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} <br /> '--IJNIFIED PROGRAM CONSOLIDATED FO <br /> HAZARDOUS MATERIALS <br /> I HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> 05/07/2009- 12:35:31 PM <br /> Page of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA' Doing Business As) 3 <br /> SEVEN ELEVEN#20632 <br /> CHEMICAL LOCATION 201 HEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> f <br /> � OYES❑NO <br /> FACILITY ID# I MAP#GRID# 203/204 <br />` 5078 Required by SJ <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES H NO 206 <br /> MOTOR VEHICLE FUEL <br /> If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 208 <br /> UNLEADED GASOLINE EHS* ❑YES N NO <br /> CAS# 209 <br /> 8006-61-9 *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 3 a,PURE ®b.MIXTURE p c.WASTE 211 RADIOACTIVE YES 0 NO 212 CURIES p 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ❑SOLID ®LIQUID ❑GAS LARGEST CONTAINER i0000 <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 /> 10,000 20,000 N/A N/A <br /> UNITS* ®GAL ❑CU FT ❑LBS ❑TONS 221 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 /> ❑PLASTIClNONMETALLIC 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 0 CRYOGENIC 225 <br /> %aWT HAZARDOUS COMPONENT(For mixture or waste 221 EHS CAS# <br /> 1-5 226 BENZENE 227 ❑YES ®NO 228 71-43-2 229 <br /> 0-10 230 ETHANOL 231 ❑YES ®NO 232 64-17-5 233 <br /> 8-15 234 XYLENE 235 [:]YES ®NO 236 1330-20-7 237 <br /> 7-14 238 TOLUENE 239 ❑YES ®NO 240 108-83-3 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1203 246 <br /> (34)WHAT IS MATERIAL j <br /> USED FOR? MOTOR VEHICLE FUEL <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br /> Lr Official Use Only: OC ❑R ❑S Last Web Update: 01/08/2007 <br />