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" IFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION <br /> (mr page pm metainl pv b.1,b,g m mea) <br /> ❑ ADD ❑ DELETE ❑ REVISE 200 Page 6 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 LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> ❑ YES ❑NO <br /> FACILITY ID# I MAP#(apumd) 203 GRID#(omaod) 204 <br /> FA0017702 <br /> 11.CHEMICAL INFORMATION <br /> <br /> <br /> <br /> <br /> <br /> 107-21-1 "If EHS is"Yee',all accounts below mils[be in lbs <br /> FIRE CODE HAZARD CLASSES(Canplem rcrc,,und by CUPA) 210 <br /> HAZARDOUS MATERIAL 1] a PURE ❑ b.MIXTURE ❑ C.WASTE 211 RADIOACTIVE ❑ Yes ®NO 212 CURBiS 213 <br /> TYPE(Check one item only) <br /> 215 <br /> PHYSICAL STATE ❑ p SOLID ® b.LIQUID ❑ c.GAS 214 LARGEST CONTAINER 110.00 <br /> (Check one item only) <br /> 216 <br /> FED HAZARD CATEGORIES <br /> (Check all the apply) ®a FIRE [I b.REACTIVE ❑c.PRESSURE RELEASE ®d.ACUTE HEALTH ❑o.CHRONIC HEALTH <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 215 STATEWASTECODE 320 <br /> 110.00 110.00 <br /> UNITS" ® a GALLONS ❑ b.CUBIC FEET ❑ c.POUNDS ❑ d.TONS 221 DAYS ON SITE: 222 <br /> (Check one item Doty) 365 <br /> •If EHS,amount must be in pounds <br /> STORAGE ❑ a ABOVE GROUND TANK ® e.PLASTIC/NONMETALLIC DRUM ❑ i.FIBER DRUM ❑ m GLASS BOTTLE ❑q.RAIL CAR <br /> CONTAINER ❑ I.UNDERGROUND TANK ❑ f CAN ❑I.BAG ❑n.PLASTIC BOTTLE ❑ r.OTHER <br /> ❑ e TANK INSIDE BUILDING ❑ g.CARBOY ❑ k.BOX [3 o.TOTE BIN <br /> ❑ d.STEEL DRUM ❑ h.SILO ❑ I.CYLINDER ❑ P.TANK WAGON 223 <br /> 224 <br /> STORAGE PRESSURE ❑ a AMBIENT ®b. ABOVEAMBIENT ❑ c. BELOW AMBIENT <br /> STORAGE TEMPERATURE ❑a AMIBIENf ® b. ABOVEAMBIENT ❑ c. BELOWAMBIENT ❑ d. CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# <br /> 1 226 227 ❑ Yes ❑ No 338 107-21-1 329 <br /> Z 230 231 ❑ Yes No 232 233 <br /> 3 234 235 ❑ Yes NO 236 237 <br /> 4 <br /> 238 239 ❑ Yes No 240 241 <br /> 5 <br /> 242 243 E—] YesEl <br /> No 244 245 <br /> If mam M1ovrdom<ompo�tl arc Pnam, <br /> at areemr 1M1m IX by wdght If non-nrdn0—,or 0.1X by weight if prcinageni<,ntt¢M1 oddifi0nal ahnb 0rpuper upmrin8 the requirM informo0on. <br /> 246 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION <br /> If EPCRA,Please Sign Hero <br /> UPCF(1/99) <br />