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HomeMy WebLinkAboutHistoric Chem InventoryFORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one page per material per building or area ❑ADD [—]DELETE REVISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) HANSON AGGREGATES CHEMICAL LOCATION M< CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES NO FACILITY ID # FA0002505 MAP# GRIDH (Agency use only) H. CHEMICAL INFORMATION CHEMICAL. NAME S O L O M O N COLORS I RARE S[:CRIS h ❑ No Yes If Subject to EPCRA, refer to instructions COMMON NAME 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 GAS ❑ a ❑ L� LARGEST CONTAINER A 00.0 (Check one item only) FED HAZARD CATEGORIES ❑ a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ❑ d. ACUTE HEALTH ❑ e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 3000.0 1 4400.0 UNITS* ❑X a GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d TONS DAYS ON SITE: 365.0 (Check one itein only) *If EHS, amount must be in pounds, S FORAGE IM a ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM 0 t. FIBER DRUM 0 in. GLASS BOTTLE CONTAINER ❑ h. UNDERGROUND TANK ❑ f. 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 ❑ 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 2 ❑ Yes ❑ No 3 ❑ Yes ❑ No 4 ❑ Yes ❑ No 5 ❑ Yes ❑ No I more blmledws coin ponen is are present al penter than V4. bt ,,,iglu if non-eareinogemc, or tl.l % by weight it carcinogenic, olfarh odditionot sheets or paper cnpturiag Ihr required information. ADDITIONAL LOCALLY COLLECTED INFORMATION If P:PCRA Please SI,n Here FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one page per material per building or area) []ADD []DELETE ItE:V IS 1' 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 ❑ 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 [3.. 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 ❑ 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* • a. GALLONS b. CUBIC FEET Q Q ❑ 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 E3 e PLASTICINON METALLIC DRUM C3 i. FIBER DRUM m. GLASS BOTTLE CONTAINER ❑ b. UNDERGROUND TANK ❑ f. 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 [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 only EHS CAS # 5.0 2-methylpentane-2,4-diol ❑ Yes ® No 107-41-5 2 1.0 vinyl acetate ❑ Yes ®No 108-05-4 3 ❑ Yes ❑ No 4 ❑ Yes ❑ No S ❑ Yes ❑ No If more haubrdous components are prevent at greater than I % by weight if non -carcinogenic, or 0.1 % by weight if carcinogenic, attach additional %herbs of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA. Please Si n Here FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) :orareja CHEMICAL INVENTORY one page per material er huildin ❑ADD []DELETE REVISI? 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 MAP# 7 GRID# (Agency use only) H. CHEMICAL INFORMATION CHEMICAL NAME Da i I I TRADE SECRET ❑ Yes 0 No raf If Subject to EPCRA, refer to instructions COMMON NAME Darafill EHS* ❑Yes ❑ No CAS# *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE I I \ /. \ R 1) CLASSES (Complete if required by CUPA) Carcinogen (CARC), Sensitizer (Sens), Toxic (Tox) HAZARDOUS MATERIAL TYPE ❑ a. PURE M b MIXTURE 0 c WASTE RADIOACTIVE []Yes❑ No CURIES (Check one item only) PHYSICAL STATE 13 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 ® e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL. WASTE AMOUNT STATE WASTE CODE 3.0 1 5.0 UNITS* @ 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 L3 a. ABOVE. GROUND TANK 0 e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM ❑ in GLASS BOTTLE 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 CAS 68603-42-9 1 100.0 Coconut fatty acid diethanolamide ❑ Yes ® No 2 5.0 Diethanolamine ❑ Yes ® No 111-42-2 3 ❑ Yes ❑ No d ❑ Yes ❑ No ❑ Yes ❑ No If more hazardous components are present at greater than 1 :4 by weight if oon•careinogenic. or 0.1 % by weight if cartinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA Please Si n Here FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one page per material per building or area ❑ADD ❑DELETE ❑REVISE 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) HANSON AGGREGATES CHEMICAL LOCATION Mi SE CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES ❑ NO FACILITY 1D # FA0002505 MAP# GRID# (Agency use only) H. CHEMICAL INFORMATION CHEMICAL NAME P O LARS ET TRADE Sf:CRE'P Yos No 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 0 In. MIXTURE ❑ e. WASTE RADIOACTIVE ❑ Yes ❑ No 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) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 1300.0 1 1800.0 UNITS* ❑X a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS :1 DAYS ON SITE: 365O (Check one item only) -if EHS, amount must be in pounds . STORAGE a. ABOVE GROUND TANK e. Pf.ASTICMONMCTAI.LIC DRUM i. FIBER DRUM m. GLASS BOTTLE CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE [3 q. RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX ❑ o. TOTE BIN 13 r. OTHER ❑ d. STEEL DRUM ❑ In. SILO ❑ I. CYLINDER ❑a p. TANK WAGON STORAGE PRESSURE ❑x a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE El a. AMBIENT ❑ b ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC u 'or It 1\ tl l or waste only) FrIs eft N 1 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 5 10.0 METHYLDIETHANOLAMINE ❑ Yes ❑ No 000105-59-9 If more h utardous components are present at greater titan 1 % by weight it notrcarcinogenic, or 0.1 % by weigh) ircareinogenic. auach additional sheet of paper capturing the rrquired information. ADDITIONAL LOCALLY COLLECTED INFORMATION Ir EPCRA Plea. a Si n Ilere FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one page r material r buildingor 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 ❑ No instructions If Subject to EPCRA, 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 0 b. MIXTURE ❑ c. WASTE RADIOACTIVE ❑ Yes []No CURIES (Check one item only) PH Y SICAL STATE ❑ a. SOLID 0 b, LIQUID ❑ c, GAS LARGEST CONTAINER � y � / y L v (Check one item only) . FED HAZARD CATEGORIES El a FIRE ❑ b. REACTIVE [I c. PRESSURE RELEASE 0 d. ACUTE HEALTH 0 e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 200.0 1 250.0 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 pounds. STORAGE a. ABOVE GROUND TANK E3 e. PLASTIC/NONMETALLIC DRUT-70 i. FIBER DRUM 0 in. GLASS BOTTLE CONTAINER ❑ b, UNDERGROUND TANK ❑ f. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE ❑ q. RAIL CAR 0 c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k, BOX ® o. TOTE BIN ❑ r, OTHER 0 d, STEEL DRUM ❑ h. SILO ❑ 1, CYLINDER 0 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 2 ❑ Yes ❑ No 3 ❑ Yes ❑ No 4 ❑ Yes ❑ No ❑ Yes ❑ No If more hazardous components are present at greater than 1% by weight if non -carcinogenic, or 0.1% by weight ircarcinogenic, attach additional shreb of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA Please Sin Here FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one page ur mnirrial rr buildin or arra ❑ADD [—]DELETE ❑Rt'.V ISE I. FACILITY INFORMATION I111SINF•.SS NAME. (Same as FACILITY NAME or DBA —Doing Business As) HANSON AGGREGATES - CHEMICAL LOCATION ,SH CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES ❑ NO FACILITY ID # (Agency use only) FA0002505 MAPH GRID# II. CHEMICAL INFORMATION CHEMICAL NAME CAR WASH 2000 I RADI SECRET ❑ Yes ❑ No If Subject to EPCRA, refer to instructions COMMON NAME CAR WASH 2O00 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 I] b. MIXTURE ❑ c. WASTE (Check one item only) RADIOACTIVE ❑ Yes []No CURIES PHYSICALSTATE ❑ a SOLID h LIQUID ❑ c. GAS (Check one item only) LARGEST CONTAINFR 250.0 FED HAZARD CATEGORIES ❑ a. FIRE ❑ b. REACTIVE ❑ c, PRESSURE RELEASE ❑ d. ACUTE HEALTH ❑x e. CHRONIC HEALTH (Check all that apply) AVERAGE: DAILY AMOUNT 200.0 MAXIMUM DAILY AMOUNT 250.0 ANNUAL WASTE AMOUNT STATE WASTE CODE UNITS* 0a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS (Check one item only) *If EHS, amount must be in pounds. DAYS ON SITE: STORAGE LEI a. ABOVE GROUND TANK E3 e. PLASTICINONML•'TALLIC DRUM i. FIBER DRUM ❑ to GLASS BOTTLE CONTAINER ❑ b, UNDERGROUND TANK ❑ F. 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 ❑ l CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE I@ a AMBIENT ❑ b ABOVE AMBIENT ❑ c BELOW AMBIENT STORAGE TEMPERATURE a AMBIENT ❑ b ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC W(]-or nux ure or w, s i! 1 O HAZARDOUS COMPONENTS AT 1% OR GREATEI []Yes ❑ No 2 ❑ Yes ❑ No 3 ❑ Yes ❑ No d ❑ Yes ❑ No i ❑Yes ❑ No If more hasmdoua camponeutr are In —at to treater thou 1 % by weiYbt it non•curcinoltenic, or 0.1% by x65:111 if tarctnogellir, anaclr additionnt bco, or paper copnving Um required inforanttion. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA, Please Si ,tt Herc I Mass FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one Rare per material cr buildin or area ®ADD []DELETE []REVISE 200 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 1 MAP# (optional) 203 GRIDII (optional) 204 FACILITY ID # 2 D-7 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET 0 Yes 10 No tut, Crete -Off Concrete Dissolver If Subject to EPCRA, refer to instructions 208 EHS' El Yes ElNo COMMON NAME 207 CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 211 HAZARDOUS MATERIAL TYPE ❑ a. PURE ® b. MIXTURE [:1c. WASTE 212 RADIOACTIVE ❑ Yes ® No 211 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'ATFCTTnRTFS ❑ a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ® d. ACUTE HEALTH ® e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 219 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 22U 200 1 250— 1 UNITS" ® a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS 221 DAYS ON SITE: 222 (Check one item only) "If EHS, amount must be in pounds. 365 STORAGE L1 a. ABOVE GROUND TANK e. PLASTICINONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE 223 CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ j. 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 225 %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 234 235 236 237 3 ❑ Yes ❑ No 238 239 240 241 4 ❑ Yes ❑ No 242 243 244 245 5 ❑ Yes ❑ No If more hazardous components are present at greater than 1 % by weight if non -carcinogenic, or 0.1 % by weight If carcinogenic, attach additional shetis or paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Sign Here 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 ]area one a e per material per building ®ADD []DELETE []REVISE 200 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 (optional) 20371GRID# (optional) 204 FACILITY ID # 7� 3 H-7 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes Ll No 206 DCI-S If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* ❑Yes []No CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete irrequired by CUPA) 210 211 HAZARDOUS MATERIAL TYPE ❑ a. PURE ®b. MIXTURE ❑ c. WASTE 212 RADIOACTIVE El Yes ®No 213 CURIES (Check one item only) 214 PHYSICAL STATE [:)a SOLID ® b. LIQUID ❑ c. GAS (Check one item only) 215 LARGEST CONTAINER 55 716 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 21 s ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 40 55 221 UNITS* ®a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d TONS 1 DAYS ON SITE: 222 (Check one item only) *If EHS, amount must be in pounds. STORAGE a. ABOVE GROUND TANK e. PLASTICNONMETALLIC DRUM i. FIBER DRUM n m. GLASS BOTTLE 223 CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ j 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 ❑ I. CYLINDER ❑ 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 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 226 227 228 229 1 1-10 Calcium Nitrate ❑ Yes ❑ No 010124-37-5 230 231 232 233 2 25-50 Calcium Nitrite ❑ Yes ❑ No 013780-06-8 234 235 236 237 3 ❑ Yes ❑ No 238 239 240 241 4 ❑ Yes ❑ No 242 243 244 245 5 ❑ Yes ❑ No 1f more hazardous components are present at greater than 1 % by weight if oon•carcinogenie, or 0.1% by wtight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 C:\Documents and Settings\coverlw\IVIy Documents\LCD's Ternp file-_116__i:C;\San 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 per building or area) ❑ADD ®DELETE ❑REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME (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 zo EPCRA ❑ YES ®NO MAP# (optional) 203 GRID# (optional) 20,11 1 D-7 CHEMICAL INFORMATION 205 TRADE SECRET ❑ Yes ® No 206 If SubJect to EPCRA, refer to instructions 207 Zoe EHS* ❑ Yes ❑ No 209 *If EHS is "Yes", all amounts below must be in lbs. HAZARDOUS MATERIAL TYPE 211 (Check one item only) ❑ a. PURE ® b. MIXTURE ❑ c. WASTE RADIOACTIVE ❑ Yes ❑ No PHYSICAL STATE 214 (Check one item only) ❑ a. SOLID ® b. LIQUID ❑ c. GAS LARGEST CONTAINER 500 FED HAZARD CATEGORIES (Check all that apply) ❑ a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ® d. ACUTE HEALTH AVERAGE DAILY AMOUNT 27500 IMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 400 UNITS* ® GALLO 210 212 213 CURIES 215 216 ® e. CHRONIC HEALTH 1 I STATE WASTE CODE 220 a. NS ❑ b. CUBIC FEET ❑ c. POUNDS (Check one item only) *If ❑ d. TONS 221 DAYS ON SITE: ZZ STORAGE ®a. ABOVE GROUND TANK EHS, amount must be in pounds 365 CONTAINER ❑ b. UNDERGROUND TANK e. PLASTIC/NONMETALLIC DRUM ❑ f. CAN i. FIBER DRUM ❑ GLASS BOTTLE 22; ❑ c. TANK INSIDE BUILDING ❑ g• CARBOY ❑ J• BAG ❑ BOX ❑ n. PLASTIC BOTTLE ❑ r. OTHER ❑ d. STEEL DRUM ❑ h. SILO 1. ❑ I. CYLINDER o. ❑ o. TOTE BIN ❑ p. TANK WAGON ❑ q, RAIL CAR STORAGE PRESSURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 226 1 90-100 31 % Hydrochloric Acid i 230 3 234 4 238 5 242 If more hazardous components are present at greater than I% by weight if m ADDITIONAL LOCALLY COLLECTED INFORMATION .,. oaorc WHY) CI1b CAS # 227 El Yes Yes El No 7647-01-0 229 231 232 El Yes ❑ No v3 235 236 ❑ Yes ❑ No 237 239 240 El Yes ❑ No zel 243 244 El Yes ❑ No 245 or O.1 % by weight if cardnagenic, attach additional sheets of paper capturing the required informallon. 246 f.;.;') sc;1 j;.;r;is Vinci '=; tir) is irk 51 rcRlmentsiEituiv\SL 71 Pr Mat"Ol.lsimess !glar1\2007\lnve; )tr?r ti-F;=;}a (.")ryf.i.:)O(.; i 7-i: ec o7