Laserfiche WebLink
NIFIED PROGRAM CONSOLIDATED FOR <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> 05/07/2009- 03:17:11 PM <br /> Page_ of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> OFF ROAD ENTERPRISES <br /> CHEMICAL LOCATION 201 HEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> NORTH WEST CORNER OF SHOP QX YES❑NO <br /> FACILITY ID# 1 MAP#GJ� 203/204 <br /> 6985 Requiredby bySD 2 A A A A <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I I) 0 YES ®NO 206 <br /> NA If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS OYES ®NO 208 <br /> WAST OIL <br /> CAS# 209 <br /> NA *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 a.PURE p b.MIXTURE ®c.WASTE 211 RADIOACTIVE O YFS ®NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ❑SOLID ®LIQUID ❑GAS LARGEST CONTAINER 55 <br /> FED HAZARD CATEGORIES a FIRE ❑REACTIVE [I 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 /> 55 110 1 220 221 <br /> UNITS* ®GAL O CU FT O LBS 0 TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must he in pounds. 365 <br /> STORAGE ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE C3 Other... <br /> CONTAINER [3 UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> M STEEL DRUM ❑BAG ❑TANK WAGON <br /> [I PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> [3 CAN ❑CYLINDER ❑OTHER <br /> 273 <br /> STORAGE PRESSURE ®AMBIENT O ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT For mixture or waste out EHS CAS# <br /> 226 227 ❑YES ❑NO 228 229 <br /> 230 231 ❑YES ❑NO 232 233 <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) 9189 246 <br /> (34)WHAT IS MATERIALL <br /> USED FOR? Oil removed from gear boxes and rear ends. <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br /> For Official Use Only: ®C ❑R [IS Last Web Update: 04/02/2007 <br />