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HomeMy WebLinkAboutSLOUNIFLOW_FS1 Admin iRC3926i Color_0174_001_RedactedUNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of L FACILITY IDENTIFICATION FACILITYIDH F A 0 1010141811101 1 1 1 EPA ID If(HemNous Waite Only) a (Agency Use Only) CAD981664022 BUSINESS NAME (Same ea Facility Name ofDBA-Doing Enormous Aid BUSINESS SITE ADDRESS 3601 SACRAMENTO DR 10 BusIbEsssrrEaw SAN LUIS OBISPO °' CA ZIP CODE 93401'M II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, lease submit the Business Owner/O erator Identification pag& Does your facility... If Yes, please Cam lete these Pages of the UPCF.... A. HAZARDOUS MATERIALS Have on site (for any purpose) at any one time, hazardous materials at or above HAZARDOUS MATERIALS 55 gallons for liquids, 500 Pounds for solids, or 200 cubic fast for compressed 0 YES INVENTORY -CHEMICAL losses (include liquids in ASTs and USTs); or the applicable Federal threshold DESCRIPTION quantity for an extremely Lineations substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quamities for which an enterounciv plan is required punrount to 10 CFR Parts 30,40 or 70? B. REGULATED SUBSTANCES Have Regulated Substances stored onsite in quantities greater Ilan the threshold quantities established by the California Accidental Release ❑YES Comilmite wif your local agency prevention Program (Ca)ARP)? impossible far CalARP. C. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY pommy swaca Fnm AI Own or operate underground storage tanks? AYES UST TANK( ma Pose w a me pamedy Form in D. ABOVE GROUND PETROLEUM STORAGE Own or operate ASTs above these thresholds: Stem greater than 1,320 gallons of petroleum position (new or used) in O YES NO FORM REQUIRED TO CUPAs aboveground tanks or containers. E. HAZARDOUS WASTE Generate hazardous waste? EYES EPA m NUMBER- provide at the rap of this page Recycle more than 100 kg/monih of excluded or exempted recyclable materials (per HSC 25143.2)? ❑YES RECYCLABLE MATERIALS REPORT (asffo, Im Treat hazardous waste on -site? 0 YES ONSrrEHAZARDOUSWASTE DUATM1gNr-FACILITY ONSITE HAZARDOUS WASTE TREATMENT -UNIT deep ppwioa) Treatment subject to financial assurance requirements (for Permit by Rule and Conditional Authorization)? ❑ YES CERTIFICATION OF FINANCIAL ASSURANCE Consolidate hazardous waste generated at a remote site? YES REMOTE WASTE/CONSOLIDATION SITE ANNUAL NOTIFICATION Need to report the closor/rcrno: at o f a tank that was classified as hazardous waste and clmnrvd um -site? YES HAZARDOUS WASTE TANK CLOSURE CERTIFICATION Generate in any single calendar month 1,000 kilograms (kg) (2 200 pounds) or Obtain federal EPA ID Number, file more of federal RCRA hazardous waste, or generate in any whip le calendar ❑YES BiennialReport (EPA Earn g700- month, or accumulate at ivy here, l In(2.2 pounds) of RCR A ACmC hanndous 13A/11), and satisfy requirements for waste; or generate or accumulate at any time more than 100 IT (220 pounds) of RUM Large Quantity Generator. spill cleanup materials contaminated with RCRA acute hazardous waste. Household Hazardous Waste(EMW) Collection site? YES See CUPA for required ferns. F. LOCAL REQUIREMENTS is (Ym may aLo h,oi mv] b poande additional infamanm he your CUPA or IooW agency.) UPCF Rev. (1242007) t FORM S -SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION BUSINESS NAME G,,, m FAC NAME Dan-naNg Badnev sm UNITED PARCEL SERVICE BUSINESSPHONE 8055447184 BUSINESS SITEADDRESS 3601 SACRAMENTO DR CITY SAN LUIS OBISPO CA ZIP CODE 93401 COUNTY U11 [IEO Y OPEOR.NAME arce rvtce BUSINESS OPERATOR PHONE 8055447184 U. BUSINESS OWNER OWNER NAME UNITED PARCEL SERVICE OWNER PHONE 5594422925 OWNER MAILING ADDRESS 1601 W. McKinley Ave. CITY Fresno STATE CA ZIP CODE 93728 III. ENVIRONMENTAL CONTACT CONTACTNAME Anthony Delgadillo CONTACTPHONE 6268146269 CONTACT MAILING ADDRESS 1100 N. Baldwin Park Blvd. CITY Baldwin Park STATE CA ZIP CODE 91706 -PRIMARY- UP. EMERGENCY CONTACTS SECONDARY - NAME Cortez, Richard NAME Barksdale, Maurice TITLE CENTER MANAGER TITLE SUPERVISOR BUSINESS PHONE 8055447184 BUSINESS PHONE 5594422925 PAGEK#/CELI,-FFTONfi# PAGER#/CELLPHONE# ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based On my LNULi of those individuals msponsible for obtaining the information, I certify under penalty of law that r have Personally examined and am familiar with the information submitted and believe the information is we, accurate, and complete. SIGNATURE OF OWNENOPERATOR OR DESIGNATED REPRESENTATIVE Submitted via Public Ponal GATE 01/07/2010 NAME OF DOCUMENT PREPAFER Klotonya Hamilton NAME OF SIGNER apmo Noel Massie TnTEOFSKmFR District Manager FORM I— SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one page per materiel Rerbugtlin onrta ❑ADD ODELETE OREVISE I. FACILITY INFORMATION BUSINESSES NAME (Same as FACRITY NAME or DRA—Doing Business AS) UNITED PARCEL SERVICE CHEMICAL LOCATIC CIE:AOCAL LOCATION CONFIDENTIAL EPCRA OYES ❑NO FACILITY IDp FA0004810 MAN GAIDp (Aµnrywmld H. CHEMICAL INFORMATION CHEMICAL NAME Lubricant Oil TRADESECRET Yes E3No IfSubleet to KPCRA. refer to Instructions CONMONNAME Lubricant Oil EHS• ❑Yes ❑ No CARS *]TENS Is "Yes', all amounts below mug be In Iba FIRE CODE HAZARD CLASSES (C, roa if mina yCEPA) Combustible Liquid, Class III-B HAZARDOUS MATERIAL TYPE Oa PURE III MIXTURE On WASTE (Clmkomiumonly) RADIOACTIVE []Yee Ei No CURIES PHYSICAL STATE El a. III h.LIQUID ❑eGAS LARGEST CONTAINER 110.0 (Clad onniwin only) FED HAZARD CATEGORIES Via. PERE ❑o REACTIVE ❑ c PRESSURE RELEASE Ci LACUTE HEALTH ❑ e CHRONIC HEALTH (CMak WE Beat apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUALWASTEAMOUNT STATE WASTE CODE 5 1 110.0 1 1500.0 221 UNITS' ©a GALLONS ❑ b CUBIC FEET ❑ u POUNDS ❑ S. TONS DAYS ON SITE: 365.0 a. 3 (Chad wei an only) 9fBHB, amount = at be In "units. STORAGE a ABOVE GROUND TANK 13a PLASTICMONMETALLIC DRUM 0,, FIBER DRUM ❑m. GLASSBOTTLE CONTAINER [3b. UNDERGROUND TANK I] L CAN 0 j. SAO ❑ m PLASTIC SOME ❑ L RAIL CAR Oc TANK INSIDE BUILDING 0&C,UBOY OkBOX ❑o. TOTE BIN Or. OTHER M I. STEEL DRUM 131. SILO 01. CYLINDER ❑p. TANK WAWN STORAGE PRESSURE © a. AMBIENT ❑ k ABOVE AMBIENT ❑ c BELOW AMBIENT STORAGETEMPERATURE Da AMBIENT ❑b ABOVE AMBIENT ❑E BELOW AMBIENT OA. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or Will only) EHS CAS# 1 90.0 Lubricating Base Oil ❑Yea ONE, 1 5.0 Distillates, Hydrotreated ❑Yes ❑No 3 5.0 Solvent ❑Yes ❑No 4 ❑Yes No ❑Yes No if m.re v. ,mm"nmeaw, pmainRa man 1% H^tem nr.,.nnln.em...r, 0.1%armarine if farclawasup March adminnal mems "papercountries re ummermi ADDITIONAL LOCALLY COLLECTED INFORMATION FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one page Per mthatal Per Infildhour or area OADD []DELETE OREVISE I. FACILITY INFORMATION BUSINESS NAME(Snmp m FACILITY NAMEor DBA—Doing Business As) UNITED PARCEL SERVICE CHEnnCALLOCATION AUTOMOTIVE SHOP CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑YES ONO FACILITY ID FAD004810 MAPX GROW (Amamomh) H. CHEMICAL INFORMATION CHEMICAL NAME ETHYLENE GLYCOL TRADE SECRET Ym Nn IrSublat to EPCRA, refer ro Instructions COMMONNAME ANTIFREEZE EIISa ❑Yea []No CASH 107-21-1 'If EHS Is "Yes", all amounts below must be in Iles. FIRE CODE HAZARD CLASSES (Co phn,frtgWml by CURB Irritant (Irr) XAZARDOUSMATERIALTYPE Oe. PURE OO I, MIXTURE Oq WASTE (Cemkoneidmonly) RADIOACTIVE I]Y11 ON, CURIES PHYSICAL0%SOLm OhLIQU1D ❑c.GAS LARGEST CONTAINER (Chun55.0 we own only) FED HAZARD CATEGORIES 10a. TOM ❑d REACTIVE ❑ cPRESSIBIEAELEASE I]d ACUTE HEALTH ❑ e CHRONIC NF.ALTH (Chook or lhal apply) AVERAGEDAILYANCITT MAXIMUM DAILY"DUM ANNUALWASTEAMOUNT STATE WASTE MOE 35.0 1 55.0 1 275.0 1 134 UNITS, M%GALLONS DECURICEEET IT POUNDS ❑d TONS DAYS ON SITEpounds.3 :^65.0 (Chvk om ilon m,lY) ,ItEM mmal mount in pounds. STORAGE U a. ABOVE GROUND TANK EI C. PLASTICMONMETALLIC DRUM 0 i. FIBER DRUM U in GLASS BOTTLE CONTAINER O h UNDERGROUND TANK OCCAN El , BAG ❑m PLASTIC BOTTLE Elq. FAIL CAR O c. TANK INSIDE BUILDING Og. CARBOY Ok. BOX Qa TOTE BIN Oc OTHER Od STEEL DRUM Oh. SILO OI, CYLINDER CRTANK WAGON STORAGE PRESSURE El&AMBIENT ❑Is ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGETEMPERATURE On, AMBIENT ❑d ABOVE AMBIENT Oe BELOW AMBIENT ❑E. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) PUS CASH 95.0 Ethylene Glycol ❑Yee No 107-21-1 2 5.0 Water ❑Yea No 7732-18-5 ❑Yes No d ❑Yin No 5 ❑ Yes ❑ No Ifinereleawimumpoen Empmm'temu, in" lX by uses nrrunm"pMp or Rl%by xtlp, lfu InnlenlS Which aenlnenal Taeu N pewupf,Xnphe rtquned hermmm. ADDITIONAL LOCALLY COLLECTED INFORMATION IfEPCRA Prime Slow He" FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one once Per material Per buildine or area) ❑AD➢ DDELETE DREVISE I. FACILITY INFORMATION BUSINESS NAN@(Some m FACIL"NAME or DDA-DDinSEnnmeas AN UNITED PARCEL SERVICE CHEMICALLOCATIO CHEMICAL LOCATION CONFIDEBMAL EPCRA ❑YES [3NO FAC]LEOr IDN FA0004810 MAPS GRID# (AFmymaonly) II. CHEMICAL INFORMATION CHEMICAL NAME PETROLEUM HYDROCARBON TRADEIf Rubb to EPCRA, refer N instructions COnmIGNNAME DIESEL FUEL EHS• ❑Yen o No CAS# 68476-34-6 •I(EAS R'Rep^, all amounts below must be in lbs. FIRE CODE HAZARD CLASSES( cm uMifmgtl wyclreA) Combustible Liquid, Class II (1.1 II), Flammable Liquid, Class I -A (3.3 I -A), Irritant (Irr) HAZARDOUS MATERIAL TYPE 13, PURE © b. MIXTURE ❑ c, WASTE me own only) RADIOACTIVE Dyes ON, CURRIES(Check PHYSICALSTATE DR. SOLID Ob. LIQUID I]c GAS LARGEST CONTAINER 1lJ000.0 (Cb�k mte inw Doty) GG FEDHAZARDCATEOORIES OO r. FIRE 01. REACTIVE ❑ e PRESSURE RELEASE Eld. ACUTEHEALTH D e CHRONIC HEALTH (Clack ell that apply) AVERAGE DAILY AMOUNT MAXIMUM DNLYAMOUNT ANNUAL WASTE AMOUNT STATfi WASIECOOE 550.0 10800.0 213 UNITS, QXCGALLONS Qb.CUBICFEET ❑,POUNDS ❑d.TONS DAYSONSITE365.0 (leant ions only) 'If ou ex$ amount must be In pnds. STORAGE a. ABOVEGROUND TANK ❑ w PLA57CNONMETALLIC DRUM U i. FIBER DRUM U an GLASS BOTTLE CONTAINER ] b. UNDEROROINDTANK ❑f CAN I]j. BAG E3. PLASTIC BOTTLE 09. RAIL CAR D c. TANK INSIDE BUILDING DK.CARBOY DRBox I]a. TOTE BIN ❑[OTHER D d, STEEL DRUM Ob. SILO D1. CYLINDER Dp TANK WAGON STORAGE PRESSURE ]a. AMBIENT ❑h ABOVE AMBIENT ❑c.BELOWAMBIENT STORAGETEMPERATURE M&AMBIENT [I IN ABOVE AMBIENT ❑c BELOW AMBIENT ❑d.CRYOGENIC %Wr HAZARDOUS COMPONENT (For mixture or naste only) EHS CAS# 1 99.5 DIESEL FUEL ❑ Yee ❑ No 68476-34-6 Z 0.5 NAPHTHALENE ❑Yes ❑ND 91-20-3 ❑ Yes ❑ No ❑ Yes [3 No ❑Yen ❑No Ir mam ham,loasmmpmron art Pmfem al smannmax y mlebt o mfi4anmojwk, or ol%. y'vol <.r«ceroi..an<maeml:..l,n<.n a small 11puring me,eemm mwmenflm. ADDITIONAL LOCALLY COLLECTED INFORMATION RFP Pleue 55 Herc FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICALINVENTORY (one Fare per material Per budding or maa OADD ODELETE OUVISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACBATY NAME or DBA—Doing Business As) UNITED PARCEL SERVICE CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL EPCBA ❑YES ❑NO FACILITY IDq FA0004810 MAP» UKM essmey so only) H. CHEMICAL INFORMATION CHEMICAL NAME SPENT ANTI -FREEZE TBADESECRET OYes ONO IrSubjectto EPCRA,referbinstructions COMMON NAIAE SPENT ANTI -FREEZE EHSe ❑Yea ONO, CASH 107-21-1 of EHE is °Yes", all am mob bebw mutl be la lbs. FIRE CODE HAZARD CLASSES (Consul Ifresume by CBPA) Irritant (ITT) HAZARDOUS MATERIAL TYPE De. PURE 01b. MIXTURE NJ Is WASTE RADIOACTIVE DYN ONo CURIES (Cbak one imm only) PHYSICALSTATE OySOLID IMb.LIQUID 13.CAR LARGESTCONTAMER 55.0 (Cnak we Ron only) PEDHAZARDCATEGORBEF Qe, FIRE 06 REACTIVE OaPRBSSURERELEASE ❑dACUTEHEALTH ❑ e CHRONIC HEALTH eCAeck dl Mm apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 20.0 55.0 1 27 1 134 UNITS, N AGALLONS ❑K CUBIC FEET ❑c POUNDS ❑d. TONS DAYS ON SET:^65.0 o (Chosen me im, mly) 'If ENS, amount must be In p nd. 3 STORAGE O I. ABOVE GROUND TANK IS e. PLASTICMONMETALLIC DRUM OLFIBER DRUM Om. GLASS BOTTLE CONTAINER 0 S. UNDERGROUND TANK OLCAN Oj BAG O n. PLASTIC BOTTLE ❑q. RAIL CAR ❑ n TANK INSIDE BUILDING ❑g. CARBOY ❑k. BOX Oo. TOTE BM ❑,OTHER [I I. STEEL DRUM 06. SILO OI. CYLINDER OPTANK WAGON STORAGE PRESSURE OO a AMBIENT ❑ 1. AEOVE AMBIENT ❑,.BELOW AMBIENT STORAGETEMPERATURE I@,, AMBIENT ❑h ABOV_AMBIENT ❑ I. BELOW AMBIENT ❑1 CRYOGENIC WT HAZARDOUS COMPONENT (For mixture or waste only) ENS CAS M 1 100.0 SPENT ANTI -FREEZE ❑ Yes ❑ No El Yes ONO ❑Yes ONO ❑Ycs ❑No ❑ Yes ❑ No B.... homarmm ... ofInner men 1%bymxebN nnn..mmnanm,n. 0.1% bymAm R,mmu „mm ArAmAl shem ffpl=,,,pm,,e EM"S,,ee ADDITIONAL LOCALLY COLLECTED INFORMATION If EECRA. 1 FORM I —SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICALINVENTORY (one page per material per building or DADD ODELETE DINEVISE I. FACILITY INFORMATION BUSINESS NAME(Same M FACILITY NAME "DIA-Doing BusmessAM UNITED PARCEL SERVICE CHEMICAL LOCATION 'a CHEMICAL LOCATION CONFIDENTIAL EPCKA .. OYES ENO FACILITY ID N FA0004810 MAFN GKITAI (Aam=rwmlr) H. CHEMICAL INFORMATION CHEMICAL NAME Toxic Solids TRADESECRET ❑Yes ❑No ITBnb;eet(oEPCRA,reTerioinstrueGtla. COMMON NAME Lab Pack - Package Generated Waste EHS" ❑Yea ❑ No CASs N/A •RENS in -Yes-, all amomb below most Be in Ibn. FIRE CODE HAZARD CLASSES R mplm Nequlntl by CUNG Toxic (Tox) HAZARDOUSMATERIALTYPE O, PURE ❑b. MIXTURE ®w WASTE RAOIOAC➢VE OYes ONO CURIES pawk one imm onIO PHYSICAL STATE ©s_SOLID 130 LIQUID ❑c GAS LARGEST CONTAINER 55.0 (Check one horn Cab) FED HAZARD CATEGORIES Os FIRE E3 E RWCTIVE ❑ u PRESSURE RELEASE ❑E. ACUTE HEALTH ❑ e CHRONIC HEALTH (C6mk all root apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 55.0 1 55.0 1 110.0 1 213,352 UNITS- 0%OALLONS OR CUBIC FEET ❑C. FOUNDS ❑d TONS DAYS ON SITE:^^5.0 (Cheek weGain only) 'If Um. amount mun be in rooMc. 3b STOR,GB 0 a, ABOVEGROUNDTANK D e. PLASTICMONMETALLIC DRUM 0 i. FIBER DRUM U mGLASS BOTTLE CONTAINER E3 I. UNDERGROUND TANK ❑CCAN E3 I. BAG O m PLASTIC BOTTLE 09. RAIL CAR Oc TANK INSIDE BUILDING O&CARBOY ❑k. BOX Do, TOTE BIN ❑r. OTHER ©d. STEEL DRUM 0h00.0 OL CYLINDER OP,TANK WAGON STORAGE PRESSURE Eh. AMBIENT ❑ b. ABOVE AMBIENT ❑. BELOW AMBIENT STORAGETEMPERATURE IM L AMBIENT ❑6 ABOVE AMBIENT Ou BELOW AMBIENT I. CRYOGENIC %WT HAZARDOUS COMPONENT (Far mixture or Waste only) EHS CAS N 100.0 Toxic Solids ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No 0 ❑ Yes D No ❑Yes ❑No Irenebenra=ue=mp=nmmnrtpmel tlenvk.IM1nn1%M1yL'Ay.,lfnmennlnnvmle.np.l%M1ynnpblirnrtin=verie.vNe\ntlalnon,IsneeY Mwpnmpmnsv Xurtpuired inrormMan. ADDITIONAL LOCALLY COLLECTED INFORMATION IT EPCRA Please Si nHere FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICALINVENTORY one Page Per materiel P==LL= ❑ADD ODELErTE []REVISE I. FACILITY INFORMATION BUSINESS NAME (Same wFACILITY NAME or DBA—Going Business As) UNITED PARCEL SERVICE CHEMICAL LOCAM I CHEMICAL LOCATION CONFIDENHAL EPCRA OYES ONO FACILITY EDM FA0004810 nHTPn DRY Roomy .... IN H. CHEMICAL INFORMATION CHEMICAL NAME Corrosive Liquids TRADESECRET OYW [3 No ITgahlentm EPCHA, refer to inanveHona CDNDADNNAME Lab Pack - Package Generated Waste EHS• ❑Yes ❑ NO CAsx N/A •vDHs la •vw, all amounts below most be in mg. FIRE CODE HAZARD CLASSES (C..pkk rtay.l.e by CUPAI Corrosive (CORR) HAZARDOUSMATERIALTYPE []a.PME ❑g.MIXNRE Du WASTE RADIOACTIVE DYec ONw CURIES Sawlioneicoonly) PHYSICAL STATE ❑%soLN 06LIQUID ❑n GAS LARGEST CONTAMER 55.0 (Check rococo only) FEDHAZARDCATEGORIES IN a. FIRE ❑BREACIVE ❑ c PRESSURE RELEASE ❑&ACUTEHEALTH ❑eCHRONICHEALTH (Cho" all an apply) AVERAGE DAILY AMOUNT MAXIMUMDAILYAMOUNT ANNUALWASTEAMOUNT STATEWASTECODE 55.0 1 55.0 1 55.0 UNITS, 0 a. GALLONS ❑IN CUBIC FEET ❑ a POUNDS I] L TONS DAYS ON SITE: 365.0 (Chedoneiormly) 9rElm,account mue he in poundv STORAGE 0 L ABOVE GROUND TANK tI a PLASTICNONMETAIMC DRUM 0 LFIBER DRUM U in GLASS BOTTLE CONTAINER ❑ h. UNDERGROUND TANK ❑LCAN DL BAG t]n PLASTIC BOTTLE 0¢FAR. CAR ❑ C. TANK INSIDE BUILDING ❑1. CARBOY ❑k BOX [3 Tom BM ❑1.. cGRER Is P. STEEL DRUM ❑ h. SILO 0 L CYLINDER [3 E. TANK WAGON STORAGE PRESSURE 914. AMBIENT ❑BABOVEAMBIENF ❑ c. BELOW AMBIENT STORAGETEMPERATURE ©I. AMBIENT ❑R ABOVE AMBIENT ❑ c. BELOW AMBIENT []d CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS If 100.0 Corrosive Liquids ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes [:] No ❑ Yes ❑ No bounden,If non" mmp•^^m.n pool or lmlee in,, Ix byought rnn.o.. knows" no III% or "Of it...oWs.niv.n..N Wamonn.nau or qp.. e.pwtlnl he rtemM mnrn.nu. ADDITIONAL LOCALLY COLLECTED WFORMATION FORM I—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICALINVENTORY (me page per material per building or area []ADD (]DELETE DWISE I. FACILITY INFORMATION BUSINESS NAME Omooan FACILITY NAME or DBA— Doing Business As) UNITED PARCEL SERVICE CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL EPCRA []YES []NO FACILITY ID FA0004810 MAN GRIDS! IAwwymb.,10 if. CHEMICAL INFORMATION CHEvHCALNAME Corrosive Solids TRADESECRET Yes No EPCRA, instructions If Subject to refer to CDMIMON NAm13 Lab Pack - Package Generated Waste ❑ Yea ❑ No EHS" CAsa NIA *If EHS is "Yes", all Summary below must be in lbs. FIRE CODE HAZARD CLASSES N nplem lf,w.i,ed by royal Corrosive (CORR) HAZARDOUSMATERWLIVPB [3n PURE ❑d MIXTURE ©e WASTE RADIOACTIVE DYee ONo CURIES (Clack one man only) PHYSICALSTATE SOLID Ob. LIQUID Qe. GAS LAR007CONTAINER 55.0 tem (Ch"k one ionly) FEE HAZARD CATEGORIES III FIRE El . REALTIVB D a PRESSURE RELEASE ❑d. ACUTE HEALTH D e. CHRONIC HEALTH (Cheyk ell IM1m apply) AVERAGE DAILY AMOUNT MAXIMUM DAMY AMOUNT ANNUALWASTEAMOUNT STATE WASTE CODE 30.0 55.0 110.0 1 181 UNITS' []xa. GALLONS ❑ECUBICFEET El a. POUNDS ❑a TONS DAYS ON MITE:^65.0 3 (Chmkomi,nnonly) 91EHS.pmeumn'witelo pounds. STORAGE a ABOVE GROUND TANK ❑e. PLASTICMONMh-PALL koy U i. FOR DRUM U In. GLASS BOTt1.E CONTAINER ❑b. UNDERGROUND TANK ❑LCAN 13). BAG On PLASTIC HOME O¢RAILCAR ❑c. TANK INSIDE BUILDING ❑S. CARRY Ok BOX Oo. FILM BIN ❑"OTHER O" d. STEEL DRUM ❑ b SILO O I. CYLINDER ❑ p TANK WAGON STORAGE PRESSURE I]n. AMBIENT ❑b ABOVE AMBIENT ❑c BELOW AMBIENT STORAGETEMPERATURE ®a. AMBIENT O b. ABOVE AMBIENT ❑c. BELOW AMBIENT Od CRYOGENIC %WT HAZARDOUS COMPONENT (For mixBon or waste only) EHS CAS 8 1 100.0 Corrosive Solids ❑ Yes ❑ No R ❑ Yes ❑ No 3 ❑Yes No 4 ❑Yes No 5 ❑Yes No Ifmon hanNewennpmeume,e patent 9owher one t%by mtleM if M.onf..esn"..dw1w 4,60,8eem nnttnly ennheddili ... Lh®hMMPI,apN,i.athe Mulyd l,lww im. ADDITIONAL LOCALLY COLLECTED INFORMATION If EP PleueS' Hve FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICALINVENTORY one Does Per material per bunkfire or area ❑ADD (]DELETE LIREvisE L FACILITY INFORMATION BUSINESS NAME(same n:FACMITYNAME cr DBA-Dating1hslnneaAs) UNITED PARCEL SERVICE CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES ONO FACILITTID# FA0004810 MAP# GRID# (A�cywmly) U. CHEMICAL INFORMATION CHEMICALNAW Flammable Liquids TRADESECRET Yu ONO IfSubjxlm EPCRA, refer min utl ops COMMON NAME Lab Pack - Package Generated Waste EH3* ❑Vo ONa CAs# N/A *Ireas is ewer, an anmpnLa below must be is IN. FIRE CODE HAZARD CLASSES (LbmpRm ommuS ey cusA) Flammable Liquid, Class I -A (3.3 I -A) HAZARDOUS MATERIAL TYPE De.PURE O1,MU'NRE ®'.WASTE RADIOACTNB DYu ONp CURIES (Cheek me imn Only) PHYSICAL STATE ❑..SOLID ©IELIQU1D I]c GAS LARGESTCONFAMER 55.0 (Check we from Only) PRO HAZARD CATEGORIES ®v FIRE 06INACTIVE ❑ e PRESSURE RELEASE OdACUTEHEALTH ❑ e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMODM ANNUAL WASTE AMOUNT STATE WASTE CODE 50.0 55.0 110.0 212,213 UNITS, ©a.OALLONS [JECUBICFEET ❑c, POUNDS ❑&TONS DAYS UN S'TE.365.0 (Check One own MY) 'If RHs, amount must he am put STORAGE 0 A ABOVE GROUND TANK 13e. PLASTICMONMETALLIC DRUM 0 iFIBER DRUM WouGLASSBOTTLE CONTAINER O b. UND60.GROUND TANK ❑CCAN Oj. HAD ❑ _PLASTIC ROME 13R.IAILCAR ❑ c. TANK WHOP BUILDING ❑S. CARBOY Ok. BO% Da TOTE BIN Oc OTHER is d STEEL DRUM 0 h SRO O L CYLINDER E3 P. TANK WAGON STORAGE PRESSURE 91&AMBIENT ❑b. ABOVE AMBIENT ❑ c, BELOW AMBIENT STORAGE TEMPERATURE JRn. AMBIENT ❑ b. ABOVEAMBIENT ❑c,BELOWAMBIENT ❑E. CRYOGENIC %W HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 100.0 Flammable Liquids ❑ Yea ❑ No 2 ❑Yes ❑No ❑ Yes (] No ❑Yes ONO ❑Yes 0NO umorehveraera m.p....teen pia rl graft, than I%by"of if...artuapria.nr 0.1% it xeieM1ur cmu"=1. much esemee sthmft nl";reymme ne reem,M minim lle ADDITIONAL LOCALLY COLLECTED INFORMATION IfEP IUk. Pie A se Sig nHere FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICALINVENTORY (one ae Der malednl erbmM onrea DADD DDELETE DREVISE I. FACILITY INFORMATION BUSINESS NAME (Same an FACILITY NAME Be DBA—Dumgansmess As) UNITED PARCEL SERVICE CHEMICAL LOCATIC CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑YES ONO PACILTTY IDK FA0004810 MAPM GRIDN Ouncess only) lt. CHEMICAL INFORMATION CHEMICAL NAME Flammable Solids TRADESECRET Yes 0 No If Subject to EPCRA, refer to Instructions COMMON NAME Lab Pack - Package Generated Waste INSS ❑ Yes p No CASK N/A +Ir FES is-Yn", all amounts below meal be in lbs. FIRE CODE HAZARD CLASSES (Wmwemvmaaatl by rural Flammable Solid (3.1) HAZARDOUS MATERIAL TYPE �a. PORE ❑NMIXTURE Qe. WASTE RADIOACTIVE Cl ONO CURIES (( Awkovmlem only) PHYSICAL STATE Qn SOLID ❑b, LIQUID De. GAS LARGEST CONTAINER 55.0 (Cheek one item only) t CD L:A7ARD CATEGORIES I]a FIRE Qh REACTIVE ❑nPRESSURERELEASE ❑E. ACUTE HEALTH ❑eCHRONICHEALTH (check MI am Apply) AVERAGE DAILY AMOUNT MAXIMUM BABY AMOUNT ANNUALWASTEAMOUNT STATE WASTE CODE 50.0 55.0 165.0 212, 213, 272 UNITS, I@, GALLONS ❑ECUBICFEET ❑a POUNDS ❑dTONS DAYRDNRDE'365.0 (Check one item only) 'If EFS. measurement Mein PMa oa STORAGE 0 e. ABOVE GROUND TANK ❑ e PLASTIC/NONMETALLIC DRUM U LFIBER DRUM Om GLASS BOTTLE CONTAINER ❑ a UNDERGROUND TANK ❑[RAN ❑j.BAG O A. PLASTIC BOTTLE ❑q RAIL CAR O e. TANK INSIDE BUILDING 13&CARBOY ❑LBOX Oo. TOTEBIN Oc OTHER © L STEELDRUM ❑ D. SBA ❑ I CYLINDER O p TANK WAGON STORAGE PRESSURE ©A. AMBIENT ❑RABOVEAMBIENT On, BELOW AMBIENT STORAGE TEMPERATURE ®c AMBIENT ❑ E. ABOVE AMBIENT ❑a BELOW AMBIENT Od. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or wash only) EHS CASH 1 100.0 Flammable Solids ❑Yes ❑No ❑Yes ❑NO 3 ❑ Yes ❑ No 4 ❑Yes ONO ❑ Yes ❑ No e more hmnmme empsma Am ommI Ar Summer be, A ea owning ir nomaemeame, Or al x by won o mme eaenk, m=m assess man a w;r mpamm the mrmma Innemmon. ADDITIONAL LOCALLY COLLECTED INFORMATION If EFCRA, Please Sive Here i FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL EWENTORY en makrfal rbugd'o m OADD ODELETE OREVISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME at D LA —Doing Business As) UNITED PARCEL SERVICE CHEMICAL LOCATK CHEMICAL LOCATION CONFIDENTIAL FRCRA DYES; 0NO FACB.ITYIDb FA0004810 MA" GIUD# (Ayxyunmly) H. CHEMICAL INFORMATION CHEMICAL NAME Other Regulated Substances, Liquid TRADESECRET Yes [3No IPSubjeet to EPCRA, refer to instructions COMMON NAME Lab Pack- Package Generated Waste EHSa ❑Ycs ONn CAS# 'If ]HE Is °Yes", all amounts below must N in lbs. FIRE CODE HAZARD CLASSES (Cems,nifngwmd ky Cm%) HAZORDOUSMATERIALTYPE CI&PURE ❑b.MDTURE Ot WASTE RADIOACTIVE 13Yev 13No CURIES (Checkona ibm mly) PHYSICALSTATE ❑,.SOLID ©LLIQUID Oc,GAS LAROESTCONTAINER 55.0 (Check one ikm mly) FEDHAZARDCATEGORIES St'FIRE ❑b. REACTIVE Q e. PRESSURE RELEASE ❑A. ACUTE HEALTH ❑e. CHRONIC HEALTH (Check all Rd apply) AVERAGE DAILY AMOUNT MAXIMUMOAILYAMOUNT ANNUALWASTEAMOUNT STATEWASTECODE 27.0 1 55.0 1 110.0 1 343 UNITSe QXn, GALLONS OhCUBICFEET ❑t POUNDS ❑d. TONS DAYS ON SITE: a'tl^5.0 3 (GVJne ooilemmdy) 'If ENS, smounlmost been Ramada. STORAGE 0 e. ABOVE GROUND TANK ❑. PLASTICNONMEIALLIC DRUM Q LFIBER DRUM ❑m GLASS BOTTLE CONTAINER ❑ R. UNDERGROUNDTANK ❑f CAN ❑j.BAG ❑ n. PLASTIC BOTTLE ❑q. RAN. CAR ❑ t TANK NSNEBUILDING E7 R. CARBOY ❑ t BOX ❑ o. TOTE BIN ❑ r.OTHER O'd. STEEL DRUM OhSILO ❑L CYLINDER 01. TANK WAGON STORAGE PRESSURE I],.AMBIENT ❑hABOVEAMBB:NT ❑t BELOW AMBIENT STORAGETEMPERATURE Oa. AMBIENT ❑b. ABOVEAMB@M ❑o.BELOWAMBIENT ❑d.CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 100.0 Other Regulated Substances, contaminated liquid ❑ Yes O No ❑Yes No ❑Yes No d ❑ Yes ❑ No ❑ Yes ❑ No 1lmoreFuardommmpmnmlurtpwml uerene.nm I%Ha':dunn:nrtm,Rmo.ra:x by ragn]r,vrmuamic,roa,fGno,nsnwu W Wp�'aPNnn[ mem:u:na Iabmutlm. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCR A. Name Shot Here FORM I— SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICALINVENTORY oB materiel erHnihim. n .", LIADD DDELETE OPUAGM I. FACILITY INFORMATION BUSEi NAME (Same as FACILITY NAME or DBA— DoingNusiness AUG UNITED PARCEL SERVICE CHEMICAL LOCATION Hazardous Waste Storage Area CHEMICALLOCRIIONCONFBDENTIALEMRA OYES; ONO FACMITY to FA0004810 MA" cRIDa (A�ay YnmlYi IL CHEMICAL INFORMATION CHEMICAL NAME Toxic Liquids TRADESECRET ❑Yes ONO IfSubjeet%EPCRA,referloinstruetioms COMMON NAME Lab Pack -Package Generated Waste ENS* ❑Yes ❑ No CAm NSA *If ENS is"Yes', all amounts below must he in lh., FIRE CODE HAZARD CLASSES (Cmpeied,o lmt INCUPA) Toxic (Tox) HAZARDOUS MATERIAL TYPE OAPURE ❑KMIXTURE Elc. WASTE MDIOACTIVE DYes (]No CURIES (Cbvk one Jam only) PHYSICAL STATE i]a. SOLID IS KLIQUID ❑n GAs LARGEST CONTAINER 55.0 (CEodamcimoml() FED HAZARD CATEGORIES DaFin ❑b. REACTIVE ❑c PRESSURERELEASE ❑d ACUTE HEALTH ❑e. CHRONIC HEALTH (CMck WE GO apply) AVERAGE DAILY AMOUNT MAxMNMDAILYAMOUNT ANNUAL WASTE AMOUNT STATEWASTECODE 50.0 1 55.0 1 110.0 1 211 UNITS' ©e GALLONS OECLAMCFEET ❑0. POUNDS ❑d. TONS DAYSONSITE: 365.0 (Cbe"L"n. ilemmly) 'I( ENS, em.ont must be In pounds 3 STORAGE O e ABOVE GROUND TANK O& PLASTIGNONMETALLIC DRUM ❑LFIBER DRUM ❑m GLASS BOII'LE CONTAINER ❑ b. UNDERGROUND TANK 0f CAN ❑j.BAG ❑ n. PLASTIC BOTIIE MuRAILCAR O c TANK INSIDE BUILDING ❑k BOX I]o. TOTE BIN 13 r. OTHER A&CARBOY O d. STEEL DRUM M1SILO DI. CYLINDER ❑Is TANK WAGON STORAGE PRESSURE ®&AMBIENT ❑h ABOVE AMBIENT Qa BELOW AMBIENT STORAGETEMPERATURE I]a AMBIENT ❑d ABOVE AMBIENT ❑c.BELOWAMBIEM ❑&CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) ENS CAS a 1 100.0 Toxic Liquids ❑Ye.. ❑No 2 ❑Yes ❑No 1 ❑Yes ❑NO ❑Yes ❑No ❑ Yes ❑ No rtme,. n..m...mmr..mm..r y.ermmpe.m. m.n tx q.arnur.....re cam.... a.Ix by might If en.n eeeme"nm.em nrp.w. apW r,e nenamimdmbrvwm. ADDITIONAL LOCALLY COLLECTED INFORMATION IfEPCRA Please Stan Here FORM I—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY on materWl vhulldin n ❑ADD ODELETE ❑REVISE I. FACILITY INFORMATION BUSCNESS NAME(Same as FACILITY NAMEWDBA-DoinSBufl -.. As) UNITED PARCEL SERVICE MIEMICALLOCAMON CHEMICAL LOCATION CONFIDENTIAL EPCRA []YES 13NO FACILITYIDN FA0004810 MAIN GRIDk (As e..ymonlr) [I. CHEMICAL INFORMATION CHEMICAL NAME Other Regulated Substances, Solid TRADESECREf Yes ONo ❑SabjeeHOEPCRA,rNersoinssrucfions CONIbION NAME Lab Pack - Package Generated Waste exsa ❑ Ye.. ❑ No CAS# NIA *If R.ESIs"Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (coAnl as ifMWi,m by CUPA) HAZARDOUS MATERIAL TYPE Da PURE [I a. MIXTURE El WASTE RADIOACTIVE ❑Ym ONo CURIES (CFMans item only) PHYSICAL STATE El SOLID Ob. LIQUID E3 c. OAS LARGEST CONTAIN 55.0 (C,,AL imnoNY) FED HAZARD CATEGORIES Ella FIRE Ob. REACTIVE (]nPRESSURERELEA56 (]6 ACUTE HEALTH ❑e. CHRONIC HEALTH (Check At that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT' ANNUAL WASTE AMOUNT STATE WASTE CODE 50.0 55.0 110.0 352, 561, 221 UNITS' ©n GALLONS ❑b. CUBIC FREE ❑,.POUNDS ❑d. TONS DAYS ON SITE:^^5.0 31� (Cherione i4m only) 'If ENS. ounWet Mgt be in PoumdL STORAGE ❑ e. ABOVE GROUND TANK O e. FLASTICNONNETALLIC DRUM Ui. k MILE DRUM U M. GLASS BOTTLE CONTAINER ❑ b. UNDERGROUND TANK ❑f CAN OLBAG ❑ n. PLASTIC BOTTLE ❑q. RAIL CAR ❑c TANK INSIDE BUILDING Q6 CARBOY ❑k. BOX ❑o. TOTE BIN El r.OTHER 91 STEEL DRUM OLSRA ❑- CYLINDER 13, TANK WAGON STORAGE PRESSURE ©L AMBIENT ❑h ABOVE AMBIENT O c. BELOW AMBIENT STORAGE TEMPERATURE t7, AMBIENT ❑h ABOVE AMBIENT ❑c. BELOW AMBIENT Od CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS M 1 100.0 Other Regulated Substances, contaminated materiel ❑ Yed ❑ No Z ❑Yes No 3 ❑Yes ❑No ❑Yes No 5 ❑ Yes ❑ No R..rtn®m....nmvo^^n.,.vrun.IrreeN.she. I%bymleM rt...-..rtm.era:r..,olxmwnenur..rtmoyJ..emn.ddifimei,nxu orwwrwU,rme the req,h" ADDITIONAL LOCALLY COLLECTED DEFORMATION If KP .Please nHoe .l FORM I— SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) FORM I— SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHENHCALINVENTORY n centeredtrbaar ❑ADD LIDELEM ❑REVISE L FACILITY INFORMATION BUSINESS NAME (Sarre as FACILITY NAME or DHA—Doing Busiuees As) UNITED PARCEL SERVICE CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL EECRA ❑YES ❑NO FACILITY III FA0004810 SLOW ORIN Mumm mmly) IL CHEMICAL INFORMATION CHEMICAL NAME Oxidizing Liquid TEADESECEEF ❑Ym ONo ENCRA, instructions USsb)em to ferric t COMMON NAME Lab Pack - Package Generated Waste EHS' ❑Yes ❑No CAsN NSA 'If EHS iseYm", all amount below must be in He. FIRE CODE HAZARD CLASSES (Cmplm if rey.iren by CIIPA) Oxidizer, Class 1 (4.3-1) HAZARDOUS MATERIAL TYPE 0&PURE ❑G MIXTURE Ow WASTE RADIOACTIVE OYU [I NO CURIES ekrottm (@eoicoy) PHYSICAL STATE ❑e. SOLID Mb LIQUID ❑u.GAS LARGESTCONTAINER 55.0 (CFed onii witi mly) FED HAZARD CATEGORIES ®aFIRE MI Ix REACTIVE ❑cPREESURERELEASE Od. ACUTE HEALTH ❑ e. CHRONIC HEALTH (Cbwk dI the apply) AVERAGE DAILY AMOUNT MAXIMUMDAILYAMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 27.0 1 55.0 1 110.0 1 181 UNTIM' M&GALLONS ❑b.CUBICFEET De POUNDS ❑a TONS DAYS ON SM:^65.0 (Cheomimnooly) 'If EHS,emomduent Iris pounds. d 3 STORAGE O a. ABOVE OROUNDTANK ❑ a PLASTICMONMETALLIC DRAM Ui. FIBER DRUM ❑m. GLASSBOTILE CONTAINER ❑ b. UNDERGROUND TANK ❑LCAN ObBAG ❑n. ELASTIC ROME 0¢RAIL CAR O c TANK INSIDE BUILDING ❑S. CARBOY ❑k BOX [I TOTE BIN OT,OTHER O d STEEL DRUM Oh SILO DLCYt-mfsm OP TANK WAGON STORAGE PRESSURE IN n. AMBIENT 04 ABOYE AMBIENT ❑c BELOW AMBIENT STORAGETEMPERATURE Ida AMBIENT Oh ABOVE AMBIENT ❑c BELOW AMBIENT ❑i CRYWENIC %WT HAZARDOUS COMPONENT (For mixture or Wuste only) EHS CAS N 1 100.0 Oxidizing Liquid ❑Ye. ONO ❑Yes ❑No 3 ❑Yes ❑NO ❑Yes ❑No ❑Yes ❑No vm.me®.ra.w..vP..mo,m emm,n rmkr ohm 1%by ousbt if.r.-e.amemi""p.l%NrNsltIrm"insimi.. arms radnlmal deanor mpm "pranng th. rtmna Mromaim. ADDITIONAL LOCALLY COLLECTED INFORMATION If RA Please Sion Here FORM I— SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY om maetlal erbalam pram DADD DDELEIE OREVISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITYNAMEof DBA— DpmKBueiness As) UNITED PARCEL SERVICE CHEMICAL LOCATION CHEhICAL LOCATION CONFIDENTIAL EPCRA 13YO ONO FACILITY ID FA0004810 MAPS GAIDp (A[mrymemly) IL CHEMICAL INFORMATION CHEMICAL NAME Oxidizing Solid, N.O.S. TRADESECRET Yes No HS.p;eettd EPCM, rml.mvnebmnn COMMONNAME Lab Pack - Package Generated Waste EHBt ❑Yap No CASS N/A 'If ENS Is "Yee', all emosnh below mum be I. Ips. FIRE CODE HAZARD CLASSES (Dowlm If a Iiet W COCA) Oxidizer, Class 1 (4.3-1) HAZARDOUS MATERIAL TYPE Do PURE I]h MIXTURE Oc WASTE RADIOACTIVE DYce ON, CURIES (Cheskona immmly) PHYSICALSTATE De, SOLID Ob.LIQUID ❑uGAS LARGESTCONTAMER 55.0 (Chvkoneinmmly) FED HAZARD CATEGORIES De FIRE El REACTIT ❑ e PRESSURE RELEASE ®IACUTE HEALTH DeCHRONIC HEALTH (cnmk aI them apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUALWASTEMIOUNT STATE WASTE CODE 50.0 55.0 110.0 1 181 UNITS. ML GALLONS ❑b CUBIC FEET ❑ c POUNDS ❑ E. TONS DAYS ON SITE: 365.0 (Ch¢kone inmwly) -if ENS, amount must he in pounds. STORAGE ❑e. ABOVE GROUND TANK I, PLASTICMONMETALLIC DRAM Ui. FIBER DRUM 0 InGLASS BOUCLE CONTAINER ❑ b. UNDERGROUND TANK L CAN Ol BAG LI a. PLASTIC BOTTLE I q. MIL CAR ❑ c TASK INSIDE RI IILDING 06 CARBOY ORBOx ❑o. TOTE BIN OcOTHER Md. STEELDRLM E3 h. SILO OL CYLINDER Op. TANK WAGON STORAGE PRESSURE I]a AMBIENT Oh ABOVE AMBIENT ❑e. BELOW AMBIENT STOMGETEMPERATURE ®a AMBIENT Oh ABOVE AMBIENT ❑aBELOWAMBIENT ❑L CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or weste only) EMS CAS N 1 100.0 Oxidizing Solid, N.O.S. ❑ Ym ❑ No ❑Y® No 3 ❑ Yes ❑ No 4 ❑Yq No ❑Yes No Ilmore nevre.., mmpnnmm.re Pm+enl nwlm map Ix Ey,reNt R.onoreino[mm.oratx nymlenurvrtivnmp.,INi.aalXmelancem orvtyervPvtln[me vv.Irtl mn.mxfiu. ADDITIONAL LOCALLY COLLECTED MFORMATION