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• • RECEIVED 1 <br /> UNIFIED PROGRAM CONSOLIDATED FORM AN _4 2oi2 , <br /> HAZARDOUS MATERIALS ;�(� SANJOAQUIN <br /> HAZARDOUS MATERIALS INVENTORY— CHEMIt�IE ��u dn,.ar arca, 1 <br /> ,In <br /> EADD []DELETE ❑REVISE 2191 Page—of <br /> I. FACILITY INFORMATION 1 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA—Doing Business As) 3 <br /> HD SUPPLY DISTRIBUTION SERVICE,LLC UA094-6502) <br /> CHEMICAL LOCATION 211 1 CHEMICAL LOCATION CONFIDENTIAL EPCRA 2112 ' <br /> HAZARDOUS WASTE STORAGE AREA ❑ YES Z NO <br /> ' MAP4(opdo.at) x113 GRID4(upponan 2D4 <br /> FACILITY ID N <br /> 1I. CHEMICAL INFORMATION <br /> CHEMICAL NAME 215 TRADE SECRET ❑ Yes Z No 211, <br /> If Subject to EPCRA,refen9insnuwions 1 <br /> COMMON NAME 2117 2119 <br /> Waste Amines, Liquid, Corrosive, nos EHS' ❑ Yes Z No <br /> CAS# 210 1 <br /> 9f EHS is"Yes",all amounts below must be in lbs. <br /> FIRE CODE HAZARD CLASSES ccoe,plwc.r regdrea q weA) 110 <br /> HAZARDOUS MATERIAL 213 1 <br /> TYPE(Check one item only) ❑a.PURE ❑b,MIXTURE ®c.WASTE 211 RADIOACTIVE ❑Yes ON. 212 CURIES <br /> PHYSICAL STATE 2u <br /> (Check one item only) ❑ n SOLID ®b IfOl11) ❑ c0.AS 114 LARGEST CONTAINER 1 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all thatapply) ❑ a. FIRE L3. REACTIVE ❑ c VR C95CI RI'.RELEASE ®d. ACUTE HEALTH ❑ e. CHRONIC HEALTH <br /> AVERAGE DAILY.AMOUNT 219 MANIMUhI D,VI.1 X\1(1;]7 219 ANNUAL WASTE AMOUNT 210 STATE WASTE CODE 220 <br /> 1 1 4 331 <br /> 221 DAYS ON SITE. 222 <br /> UNITS" ❑a.GALLONS [3 b. CUBIC FEET ® c.POUNDS ❑d.TONS 365 <br /> (Check one iem onl "If EHS,amuum nest be in pounds. 1 <br /> STORAGE <br /> CONTAINER ❑a.ABOVE GROUND TANK ❑e.PLASTICNONhIETALLIC DRUM ❑ i.FIBER DRUM ❑in GLASS BOTTLE ❑ q.RAILCAR <br /> ❑b.UNDERGROUND TANK ❑f.CAN ❑ j.BAG [In. PLASTIC BOTTLE ❑ r.OTHER <br /> ❑c.TANK INSIDE BUILDING ❑g.CARBOY ® L BOX ❑o. TOTE BIN 1 <br /> ❑d. STEEL DRUM ❑b.SILO ❑ I. CYLINDER El p. TANK WAGON 223 <br /> STORAGE PRESSURE ® a. AMBIL\I ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®a. AMBIENT Elb. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑J. CRYOGENIC 225 , <br /> 0/.WT HAZARDOUS COMPONENT(For mixture or Waste only) EHS CAS# <br /> I 100 226 Waste Amines,Liquid, Corrosive, nos 222 ❑Yea 10 No 229 Mixture 229 ' <br /> 2 2311 231 ❑Yes ❑ No 232 233 <br /> 3 234 235 ❑Yes ❑ No 236 239 1 <br /> 4 Its 239 ❑Yes ❑ No 240 241 <br /> 5 242 243 ❑Yes ❑ No 2" 245 ' <br /> I morehaaardoue components are present at greater than t%by weight if norcardnogenio,or 0.1%by weight if carpnogenic555ach addWonalsheets c paper capturing the required l onnatlon. <br /> NFPA HAZARD INDENTIFICATION: HEALTH_ FLAMMABILITY_ REACTIVITY_ SPECIAL HAZARD_ 246 1 <br /> HAZARD CLASS OR DIVISION# ON# <br /> If EPCRA,Please Sign Here <br /> OES Form 2731 1 <br />