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UNIDOCS <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> (One page per material per building or area) <br /> ❑ ADD ❑ DELETE ❑ REVISE 2m. <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) 3 <br /> S-Mart#209 <br /> CHEMICAL LOCATION 201 1 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202_ <br /> Backroom ❑ YES E NO <br /> FACILITY ID# _ I MAP#(optional) 203 GRID#(oplumaq 201. <br /> (Agency Uve <br /> On - <br /> EE <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205. TRADE SECRET 2% <br /> Odorized Commercial Propane IfsubjecuoEKRA,refertoinstitutions El Yes 0 N <br /> COMMON NAME 207 EHS* 208. <br /> Propane ❑Yes ®No <br /> CAS# 209- *If EHS is"Yes,"all amounts below must he in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete ifrequired by COPA) 210. <br /> HAZARDOUS MATERIAL 211. RADIOACTIVE 212 1 CURIES 213. <br /> TYPE (Check one item mly) ❑a.PURE E b.MIXTURE Elc.WASTE ❑Yes E No N/A <br /> PHYSICAL STATE 214. LARGEST CONTAINER 215. <br /> (Check one Item enfy) ❑a.SOLID E b.LIQUID ❑e.GAS 5 <br /> FED HAZARD CATEGORIES 216. <br /> (Check all that apply) ❑a.FIRE ❑It.REACTIVE E e.PRESSURE RELEASE ❑d.ACUTE HEALTH ❑e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219, STATE WASTE CODE 220 <br /> 10 20 N/A N/A <br /> UNITS* E a.GALLONS ❑b.CUBIC FEET ❑c.POUNDS ❑d.TONS 221' DAYS ON SITE 322, <br /> (Check one item only) *If EHS,amount must be in pounds. 365 <br /> STORAGE ❑a. ABOVEGROUND TANK ❑f. CAN Elk. BOX [3p. TANK WAGON 323. <br /> CONTAINER ❑b. UNDERGROUND TANK ❑g. CARBOY E 1. CYLINDER [3q. RAIL CAR <br /> ❑C. TANK INSIDE BUILDING ❑h. SILO ❑m. GLASS BOTTLE ❑r. OTHER <br /> ❑d. STEEL DRUM ❑1. FIBER DRUM ❑n. PLASTIC BOTTLE <br /> ❑C. PLASTIC/NONMETALLIC DRUM ❑j. BAG ❑o. TOTE BIN <br /> STORAGE PRESSURE ❑a, AMBIENT E b. ABOVE AMBIENT ❑c. BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE E a, AMBIENT ❑b. ABOVE AMBIENT ❑c. BELOW AMBIENT ❑d. CRYOGENIC 225. <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 88 226. Propane 221. ❑Yes E No 228. 74-98-6 229. <br /> 2 2 230. Ethane 231 ❑Yes E No 232. 233. <br /> G 74-84-0 <br /> 234. 235. 236. D1. <br /> 3. 7 Propylene ❑Yes E No 15-07-1 <br /> 238. 239. 210. 241. <br /> 4. 2 Butanes 10 Yes E No Various <br /> 5. 1 242 Ethyl Mereaptard 243 ❑Yes E No 244, 75-08-1 2A5. <br /> If more hwrdoue tempo oeatr ire ptnent at underthins 1%by weight if non<aminogenir or a.1%by weight if carcinogen ,mach addiaontl sheets of paper rapturiog the required lofarwtion. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246. <br /> DOT Hazard Class: <br /> If EPCRA,Please Sign Here. <br /> If this facility is subject to Federal Emergency Planning and Community Right to Know Act(EPCRA)reporting requirements,a signature is required at the <br /> bottom of the form if the page lists an Extremely Hazardous Substance(ENS)handled at or above its Federal Threshold Planning Quantity(TPQ)or 500 <br /> pounds,whichever is less. <br /> S-Mart#209 Page 4 of 20 July 2012 <br />