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0 <br /> k <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 04/23/2010- 12:44:13 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 E]YES[:]NO <br /> FACILITY ID# 1 1==Z�����2031204 <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I i) ❑YES ®NO 206 <br /> SEALANT If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207208 <br /> EHS ❑YES ®NO <br /> SEALANT <br /> CAS# 209 <br /> MIRTURE *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 /> TYPEHAZARDO <br /> (Check one TE otAL 17 a.PURE H b.MIXTURE 13 c.WASTE 211 RADIOACTIVE 13YES 19 NO 212 CURIE$ N/A 213 <br /> PHYSICAL STATE ❑SOLID 19 LIQUID ❑GAS 214 LARGEST CONTAINER 215 <br /> (Check one item only) 12 OZ <br /> FED HAZARD CATEGORIES ®FIRE ❑REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH E3 CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 2.59 9 N/A N/A <br /> UNITS* O GAL ®CU FT ❑LBS ❑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 ❑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 /> 10 CAN ❑CYLINDER ❑OTHER 223 <br /> STORAGE PRESSURE N AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE H AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT For mixture of waste onl EHS CAS# <br /> 1.5 226 MAGNESIUM ALUMINUM SILICATE 227 ❑YES ®NO 228 8031-18-3 229 <br /> 10 230 BENTONITE CLAY 231 ❑YES ®NO 232 1302-78-9 233 <br /> 05 234 GLUTARALDEHYDE 235 ❑YES ONO 236 111-30-8 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) STA 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? IRETAIL SALES <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />