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NIFIED PROGRAM CONSOLIDATED FORS <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> 10/14/2009- 04:36:17 PM <br /> Page_ of <br /> L FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> OFF ROAD ENTERPRISES <br /> CHEMICAL LOCATION 201 rHFMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> NORTH WEST CORNER OF SHOP ❑X YES❑NO <br /> FACILITY ID# 1 MAP#GRID#� 203/204 <br /> 6985 Required byD A-2 A NA NA NA <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES ®NO 206 <br /> NA If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 208 <br /> WAST OIL FHS* O YES ®NO <br /> CAS# 209 <br /> NA 'B EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL 0 a.PURE 0 b.MIXTURE M o WASTE 211 RADIOACTIVE❑YES ENO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 1,141 215 <br /> (Check one item only) 17 SOLID ®LIQUID ❑GAS LARGEST CONTAINER 55 <br /> FED HAZARD CATEGORIES O FIRE ❑REACTIVE O PRESSURE RELEASE M ACUTE HEALTH M CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 55 110 220 221 <br /> UNITS- ®GAL ❑CU FT ❑LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only •If EHS,amount must be in pounds. 365 <br /> STORAGE E3 ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE O Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO p PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM 0 TOTE BIN <br /> ®STEEL DRUM ❑BAG 0 TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ❑CAN ❑CYLINDER ❑OTHER <br /> 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT p BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT For mixture or waste onl EHS CAS# <br /> 226 227 ❑YES ❑NO 228 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 [:]YES ❑NO = 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 9189 246 <br /> (34)WHAT IS MATERIAL f <br /> USED FOR? Oil removed from gear boxes and rear ends. <br /> UPCF(Rev. 12/20(Y7) If EPCRA,Please Sign Here <br /> or Official Use Only: OC ❑R [IS Last Wcb Update: 04/02/2007 <br />