMMy Documents\LC's Temp File.,_16_CC\San Luis Obispo\CI1PA\F1MBP\2012\Inventory\Crete-Off f_)issolver- Add.DOC 24-Feb-12 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one pape per material per b:lilltin or area ®ADD ❑DELETE ❑REVISE 741 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Hanson Aggregates — CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 ❑ YES ® NO t I MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # 3 H-7 II. CHEMICAL INFORMATION CHEMICAL. NAME 205 TRADE SECRE Yes No 206 DCI-S If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EIS* ❑Yes [INo CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE 21 t ❑ a. PURE ®b. MIXTURE ❑ c. WASTE 212 RADIOACTIVE El ®No 2ta CURIES (Check one item only) 214 PHYSICAL STATE ❑ a. SOLID ® b. LIQUID ❑ c. GAS (Check one item only) 215 LARGEST CONTAINER 55 216 FED HAZARD CATEGORIES ❑ a. FIRE ❑ b. REACTIVE ❑ c• PRESSURE RELEASE ® d. ACUTE HEALTH ® e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 21� STATE WASTE CODE 220 40 1 55 1 221 UNITS* ®a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS DAYS ON SITE: 222 (Check one item only) *If EHS, amount must be in pounds. STORAGE © a. ABOVE GROUND TANK 0 e. PLASTICNONMETALLIC DRUM Ej i. FIBER DRUM m. GLASS BOTTLE =�3 CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE ❑ r. OTHER 0 c. TANK INSIDE BUILDING 0 g. CARBOY ❑ k. BOX ❑ o. TOTE BIN ❑ q. RAIL CAR ❑ d. STEEL DRUM ❑ h. SILO ❑ I. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE 0 a AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 234 STORAGE TEMPERATURE 0 a, AMBIENT ❑ b. ABOVE AMBIENT ❑ c, BELOW AMBIENT ❑ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 226 227 229 229 1 1-10 Calcium Nitrate ❑ Yes ❑ No 010124-37-5 230 231 232 233 2 25-50 Calcium Nitrite ❑ Yes ❑ No 013780-06-8 234 275 236 237 3 ❑ Yes ❑ No gas 219 240 241 4 ❑ Yes ❑ No 24Z 243 244 20 5 ❑ Yes ❑ No If more hasardonf components are present at greater than 1 % by weight If non•careinogenic, or 0.1% by weight it eareinogeaie, crunch additlonnl shtels of paper uiptnring the regnired informaliun, ADDITIONAL LOCALLY COLLECTED INFORMATION 246 C:\Documents and Settings\coverlw\My Documents\LC,'s Temp file Luis 01)ispo\t;(1PA\I-IMBP\2012\Inventory\DCI-S.L)i-tC 24-Feb-12 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one page per material Ier building or area) ❑A>]D ®DELETE ❑REVISE 200 Page of I. FACILITY INFORMATION 6_BUSINESSE (Same as FACILITY NAME or DBA — Doing Business A s Hanson Aggregates CHEMICAL TOCATION FACILITY ID # II. CHEMICAL NAME COMMON NAME Tech -Off CAS# FIRE CODE HAZARD CLASSES (Complete if required by CUPA) zol CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA ❑ YES ® NO =MAP# l) 2t13 GRID# (optional) 2tq D-7 CHEMICAL INFORMATION 205 TRADE SECRET ❑ —Yes® No 206 If 5ubfecl to EPCRA, refer to instructions 207 EHS* ❑ Yes ❑ No 209 *If EHS is "Yes", all amounts below must be in lbs. 210 HAZARDOUS MATERIAL TYPE (Check one item only) ❑ a. PURE 211 ® b. MIXTURE ❑ c. WASTE RADIOACTIVE ❑ Yes 212 ❑ No 213 CURIES PHYSICAL STATE (Check one item only) ❑ a. SOLID 214 ® b. LIQUID ❑ c. GAS LARGEST CONTAINER 500 215 FED HAZARD CATEGORIES (Check all that apply) ❑ a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ® d. ACUTE HEALTH ® e. CHRONIC HEALTH 16 AVERAGE DAILY AMOUNT 2E500 XIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 400 UNITS* ® a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS 221 DAYS ON SITE: :22 (Check one item only) *If EHS, amount must be in pounds. 365 STORAGE ®a. ABOVE GROUND TANK e. PLAST[CINONh9E1 ALL[C DRUM i. FIBER DRUM CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN © m. GLASS BOTTLE 323 ❑ c. TANK INSIDE BUILDING ❑ g• CARBOY ❑ J• BAG ❑ BOX ❑ n. PLASTIC BOTTLE ❑ r. OTHER ❑ d. STEEL DRUM ❑ h. SILO 1. ❑ I. CYLINDER ❑ o. TOTE BIN ❑ q, RAIL CAR ❑ P. TANK WAGON STORAGE PRESSURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 22S 226 I 90-100 31 % Hydrochloric Acid 2 23(} 3 4 5 242 It more hazardous components are present at greater than 1% by weight if or 0.I % by weight ADDITIONAL LOCALLY COLLECTED INFORMATION hHZI CAS # 227 228 229 ❑ Yes ❑ No 7647-01-0 231 232 ❑ Yes ❑ No 233 235 236 237 ❑ Yes ❑ No 239 240 ❑ Yes ❑ No 241 243 244 ❑ Yes ❑ No 245 rinogenie, aback ndditiunal sheets or paper Capturing the required htlonnatioit. 246 f.;.;') sc; lnj;.;r;is Vinci '=; tiri is irk 51 rcRlmentsiEItuiv\SL 71 Pr Mat"Ol.lsimess P)aa 1\2007\lnv(.;!)tnl tt-p;; -O.C)C ; i7• c 07