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s <br /> ' )NIFIED PROGRAM CONSOLIDATED FOR <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> 10/14/2009- 05:11:39 PM)- . <br /> 1 <br /> Page of <br /> 3 <br /> 1. FACILITY INFORMATION <br /> BUSINESS NAME(Sarre as FACILITY NAME or DBA-Doing Business As) 3 <br />{ QUALITY TUNE UP SHOP#11 - <br /> 1 CHEMICAL LOCATION 201 HEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br />{{ ❑X YESONO. <br /> J FACILITY[DN I MAPSGR Sj#���L� 2031204 <br />{I 13066 Required by S! /A I /A <br /> II.,CHEMICAL INFORMATION <br /> CHEMICAL NAME _> 205 TRADE SECRET(1'1) ❑YES ONO 206 <br /> ETHYLENE GLYCOL SOLUTION If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207. 208 <br /> WASTE COOLANTEHS° ❑YES ®NO <br /> _ CAS# 209 <br /> I 107-21-I I f EHS is "Yes-.all amounts imisl be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by COPA) 210 <br /> LEAVE BLANK <br /> HAZARDOUSMATERIAL ❑a.PURE'❑b.MIXTURE Oe.WASTE 211 RADIOACTIVF.❑YES ONO 212 CURIES 0 213 <br /> TYPE(Check one item only) <br /> I PHYSICAL STATE 214 215 <br /> (Check one item only) ❑SOLID ®LIQUID ❑GAS LARGEST CONTAINER 220 <br /> FED HAZARD CATEGORIES [I 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 /> 100 220 1900 . 342 <br /> UNITS* ®GAI_ ;'❑CU F-T. [3 LBS [I TONS <br /> 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 /> ❑ <br /> STI,EL DRUM ❑BAG_ ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL.CAR <br /> ❑CAN ❑CYLINDER []OTHER <br /> i223 <br /> STORAGE PRESSURE 0 AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE O AMBIENT ❑ABOVE AMBIENT 0BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only EHS CASH <br /> 40 226 WASTE ETHYLENE GLYCOL SOLUTION 227 ❑YES ONO 228 107-21-1 229 <br /> 60 230 WATER . 231 0 YES ®NO 232 NIA 233 <br /> i <br /> NIA 234 NIA 235 ❑YES ®NO 236 NIA 237 <br /> I NIA 239 239 11 YES ®NO 240 NIA 241 <br /> I - <br /> NIA ) 242 243 ❑YES ONO 244 NIA 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1142 246 <br /> (34)WHAT IS MATERIAL 1 <br /> USED FOR? Waste bi-product <br /> UPCF(Rev. 1212007) If EPCRA,Please Sign Here <br /> or Official Use Only: OC ❑R ❑S Last Web Update: 03/12/2009 <br /> . 1 <br />