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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> 05/07/2009-02:36:36 PM <br /> Page_ of <br /> L FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> CAR QUEST <br /> <br /> OYES❑NO <br /> FACILITY ID# I <br /> <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I I) ❑YES M NO 206 <br /> ELETROLYTE If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 208 <br /> CAR BATTERY EHS* ❑YES ONO <br /> CAS# 209 <br /> 74-39-92.1 *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 a.PURE ®b.MIXTURE O e.WASTE 211 RADIOACTIVE 13YES N NO 212 CURIES 0 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ®SOLID ❑LIQUID ❑GAS LARGEST CONTAINER 25 <br /> FED HAZARD CATEGORIES 0 FIRE ®REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH f3 CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 250 525 NA NA <br /> UNITS* ®GAL O CU FT ❑LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE O ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER E3 UNDER GROUND TANK ❑SILO p PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> E3 STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTICINONMETALLIC DRUM []BOX ❑RAIL CAR <br /> [3 CAN ❑CYLINDER 13OTHER <br /> 223 <br /> STORAGE PRESSURE N AMBIENT O ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT O ABOVE AMBIENT ❑BELOW AMBIENT C1 CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT For mixture or waste on[ EHS CAS# <br /> 53 226 LEAD 227 ❑YES ®NO 228 7439-92-1 229 <br /> 30-40 230 ELECTROLYTE 231 ❑YES ONO 232 766493-9 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 2794 246 <br /> (34)WHAT IS MATERIAL I <br /> USED FOR? CORES <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br /> or Official Usc Only: ®C ❑R [IS Last Web Update: 01/17/2006 <br />