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- 7 . <br /> NIFIFD"PROGRAM CONSOLIDATED FORYfv„o <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> 10/14/2009 - 05:11:40 PM <br /> Page of <br /> L FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> QUALITY TUNE UP SHOP#11 <br /> CHEMICAL LOCATION 207 HF..MICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> [EYES[]NO <br /> FACILITY ID# 1- MAP#GRIM/ 203/204 <br /> 13066 Required by SI _ �1 <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I I) ❑YES ®NO 206 <br /> WASTE OIL If Subject to EPCRA.refer to instructions <br /> COMMON NAME 207 20$ <br /> WASTE OIL EHS* ❑YES ®NO <br /> CAS# 209 <br /> MIXTURE *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 , <br /> TYPE(Check one item only) a.I URE ®b.MIXTURE ❑c.WAS'I't's .211 RADIOACTIVE❑YES ®NO 212 CURIES 0 213 <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ❑SOLID ®LIQUID ❑GAS LARGEST CONTAINER 475 <br /> FED HAZARD CATEGORIES ®FIRE ❑REAC"ft VE ❑PRFSSURF RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217MAXIMUM DAILY AMOUNT' 216 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 300 475- .9000 1221 <br /> UNITS* ®GAL ❑CU INT ❑LBS ❑TONS 221 DAYS ON SITE 222 <br /> (Check on iters 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 /> IR TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM 0 13A El TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ❑CAN ❑CYLINDER ❑OTHER <br /> 223 <br /> STORAGE PRESSURE N AMBIENT ❑ABOVE AMBIENT• ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT b ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste on[ EHS, - CAS# <br /> 75-85 226 13A5E LUBRICATING OIL 221 ❑YES N NO 228 MIXTURE 229 <br /> 5-15 230 DETERGENIANHIBITOR 231 ❑YES O NO 232 MIXTURE 233 <br /> 10115 234 VISCOSITY INDEX IMPROVER 235 ❑YES ®NO,236MIXTURE 237 <br /> <1 2,35 POUR POIN'I'DEPRESSANT 239 ❑VFS ®NO'240 MIXTURE- 241 <br /> <1 242 ANTI-FOAM 243 1]YES ONO 244 MIXTURE 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? +aste <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br /> nor Official Use Only: ®C ❑R ❑S Last Web Update: 03/12/2009 <br />