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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARD0119 MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> Page <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doine Business As) <br /> B AND G TRUCK WASH <br /> CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EP <br /> ID ❑ <br /> FACTT.TTY Mit12445 I MAP#GRID# �=== <br /> II. CHEMICAL INFORMATION <br /> CHF.MTCAT.NAME 205 TRADE SECRET(H) ❑ YES <br /> DETERGENT If Subject to EPCRA,refer t <br /> COMMONNAME <br /> SOAP 207 EHS* ❑ YES N <br /> CAS# 209 <br /> *If EHS is "Yes",all amounts must b, <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL a.PARR N b.MIXTURE C.WAS 211 RADIOACTIVE 11YES N NC 212 CT TRIPS <br /> PHYSICAL STATE SOLID N LIOUID ❑ GA 214 LARGEST CONTAINER 600 <br /> FED HAZARD CATEGORIES n FIRF. M RFA(.TTVF. F1 PRPSST TRF RPT.FAW.. R ACTT M..HPALTH R(:HRONTC HRA <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE.wasTP.Cr <br /> 600 <br /> UNITS* R CAT. R CII FT 5�I.RS n Tnr 221 DAYS ON SITE <br /> 111-1--:-,._t.. <br /> STORAGE ❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TANK WAGON <br /> "^''t'`'A MMT) ❑UNDER GROUND TANK ❑CARBOY ❑CYLINDER ❑RAD.CAR <br /> ❑ TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTHER <br /> ❑ STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other... <br /> N PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE PRESSURE N AMRTR.NT F1 AR(IVF. AMRTFNT R RFLnW AMRTFNT <br /> STORAGE TEMPERATURE M AMRTFNT n AROVF. AMRTFNT R RF.T.nW AMRTFNT R CRVnCF.NT( <br /> 0 <br /> 226 227 ❑ YES ❑N(228 <br /> 230 231 ❑ YES ❑N(232 <br /> 234 235 ❑ YES ❑N(236 <br /> 238 <br /> 239 ❑ YES ❑N(240 <br /> 242 243 ❑ YES ❑N(244 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (17)T INITFD NATTON(Z TDu MOT) <br /> (34)WHAT IS MATERIAL <br />