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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL'DESCRIPTION <br /> 10/21/2010-01:32:55 PM <br /> Page of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same <br /> <br /> CHEMICAL LOCATION 201 <br /> IN PIT-BAY(#4)OF SHOP ❑X YES[—]NO <br /> FACILITY ID# 1 MAP#GRID#1�-4 203/204 <br /> Required by Sl <br /> U. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES N NO 206 <br /> GEAR OIL(90 WT.) If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 208 <br /> GEAR OIL EHS* ❑YES N NO <br /> CAS# 209 <br /> MIXTURE *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL CURIES N/A 213 <br /> TYPE(Check one item only) a.PURE ®b ❑ ® <br /> MIXTURE ❑c.WASTE 211 RADIOACTIVE YES NO 212 <br /> PHYSICAL STATE ❑SOLID ®LIQUID ❑GAS 214 LARGEST CONTAINER 200 215 <br /> (Check one item only) <br /> FED HAZARD CATEGORIES N FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ®CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 100 1200 1 N/A N/A <br /> UNTTS* ®GAL ❑CU Fr ❑LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE ®ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ®TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ❑CAN ❑CYLINDER ❑OTHER <br /> 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT For mixture or waste onl EHS CAS# <br /> 226 227 [:]YES ❑NO 228 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 137 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNTIED NATIONS ID#(DOT) 1993 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? VEHICLE MAINTENANCE 1 <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />