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RECEIVED <br /> JAN -4 2012 <br /> UNIFIED PROGRAM CONSOLIDATED FORM SAN OAQUIN COUNTY , <br /> HAZARDOUS MATERIALS OFFICE OJ <br /> N OMAEp���� <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTIQN'CYRVIC <br /> 12/02/2011 -07:52:27 AM , <br /> Page_ of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 , <br /> HD SUPPLY DISTRIBUTION SERVICE,LLC(CA094-6502) <br /> CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> HAZARDOUS WASTE STOREAGE AREA ❑X YES❑NO ' <br /> FACILITY ID# 13542 I I MAP#GRID# / E=NA ��203/204 <br /> Required by SIC <br /> CHEMICAL NAME <br /> If. CHEMICAL INFORMATION , <br /> 205 TRADE SECRET(i I) AYES 0 N 206 <br /> WASTE FLAMMABLE LIQUIDS,NOS If Subjeo to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS" DYES ®NO 208 ' <br /> WASTE FLAMMABLE LIQUIDS,NOS <br /> CAS# 209 <br /> NA If EHS 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 19 e.WASTE 211 RADIOACTIVE 0 YES 0 NO 212 CURIES 213 <br /> TYPE(Check one item only) ' <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) 0 SOLID O LIQUID D GAS LARGEST CONTAINER 5 gallon <br /> FED HAZARD CATEGORIES N FIRE []REACTIVE 0 PRESSURE RELEASE 0 ACUTE HEALTH O CHRONIC HEALTH 216 <br /> (Check all that apply) ' <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219S ATEWASTE CODE 220 <br /> 1 1 4 343 <br /> UNITS* 0 GAL 0 CU FT 0 LBS D TONS 221 DAYS ON SITE 222 , <br /> (Check on item only "If EHS,amount must be in pounds. 365 <br /> STORAGE 0 ABOVE GROUND TANK 0 CARBOY 0 GLASS BOTTLE 0 Other... <br /> CONTAINER D UNDER GROUND TANK O SILO 0 PLASTIC BOTTLE <br /> 0 TANK INSIDE BUILDING D FIBER DRUM 0 TOTE BIN ' <br /> D STEEL DRUM D BAG D TANK WAGON <br /> 0 PLASTIC/NONMETALLIC DRUM 0 BOX D RAIL CAR <br /> 0 CAN 0 CYLINDER 0 OTHER <br /> 223 <br /> STORAGE PRESSURE ®AMBIENT DABOVEAMBIENT DBELOWAMBIENT 124 ' <br /> STORAGE TEMPERATURE O AMBIENT DABOVE AMBIENT O BELOW AMBIENT 0 CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste onl EHS CAS# <br /> 100 226 Waste Flammable liquids,nos 227 ❑YES ®NO 228 mixture 229 ' <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 237 ' <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 0 YES 0 NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 246 , <br /> (34)WHAT IS MATERIAL 1 <br /> USED FOR? waste <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here , <br /> 1 <br />