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IFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> (onepegspamnk ilperbuddingmarea) <br /> ❑ ADD ❑DELETE ❑REVISE 200 Page 3 of <br /> I.FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> TUNE UP&ALIGNMENT SPECIALISTS <br /> CHENUCAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> ❑ YES ❑NO <br /> FACILITY m q I FA0017702 MALT(oponne6 203 I GRID#(wounm) 2N <br /> II.CHEMICAL INFORMATION <br /> <br /> <br /> <br /> <br /> <br /> <br /> FIRE CODE HAZARD CLASSES(C.mphic incqueed by CuPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑c WASTE 211 RADIOACTIVE ❑ Yes ® NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑ a SOLD ® b.LIQUID ❑c.GAS 214 LARGEST CONTAINER215 <br /> (Check one item only) 250.00 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ® a FERE ❑ b.REACTIVE ❑a PRESSURE RELEASE ®d.ACUTE HEALTH ❑ e.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 219 1 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 200.00 250.00 <br /> UNITS" ® a GALLONS ❑ b.CUBIC FEET ❑ ..POUNDS ❑d.TONS 221 1 DAYS ON SITE: 222 <br /> (Checkoneitmnooly) 365 <br /> •If EHS,amount must be in pounds. <br /> STORAGE ® a ABOVE GROUND TANK ❑a PLASTIC/NONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m,GLASS BOTTLE ❑q.RAIL CAR <br /> CONTAINER ❑ b,UNDERGROUND TANK ❑ f CAN [:11 BAG ❑ n.PLASTIC BOTTLE ❑ r.OTHER <br /> ❑c.TANK INSIDE BUILDING ❑ g.CARBOY ❑ k.BOX ❑ o.TOTE BIN <br /> ❑d.STEEL DRUM ❑ <br /> I.SILO ❑ I.CYLMDER ❑ p.TANK WAGON 223 <br /> STORAGE PRESSURE ❑ a AMBIENT ® b. ABOVEAMBIENT ❑ c. BELOWAMBIENT 224 <br /> STORAGETEMPERATURE ❑ a AMIBIENT ® b. ABOVEAMBIENT ❑ c BELOWAMBIENT ❑ d. CRYOGENIC 225 <br /> a/oWT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS M <br /> 1 226 227 ❑ Yes No 229 229 <br /> Z 230 231 ❑ Yes NO 232 233 <br /> 3 234 235 ❑ Yes ❑ NO 236 237 <br /> q 231 239 ❑ Yes ❑ No N0 NI <br /> 5 242 24310 Yes ❑ No x,H 245 <br /> Hmore hmrdous mmpoaena are present at greaeer elan IK by weight if non<mremugmia or0.1%by weight if carcinogeek,attach addi ...I iniun.fpaper capturing 0e required information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Here <br /> UPCF(1/99) <br />