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From:PAUL OIL • 209 847 9726 08/010 13:42 9441 P. 009/010 <br /> PAUL OIL Fax:2098923935 Rug 9 2010 13:46 P.09 <br /> UNI PROGRAM CONSOLIDATED FORM <br /> flA.ZARDOUS MATERIALS <br /> WA7ARDOUS MATERL,LS INVENTORY-CHEMICAL DESCRIPTION <br /> 07/2212010-08:51:03 An <br /> Page <br /> I.FACnXrY INFORMATION <br /> BUSINESS NAME(Sane m FACILITY NAME to DBA-Doi98 Bmimw As) 3 <br /> 7.ELSV,RN STORE#39208 <br /> CHEFIICAL LOCATION 201 CALLOCATIONCONF lEll LEPCRA 2112 <br /> 7-ELEVEN STORE 039208 0 YESEINO <br /> FACILITIC IDB 1 MA mdby SJ� �I��203120a <br /> 11e4+u dhy Sl uu <br /> M CffiNIICAL INFORMATION <br /> CHEMICAL NAME 205 TRADESECRET(i() AYES ONO 206 <br /> GASOLINE-UNLEADED ESubja M MICBA,sefer m iwndi m <br /> COMMONNAME 1117 BHS* OYES ANO 208 <br /> GASOLINE-UNLEADEO <br /> CAS 0 209 <br /> N/A *)T BHS is "Yes^,sU meIDB must be iu tbs. <br /> FIRS CODE HAZARD CLASSES(Cnuplekif r.q.mil by COPA) 210 <br /> LEA(E BLANK <br /> HAZARDOUS MATERIA[. o.PURR p b.MDCTUAE O e.WASTE 211 RADIOAO7TVB CITES0 NOS' 212 213 <br /> TYPE(Ch"TC oneUM ugly) CURIES <br /> PHYSIT oulr)CAL STATE OSOLID OLIQUID OGAS 214 LAROSST CONTAINER 2Q,000 GAL 215 <br /> MYSIame S <br /> FPD I;A7-ARD CATEGORIES M ERE 0 REACIT" 0 PRESSUREnem 0 ACUTE HEALTH O CHRONIC HEALTH 216 <br /> (Cork all Qw Apply) <br /> V.FRAGEDAI Y AMOUNT 217 MAID AUM DAILY AMOUNT 21 AL WASTEAMOUNI 219 STATE WASTE CODE 220 <br /> 15,000 15,000 0I NIA <br /> UNITS* O GAL 0 CD FT 0 LBS 0 TONS 221 DAYS ON SITE 222 <br /> (Chink m ilnm nulr *B'EHS,am t must be in pumtle. 0 <br /> STORAGE 0 ABOVE GROUND TANK Cl CARBOY 0 GLASS BOTTLE 0 Other... <br /> CONTAINER O UNDER GROUND TANK OSMO O PLASTIC BOTTLE <br /> 0 TANK INSIDE BUH.DING 0 FIBER DRUM 0 TOTE BIN <br /> 0 STERL DRUM 17 BAG 0 TANK WAGON <br /> 0 PLASTIC/NONMBTALLIC DRUM 13 BOX 0 RAIL.CAR <br /> 0 CAN 0 CYLINDER 0 OTBER 223 <br /> STORAGEPRESSURH IMAMBIENT 13ABOYN AMBIENT O BELOW AMBIENT 224 <br /> STORAGETEMPERATURE ®AMBIENT OABOVEAMHIENT QBELOWAHRIBNr ©CRYOGENIC 225 <br /> hWT HAZARDOUS COMPONENT mixwb wwaste only 1 E1 S CASs <br /> 226 227 OYES ONO 22& 229 <br /> 230 231 ❑YES 0 NO 232 233 <br /> 234 .235 ❑YES ONO 236 237 <br /> 238 239 Cl YES ONO ya 241 <br /> 242 243 E3 YES ONO 744 245 <br /> ADDITIONAL LOCALLY COLLECTED BJTORMATLON: (33)UN=NATIONS M#(DOT) 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? <br /> ..„ - UPCF QGs.122007) If EPCRA.Please sign Here <br />