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G IFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> (me Pegc p«memiel p«buiWwe«vee) <br /> ❑ADD ❑ DELETE ❑REVISE zoo Page 5 of <br /> I.FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> TUNE UP&ALIGNMENT SPECIALISTS <br /> CHEMICAL LOCATION 201 CHEhICAL LOCATION CONFIDENTIAL EPCRA <br /> [:] YES ❑ NO <br /> FACILITY ID# 1 <br /> MAP#Iophmeb 203 GRID#(cohene0 204 <br /> FAO017702 <br /> II.CHEMICAL INFORMATION <br /> <br /> <br /> <br /> <br /> CAS# 209 <br /> "IfEHS is"Yes",all amounts below must be in lbs. <br /> FILE CODE HAZARD CLASSES(C.pkiuifrc umdby COPA) 210 <br /> HAZARDOUS MATERIAL ❑ a PURE ❑ b.MIXTURE ❑ c.WASTE 311 RADIOACTIVE ❑ Yes ®No 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ❑ a SOLID ®b.LIQUID ❑a GAS LARGEST CONTAINER 150.00 <br /> FED HAZARD CATEGORIES216 <br /> (Check all then apply) ® a FIRE ❑ b.REACTIVE ❑ c.PRESSURE RELEASE ®d.ACUTE HEALTH ❑ a CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 219 MAXIMUM DAILY AMOUNT 216 ANNUAL WASTE AMOUNT 219 STATE W ASTE CODE no <br /> 110.00 110.00 <br /> UNITS' ® a GALLONS ❑ b.CUBIC FEET <br /> (Check one item only) •If BUS,a ❑ o.POUNDS ❑d.TONS 231 DAYS ON SITE: 222 <br /> 365 <br /> mount must be in pounds <br /> STORAGE ® a ABOVE GROUND TANK ❑ e.PLASTICINONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m.GLASS BOTTLE ❑ q.RAIL CAR <br /> CONTAINER ❑ b.UNDERGROUND TANK ❑ f CAN ❑j.BAG ❑n.PLASTIC BOTTLE ❑ r.OTHER <br /> [3 c.TANK INSIDE BUILDING ❑S.CARBOY ❑ k.BOX ❑ o.TOTE BM <br /> ❑ d.STEEL DRUM ❑ h.SILO ❑ I.CYLINDER ❑ p.TANK WAGON 223 <br /> 4 <br /> STORAGE PRESSURE ❑a AMBIENT M b. ABOVE AMBIENT ❑c. BELOW AMBIENT <br /> STORAGE TEMPERATURE ❑ n AMIBIENT ® b. ABOVE AMBIENT ❑ c. BELOWAMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 226 R9 Yes No Us 229 <br /> Z 3I0 231 E] Yes ❑ NO 232 233 <br /> 3 234 235 ❑ Yes No 236 237 <br /> 4 236 239 ❑ Yes L] No 240 241 <br /> 5 141 243 ❑ Yes ❑ NO 244 2A5 <br /> Ifnmrtbmrdom umpomau art pueent alVenter Nen 1%by«eight ifnon-cercinugenii,or 0.1%by" alit ifuminnenic,imrth additionalebu«orpapermpturin9lberequiredinform-tion. <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 246 <br /> If EPCR.6,Please Sign Here <br /> UPCF(1/99) <br />