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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 04/15/2009- 02:20:26 P <br /> Page_ of <br /> L FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> TOTE-A-SHED INC <br /> <br /> --�� <br /> <br /> 11_ <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I 1) [I YES ®NO 206 <br /> LAYTEX PAINT If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 208 <br /> EHS* ❑YES ®NO <br /> PAINT <br /> CAS# 209 <br /> *If EHS is "Yes",all amounts mus[be in lbs. <br /> N/A 210 <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) <br /> LEAVEBLANK <br /> HAZARDOUS MATERIAL <br /> 213 <br /> TYPE(Check one item only) ®a.PURE ❑b.MIXTURE c.WASTE 211 RADIOACTIVE❑YES ®NO 212 CURIES 0 <br /> 215 <br /> PHYSICAL STATE [3 SOLID ®LIQUID ❑GAS 214 LARGEST CONTAINER 55 <br /> (Check one item only) <br /> FED HAZARD CATEGORIES216 <br /> (Check all that apply) ®FIRE ❑REACT[V E ❑PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 50 220 N/A N/A <br /> 221 1 DAYS ON SITE 222 <br /> UNITS* ®GAL [3 CU FT ❑LBS ❑TONS 365 <br /> (Check on item only *If EHS,amount must be in pounds. <br /> STORAGE ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK [3 SILO ❑PLASTIC BOTTLE <br /> p TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BW <br /> N STEEL DRUM ❑BAG ❑TANK WAGON <br /> [3 CAN TIC/NONMETALLIC DRUM 0 BOX 0 RAIL AR <br /> CINDER E3OTHER <br /> 223 <br /> STORAGE PRESSURE ®AMBIENT []ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE 19 AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %AVT HAZARDOUS COMPONENT For mixture or waste onl EHS CAS# <br /> N/A 226 N/A 227 ❑YES ONO 228 N/A 229 <br /> 230 <br /> 231 ❑YES ❑NO 232 233 <br /> 235 ❑YES ❑NO 236 237 <br /> 234 <br /> 239 ❑YES ❑NO 240 241 <br /> 238 <br /> 242 243 ❑YES ❑NO 244 245 <br /> 246 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) N/A <br /> L <br /> (34)WHAT MATERIAL PAINTING <br /> USED FOR? <br /> If EPCRA,Please Sign Here <br /> UPCF(Rev.12/2007) <br /> For Official Use Only: ®C ❑R ❑S <br />