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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/14/2009-04:20:13 PM <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 CAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RETAIL SHELVES ®YES❑NO <br /> FACILITY ID# I MAP#GRID# /A /A /A /A 203/204 <br /> Required by SJ <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(1 I) ❑YES IN NO 206 <br /> OIL TREATMENT If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS [3 YES ®NO 208 <br /> OIL TREATMENT <br /> CAS# 209 <br /> MIXTURE *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if requited by Cum) 210 <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL <br /> RADIOACTIVE YES NO 2 213 <br /> ( one p a PURE ®b MXTURE O G` ASiE <br /> PHYSICAL STATEO SOLID ®LIQUID ❑GAS 214 LARGEST CONTAINER 215 <br /> (Check one item only) 32 OZ <br /> FED <br /> k all HAZARD <br /> that CATEG'O ®RIES FIRE ❑REACTIVE E3 PRESSURE RELEASE 11 ACUTE HEALTH E3 CHRONIC HEALTH 216 <br /> (ChecAVERAGE DAILY AMOUNT =MA10MMMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 8.25 N/A N/A <br /> UNITS* ®GAL ❑CU FT ❑LBS O TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If ERS,amount must be in pounds. 365 <br /> STORAGE ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE 00th-... <br /> CONTAINER ❑UNDER GROUND TANK O SILO H PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM O TOTE BIN <br /> ❑STEEL DRUM O BAG O TANK WAGON <br /> O PLASTIC/NONMETALLIC DRUM O BOX O RAIL CAR <br /> ❑CAN 13 CYLINDER 0 OTHER 223 <br /> STORAGE PRESSURE 19 AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT or mixture or waste onl EHS S# <br /> 15-40 226 HEAVY NAPHTHENIC PETROLEUM 227 ®YES ®NO 228 64742-34-3 229 <br /> 60-80 230 SOLVENT-DEWAXED HEAVY 231 ❑YES ®NO 232 64742-65-0 233 <br /> PARFFTNU'PFTROT.FTTM IITCTTT.I.ATFL <br /> 234 235 ❑YES ❑NO 236 237 <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? IRETAIL SALES <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Hem <br />