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IFIED PROGRAM CONSOLIDATED FORM' <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION <br /> (m,e page pm malvid pm building m mca) <br /> ❑ADD ❑ DELETE ❑REVISE 200 Page 1 of 7 <br /> I.FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DHA-Doing Business As) 3 <br /> TUNE UP&ALIGNMENT SPECIALISTS <br /> CHEMICAL LOCATIONHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> 201 C <br /> ❑ YES ❑NO <br /> FACILITY ID# 1 FA0017702 MAP#(optician 203 GRID#muticmn 204 <br /> I1.CHEMICAL INFORMATION <br /> <br /> <br /> <br /> <br /> CAS# 309 <br /> 77_82447 eIf EHS is"Yes",all amounts below must be in lbs <br /> FIRE CODE HAZARD CLASSES(c pktc ifmydred by CupA) 310 <br /> HAZARDOUS MATERIAL ❑ ..PURE ❑ b.MIXTURE ❑ c.WASTE 311 RADIOACTIVE ❑ Yes ® No 313 1 CURIES 313 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑ a SOLID ❑ IN <br /> b.LIQUID ® c.GAS 314 LARGEST CONTAINER 315 <br /> (Check one item only) 275.0 <br /> FED HAZARD CATEGORIES 316 <br /> (Check all that apply) a.FIRE [I b.REACTIVE ® c.PRESSURE RELEASE ® d.ACUTE HEALTH 0 CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 317MAXIMUM DAILY AMOUNT 218 1 ANNUAL WASTE AMOUNT 319 STATE WASTE CODE no <br /> 275.00 275.00 <br /> UMTS- ® a GALLONS [--] b.CUBIC FEET Elc.POUNDS [Id.TONS 331 DAYS ON SITE: <br /> (Check one item only) <br /> •If EHS,amount must be in poundx 365 <br /> STORAGE ❑ a ABOVE GROUND TANK ❑c.PLASTICINONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m.GLASS BOTTLE ❑q.RAILCAR <br /> CONTAINER ❑ b.UNDERGROUND TANK ❑ I CAN ❑I BAG ❑ ..PLASTIC BOTTLE ❑ r.OTHER <br /> ❑c.TANK INSIDE BUILDING ❑g.CARBOY ❑ k.BOX ❑ o.TOTE BIN <br /> ❑d.STEEL DRUM ❑ h.SILO ® 1.CYLINDER ❑ p.TANK WAGON no <br /> STORAGE PRESSURE ❑ a AMBIENT ® b. ABOVEAMBIENT ❑ c. BELOWAMBIENT 224 <br /> STORAGETEMPERATURE ® a AMMIENT ❑ b. ABOVEAMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> I u6 227 ❑ Yes [] No 238 239 <br /> 2 230 U1 ❑ Yes L] No B2 233 <br /> 3 234 235 ❑ Yes No 236 237 <br /> 4 U8 239 E] Yes No —1 241 <br /> 5 242 343 ❑ Yes ❑ No 21 245 <br /> Ifmorc M1anrdom comPamnm arc pmmt n grater Nao IX by wd8ht Ifuoesardvgedp orQH:by weight ilrami,wgenir.macM1 additlonal rheetr of PePer raDNringtM1e required informadon. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />