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• • ECL <br /> -4 2012 ' <br /> UNIFIED PROGRAM CONSOLIDATED FORM SMI Int t <br /> HAZARDOUS MATERIALS OFFICE ut y ar Pn1Ih11Y <br /> HAZARDOUS MATERIALS INVENTORY— CHEMICAL DEkMPTIGN4ViCf�1dn.arareat ' <br /> zult Pepe_of_ <br /> ❑ADD ®DELETE ❑REVISE <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 2"1 CHEMICAL LOCATION CONFIDENTIAL EPCRA 2I9 <br /> Hazardous Waste Storage Area ❑ YES R NO <br /> MAP#loptiondl 213 1 ORION(,amai) zoo <br /> FACILITY ID# <br /> H. CHEMICAL INFORMATION ' <br /> CHEMICAL NAME 213 TRADE SECRET ❑ Yes Z No 206 <br /> If Subject to EPCRA.refer to inswaions ' <br /> COMMON NAME 2W 216 <br /> Universal Waste Mercu - Lamps EHS" ❑ Yes Z No <br /> ens# 20 , <br /> .If EHS is"Yes",all amounts below mus[be in lbs. <br /> FIRE CODE HAZARD CLASSES(Con,pineirreyehed b,CUPA) zvn <br /> 213 <br /> HAZARDOUS MATERIAL ' <br /> TYPE((Check one item only) ❑a.PURE 0b.MIXTURIE ®c.WASTE 211 RADIOACTIVE ❑ ® 212Yes No z CURIES <br /> zti <br /> PHYSICAL STATE 214 LARGEST CONTAINER BOX <br /> (Check am item only) ® a.SOLID 0 b. LIQUID 0 c.GAS ' <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ❑ a. FIRE ❑b. REACTIVE ❑ ..PRESSURE RELEASE 0 d. ACUTE HEALTH ❑ e. CHRONIC HEALTH <br /> .AVERAGE DAILY AMOUNT 211 MAXIMUM DAILY AMOUNT 215 1 ANNUAL WASTE AMOUNT -19 STATE WASTE CODE 221 , <br /> 5 15 15 <br /> 221 DAYS ON SITE. 222 <br /> UNITS' ❑a.GALLONS ❑b. CUBIC FEET ® c.POUNDS ❑d.TONS 365 ' <br /> (Check one item onl ) 'If EHS,amount must be in pounds. <br /> STORAGE <br /> CONTAINER ❑a.ABOVE GROUND TANK ❑e.PLASTIONONMETALLIC DRUM ❑ i.FIBER DRUM ❑m.GLASS BOTTLE ❑ q.RAILCAR <br /> 0 b.UNDERGROUND TANK ❑C CAN ❑j.BAG 0 n PLASTIC BOTTLE 0 r OTHER <br /> ❑c.TANK INSIDE BUILDING ❑g.CARBOY ® k,BOX ❑o. TOTE BIN ' <br /> ❑d. STEEL DRUM ❑h.SILO ❑ I. CYLINDER ❑p. TANK WAGON 223 <br /> STORAGE PRESSURE 0 a. AMBIENT ❑ b. ABOVEAMBIENT ❑ c. BELOWAMBIENT 224 <br /> STORAGE TEMPERATURE ®a. AMBIENT ❑ b. ABOVE AMBIENT 0 c. BELOW AMBIENT [I d. CRYOGENIC <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 0.1 226 Mercury 221 ❑Yes R No 228 7439-97-6 229 ' <br /> 2 2.0 la, Lead Oxide 231 ❑Yes R No 232 1317-36-8 233 <br /> 3 234 235 ❑Yes ❑ No 236 237 , <br /> 4 238 239 ❑Yes ❑ No 24o 241 <br /> 5 242 243 ❑Yes ❑ No 2" 245 ' <br /> morehaaar ouscomponents are present at greater Nan t%byweig t' noncaranogenic,or o.t ywaiq tl caranogenic,ana a tlilonal sheetso paper capturing arequim in ormatlon. <br /> NFPA HAZARD INDENTIFICATION: HEALTH_ FLAMMABILITY_ REACTIVITY_ SPECIAL HAZARD_ 246 , <br /> HAZARD CLASS OR DIVISION# UN# <br /> If EPCRA,Please Sign Here <br /> DES Form 2731 ' <br />