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a FIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br /> (ow page M mimial Pe building a.) <br /> ❑ ADD ❑DELETE ❑ REVISE 200 Page 4 of 7 <br /> I.FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-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#Oinked) 203 GRID#misdeed) 204 <br /> II.CHEMICAL INFORMATION <br /> <br /> <br /> <br /> <br /> CAS# 209 <br /> If EHS is"Yes",all amounts below most be in lbs. <br /> FIRE CODE HAZARD CLASSES(Compwe ifrequired by CuPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE E] c.WASTE 211 RADIOACTIVE [:] Yes ® No <br /> 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑ at SOLID ® b.LIQUID ❑ c.GAS 214 LARGEST CONTAINER215 <br /> (Check one item only) 70.00 <br /> FED HAZARD CATEGORIES 216 <br /> (Check all that apply) ® is FIRE ❑b.REACTIVE ❑c.PRESSURE RELEASE M d.ACUTE HEALTH ❑ e CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 219 I ANNUAL WASTE AMOUNT 2111 STATE WASTE CODE no <br /> 55.00 55.00 <br /> UNITS. ® a GALLONS ❑b.CUBIC FEET ❑ c.POUNDS ❑ d.TONS 221 DAYS ON SITE: 222 <br /> (Check one item only) 365 <br /> •IrEF9$,amount must be in pounds. <br /> STORAGE ® a ABOVE GROUND TANK ❑ e.PLASTICINONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m.GLASS BOTTLE ❑q.RAILCAR <br /> CONTAINER ❑ I.UNDERGROUND TANK ❑ C CAN ❑j.BAG ❑ n.PLASTIC BOTTLE ❑ r.OTHER <br /> ❑ <br /> .TANK INSIDE BUILDING ❑g.CARBOY ❑ It.BOX ❑o.TOTE BIN <br /> ❑ d.STEEL DRUM ❑ h.SILO ❑ I.CYLINDER ❑p.TANK WAGON 223 <br /> STORAGE PRESSURE ❑ a AMBIENT ®b. ABOVE AMBIENT ❑c BELOW AMBIENT <br /> STORAGE TEMPERATURE ❑ a AMIBIENT ® b. ABOVEAMBIENT ❑ .. BELOW AMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> I 226 223 Yes No 229 225 <br /> 2 230 231 ❑ Yes No 232 233 <br /> 3 234 235 ❑ Yes No 236 237 <br /> 4 239 239 ❑ Yes ❑ No 240 NI <br /> 5 242 243 ❑ Yes E)No 244 245 <br /> Umore himudous cimponentvrt present at gmtertbm H4 by wdght if non-aaminogeni4 or 0.1%by weight if cardnogeni4 aeam addldond shtee of papereapturing the requited information. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCRA,Please Sign Hero <br /> UPCF(1/99) <br />