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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/14/2009-04:20:14 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 rCAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RETAIL SHELVES ®YES®NO <br /> FACILITY IDS 1 MA #� 203/204 <br /> Requiredired by by <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES ®NO 206 <br /> PAINT RUST NOT If Subject to EPCRA.refer to instructions <br /> COMMON NAME 207 EHS ❑YES ONO 208 <br /> PAINT RUST NOT <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 MATERIAL ®a.PURE ®b.MIXTURE a c.WASTE 211 RADIOACTIVE❑YES IN NO 212 CURIES N/A 213 . <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 IARGEST CONTAINER 215 <br /> (Check one item only) ❑SOLID ®LIQUID E3 GAS 16 OZ <br /> FID HAZARD CATEGORIES 10 FIRE ❑REACTIVE 19 PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 2171MAXIMM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219STATE WASTE CODE 220 <br /> 5.86 11 1 N/A N/A <br /> UNITS' ®GAL ❑CU FT ❑LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only a 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 /> N CAN ❑CYLINDER O OTHER 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE IN AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT For mixture or waste onl EHS CAS# <br /> 20-25 226 ACETONE 227 ❑YES ONO 228 67-641 229 <br /> 18-23 230 ALIPHATIC HYDROCARBONS 231 ❑YES ONO 232 64742-89-8 233 <br /> 5-10 234 TOLUENE 235 ❑YES ®NO 236 108-88-3 237 <br /> 5-10 238 XYLENE 239 ❑YES ®NO 240 1330-20-7 241 <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.1212007) If EPCRA,Lease Sign Here <br />