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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/14/2009-04:20:12 P <br /> Page of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> PEP BOYS #711 <br /> CHEMICAL LOCATION 201 rCAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RETAIL SHELVES [XI YES[:]NO <br /> FACILITY ID# I MAP#GRID#���E���203/204 <br /> Requited by SJ 'a /A /A /A /A <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I I) ❑YES ®NO 206 <br /> ENGINE DEGREASER It Subject to EPCRA.refer to instructions <br /> COMMON NAME 207 EHS ❑YES ®NO 208 <br /> ENGINE DEGREASER <br /> CAS# 209 <br /> MIXTURE *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVE BLANK <br /> TYPE(Check oneUS ATERIAy O a.PURE H b.MIXTURE O c.WASTE 211 RADIOACTIVE O YES ONO 2I2 CURIES N/A 213 <br /> PHYSICAL STATE ❑SOLID ®LIQUID ❑GAS 214 LARGEST CONTAINER 215 <br /> (Check one item only) 20 OZ <br /> (Check <br /> FED Hal RD CATEGORIES ®FIRE ❑REACTIVE 11 PRESSURE RELEASE H ACUTE HEALTH c3 CHRONIC HEALTH 216 <br /> t apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT " 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 4.68 19.37 N/A I N/A <br /> UNITS* ❑GAL ❑CU Fr N LBS ❑TONS 221 DAYS ON SITE 222 <br /> (Check on item only *If ERS,amount must be in pounds. 1365 <br /> STORAGE ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ®PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ®CAN ❑CYLINDER ®OTHER <br /> 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224- <br /> STORAGE TEMPERATURE M AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT Eor mixture or waste onl EHS CAS# <br /> 4-5 226 2-BUTOXY-I-ETHANOL 227 DYES ®NO 228 11-76-2 229 <br /> 5-6 230 ALIPHATIC PETROLEUM DISTALLATES 231 DYES IN NO 232 8008-20-6 233 <br /> 5-6 234 AROMATIC PETROLEUM DISTALLATES 235 D YES ®NO 236 64742-95-6 237 <br /> 1-2 238 M-PYROL 239 ❑YES ®NO 240 0872-504 241 <br /> 242 243 D YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) NEPA 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? IRETAIL SALES <br /> UPCF(Rev.I V2007) If EPCRA,Please Sign Here <br />