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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 04/23/2010- 12:37:58 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 ❑X YES❑NO <br /> FACILITY ID# 1 MAp#GRID#`t� /A /A /A /A 203/204 <br /> Requirod by SI <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES ®NO 206 <br /> PAINT REMOVER If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS* ❑YES ®NO 208 <br /> PAINT REMOVER <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 /> HAZARDOUS <br /> E(Check oMA item .a.PURE ®b.MIXTURE O c.WASTE 211 RADIOACTIVE❑YES ®NO. 212 CURIES N/A 213 <br /> PHYSICAL STATE 215 <br /> p SOLID ❑LIQUID N GAS 214 LARGEST CONTAINER I QT <br /> (Check one item only) <br /> FED HAZARD CATEGORIES to FIRE ❑REACTIVE N PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 2171MAMMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 1.29 3 N/A N/A <br /> UNITS' ®GAL ❑CU FT ❑LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only s If EHS,amount must be in pounds. 365 <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 /> STORAGETRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %wr HAZARDOUS COMPONENT ffa mixture or waste onl ERS CAS# <br /> 67 226 METHYLENE CHLORIDE 227 ❑YES ONO 228 75-09-2 229 <br /> 10 230 ISOBUTANE 231 ❑YES ONO 232 75-28-5 233 <br /> 10 234 PROPANE 235 ❑YES ONO 236 7498-6 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) NFPA 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? RETAIL SALES <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />