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%,pfJNIFIED PROGRAM CONSOLIDATED FOR' ., <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> j (10/14/2009- 05:11:39 PM <br /> Page of <br /> 1. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br />} <br /> QUALITY'TUNE UP SHOP#11 <br /> a - <br /> CHEMICAL LOCATION 2.01 HEMI CAL.LOCATION CONFIDENTIAL EPCRA 202 <br /> ❑X YES❑NO <br /> EEE; FACILITY IDH1 MAP#G RIDd� <br /> <br /> 1 I1. CHEMICAL INFORMATION <br /> t <br /> i CHEMICAL NAME 205 TRADE SECRET(I 1) ❑YES ®NO 206 <br /> ETHYLENE GLYCOL SOLUTION If Subject to EPCRA,refer to instnictiaus <br /> COMMON NAME 207 208 <br /> DYES ®NO <br /> COOLANT EHS' <br /> CAS# 209 <br /> 107-21-1 *If FHS is "Yes a]I amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVE BLANK ; <br /> HAZARDOUS MATERIAL 0 a.PUHA. H b.MIXTURE Cl c.WASTE 21 1 RADIOACTIVE 1312 C <br /> YES ®NO 2URIES 0 <br /> 213 <br /> ! TYPE(Check one itern only) <br /> 2!5 <br /> PHYSICAL STATE 214 <br /> (Cheek one item only) <br /> ❑SOLID ®LIQUID ❑GAS LARGEST CONTAINER 110 <br /> FED HAZARD CATEGORIES E]FIRE ❑REACTIVE ❑PRESSURE RELEASE O ACUTE HEALTH (:1CHRONIC HEALTH 216 <br /> t (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21.8 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> I 80 1165 0 342 <br /> UNITS* ®GAL ❑CU P`I' ❑LBS ❑TONS 221 DAYS ON SITE 222 <br /> (Check on item only *If EHS,antount must be in.pounds. 365 <br /> STORAGE ❑ABOVE GROUND TANK ❑CARBOY. ❑GLASS BOTTLE ❑Other... <br /> CONTAI NER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> ®PLASTIC/NONMETALLIGDRUM ❑BOX ❑RAIL CAR <br /> ❑CAN ❑CYLINDER ©OTHER <br /> _ 223 <br /> 1 STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT '❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE H AMBIENT ❑ABOVE AMBIENT Q BELOW AMBIENT ❑CRYOGENIC 225 <br /> 1 %WT HAZARDOUS COMPONENT(For mixture or waste only _ EHS CAS# <br /> 50 226 ETHYLENEGLYCOL SOLUTION 227 ❑YES ®NO 228 107-21-I 229 <br /> 50 230 WATER 231 ❑YES ®NO 232 N/A 233 <br /> 1 N/A 234 N/A 235.1 ❑YES ®NO 236 N/A 237 <br /> N/A 238 N/A 239 ❑YES ONO 240 NIA 241 <br /> N/A 242 N/A 243 ❑YES ®NO.244 N/A 245 <br /> t <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION; (33)UNITED NATIONS IDS/(DOT) N/A 246 <br /> (34)WHAT IS MATERIAL AUTOMOTIVE COOLANT L <br /> + USED FOR. <br /> �! UPCF(Rev. 1212007) If EPCRA,Please Sign Here <br /> II, or Official Use Only: HC ❑R ❑S Last Web Update: 03/12/2009 <br /> i - - <br />