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A <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/14/2009-04:20:16 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 /> SERVICE BAYS [@ YES[:]NO <br /> FACILITY ID# 1 ��by # _ 203/204 <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(l 1) ❑YES ®NO 206 <br /> USED PETROLEUM HYDROCARBON/FILTER If Subject to EPCRA,refer to instructions <br /> COMMON NAME <br /> 207 <br /> EHS* ❑YES ®NO 208 <br /> USED MOTOR OIL FILTERS <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 p b.MIXTURE ®e-WASTE 211 RADIOACTIVE❑YES IN NO 212 CURIES 0 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 LARGEST CONTAINER 2t <br /> (Check one item only) ®SOLID ❑LIQUID ❑GAS SS GAL <br /> FID HAZARD CATEGORIES ®FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ®CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT =MA1aWM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 2 3650 N/A <br /> UNITS' ®GAL ❑CU FT ❑LBS ❑TONS 221 JDAYS ON SITE 222 <br /> (Check on item only •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 /> N STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑Box ❑RAIL CAR <br /> ❑CAN ❑CYLINDER ❑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 ff2r mixture or waste only EHS CAS# <br /> 83-93 226 ALIPHATIC PETROLEUM DISTALLATES 227 ❑YES ®NO 228 64742-65-0 229 <br /> 6-16 230 DETERGENT/DISPERSANT ENGINE OIL 231 ❑YES ®NO 232 233 <br /> PArxAr.>~. <br /> 1 234 ZINC COMPOUNDS 235 ❑YES ®NO 236 68649-42-3 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) NEPA 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? WASTE 7771 <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />