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WOUNIFIED PROGRAM CONSOLIDATED FOR <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> 01/05/2010- 11:01:24 AM <br /> Page_ of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> DANS TIRE AND AUTO REPAIR LLC <br /> CHEMICAL LOCATION 201 HEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> NORTH WEST SHOP Ip�YI QX YESQNO <br /> FACILITY ID# 1 MAP#GRID# � �203/204 <br /> 14236 RequiredbyD 4 p A A p <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I 1) ❑YES 0 NO 206 <br /> WASTE OIL If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 208 <br /> WASTE OIL EHS* ❑YES ®NO <br /> CAS# <br /> 209 <br /> N/A *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by COPA) 210 <br /> LEAVEBLANK <br /> HAZARDOUS MATERIAL a o.PURE p b.MIXTURE ®c.WASTE 211 RADIOACTIVE 0 YES ®NO 212 213 <br /> TYPE(Check one item only) CURIES NA <br /> PHYSICAL STATE 0 SOLID ®LIQUID ❑GAS 214 LARGEST CONTAINER 215 <br /> (Check one item only) 340 <br /> FED HAZARD CATEGORIES ®FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑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 /> 150 300 900 221 <br /> UNITS* 0 GAL ❑CU PT 0 LBS 0 TONS221 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE 0 ABOVE GROUND TANK ❑CARBOY 0 GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> 0 TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> 0 STEEL DRUM 0 BAG 0 TANK WAGON <br /> 0 PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ❑CAN ❑CYLINDER ❑OTHER <br /> 223 <br /> STORAGE PRESSURE 0 AMBIENT 0 ABOVE AMBIENT ❑BELOW AMBIENT <br /> 224 <br /> STORAGE TEMPERATURE 0 AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT 0 CRYOGENIC 225 <br /> %V,7 HAZARDOUS COMPONENT(For mixture or waste onl) EHS CAS# <br /> 226 227 ❑YES ❑NO 228 <br /> 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 2.37 <br /> 238 239 ❑YES ❑NO 240 141 <br /> 242 243 ❑YES ❑NO 244 <br /> 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? waste oil 1 <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br /> or Official Use Only: NC ❑R [IS Last Web Update: 12/28/2009 <br />