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UNIFIED PROGRAM CONSOLIDATED FORTI <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> (one Pace cor material per building or area) <br /> ❑ADD ❑DELETE []REVISE 200 <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA—Doing Business As) 3 <br /> S-Mart#655 <br /> CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> Outside Front of Store Entrance Addition Cage for Janitorial Same ❑ YES E NO <br /> area <br /> FACILITY ID# 1 MAP#(optiooaq 203 GRID#(optional) 204 <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET ❑ Yes E No 206 <br /> Odorized Commercial Propane uSubject m EPCItA,refer to inatructiom <br /> COMMON NAME 202 208 <br /> PROPANE EHS* ❑ Yes E No <br /> CAS# 209 <br /> 74-98-6 *If EHS is`Yes",all amounts below must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Cormier if rrqui by COPA) 210 <br /> HAZARDOUS MATERIAL 213 <br /> TYPE(Check one item only) ❑a.PURE ®b.MIXTURE ❑c.WASTE 211 RADIOACTIVE ❑Yes ®No 212 CURIES N/A <br /> PHYSICAL STATE 215 <br /> (Check one item only) ❑ a.SOLID ®It. LIQUID ❑ c.GAS 214 LARGEST CONTAINER 5 gal <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ❑ a. FIRE ❑b. REACTIVE ® c.PRESSURE RELEASE ❑d. ACUTE HEALTH ❑ e. CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 211 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219STATE WASTE CODE 220 <br /> 59 gal 117 gal N/A N/A <br /> UNITS* ®a.GALLONS [Ib. CUBIC FEET [I C.POUNDS ❑d TONS 221 DAYS 5 SITE: 222 <br /> (Check one item only) +If EHS,amount must be in ands. 365 <br /> STORAGE <br /> CONTAINER ❑a.ABOVE GROUND TANK ❑e.PLASTICMONMETALLIC DRUM ❑ i.FIBER DRUM ❑an.GLASS BOTTLE ❑ q.RAILCAR <br /> ❑b.UNDERGROUND TANK ❑E CAN ❑ j.BAG ❑n PLASTIC BOTTLE ❑ r.OTHER <br /> ❑C.TANK INSIDE BUILDING ❑g.CARBOY ❑ k.BOX ❑o. TOTE BIN <br /> ❑d. STEEL DRUM ❑It.SILO E 1. CYLINDER ❑p. TANK WAGON 273 <br /> STORAGE PRESSURE ❑ a. AMBIENT E b. ABOVEAMBIENT ❑ c. BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT [I d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 88% 226 Propane 227 ❑Yes E No 228 74-98-6 229 <br /> 2 2% 230 Ethane 231 ❑Yes E No 232 74-84-0 233 <br /> 3 7°/n. 234 Propylene 235 ❑Yes E No 236 15-07-1 237 <br /> 4 2% 238 Butanes 239 ❑Yes E No 240 Various 241 <br /> 5 1% 242 Ethyl Mercaptard 243 ❑Yes E No 244 75-08-1 245 <br /> If more Kaes rdoua components are,preunt at greater than 1%by weight if non-mrcmWitiq or 0.1%by weight If aremogwir,attach additional sheets of paper capturing the required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> S-Mart#655 Page 5 of 18 March 2011 <br />