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JAN -¢ 2012 <br /> UNIFIED PROGRAM HAZARDOUS MATERIALISED FORM CFFlCEpF���WO NTy <br /> ' HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION ffYC SERVICES <br /> 12/02/2011 - 07:09:51 AM <br /> Page_ of <br /> ' I. FACILITY INFORMATION <br /> BI'SINF..SS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> HD SUPPLY DISTRIBUTION SERVICE,LLC(CA094-6502) <br /> ' CHEMICAL LOCATION 4p1 HEMICAL LOCATION CONFIDENTIAL EPCRA 202❑X <br /> HAZARDOUS WASTE STORAGE AREA YES❑NO <br /> FACILITY IDT/ I I MAP#GRID# /C2� 203/204 <br /> 13542 Required by SIC A A A A <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) 0 YES ®NO 206 <br /> ' WASTE AEROSOLS If Subject to EPCRA,mferto instructions <br /> COMMON NAME 207 208 <br /> WASTE AEROSOLS EHS* ❑YES ONO <br /> CAS# 209 <br /> ' NA *If EMS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVEBLANK <br /> ' HAZARDOUS MATERIAL 0 a.PURE 0 b.MIXTURE ®c.WASTE 211 RADIOACTIVE O YES ®NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) 0 SOLID ®LIQUID 0 GAS LARGEST CONTAINER 55 GALLON <br /> ' FED HAZARD CATEGORIES 19 FIRE 0 REACTIVE ®PRESSURE RELEASE ®ACUTE HEALTH ®CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 2n 140 145 331 <br /> ' UNITS* El GAL 0 CU FT ®LBS 0 TONS 221 DAYS ON SITE 222 <br /> (Check on item only *if EHS,amount must be in pounds. 1365 <br /> STORAGE ❑ABOVE GROUND TANK 0 CARBOY 0 GLASS BOTTLE 0 Other... <br /> ' CONTAINER 0 UNDER GROUND TANK ❑SILO D PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING 0 FIBER DRUM 0 TOTE BIN <br /> 0 STEEL DRUM [I BAG 0 TANK WAGON <br /> ®PLASTIC/NONMETALLIC DRUM 0 BOX 0 RAIL CAR <br /> ®CAN 0 CYLINDER 0 OTHER 223 <br /> ' STORAGE PRESSURE D AMBIENT ®ABOVE AMBIF,NT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE N AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> ' %WT HAZARDOUS COMPONENT(For mixture or waste on[ EHS CAS# <br /> 100 226 WASTE AEROSOLS 227 0 YES ONO 228 MIXTURE 229 <br /> 230 231 0 YES ONO 232 233 <br /> ' 234 235 0 YES 0 NO 236 237 <br /> 238 139 0 YES 0 NO 240 241 <br /> ' 242 243 0 YES ONO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 246 <br /> ' (34)WHAT IS MATERIAL <br /> USEDFOR? IWASTE <br /> ' UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />