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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4987
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2200 - Hazardous Waste Program
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PR0513935
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COMPLIANCE INFO
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Last modified
6/9/2020 8:58:13 PM
Creation date
6/3/2020 9:21:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0513935
PE
2227
FACILITY_ID
FA0003969
FACILITY_NAME
PEP BOYS #711
STREET_NUMBER
4987
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10416027
CURRENT_STATUS
01
SITE_LOCATION
4987 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2227_PR0513935_4987 WEST_.tif
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EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 04/23/2010-12:38:23 P <br /> Page of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> PEP BOYS 11711 <br /> CHEMICAL LOCATION201 CAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RETAIL AREA ®YES[::]NO <br /> FACILITY ID# 1 RMAP RID#1/E5 /A /A /A /A 203/204 <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES ®NO 206 <br /> LIQUID CONTENT-SULFURIC ACID if Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 ®YES p NO 209 <br /> I�iS` <br /> SULFURIC ACID,BATTERY ELECTROLYTE <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 /> TYPE <br /> HAZARDOUS <br /> k oneMEite AL 0 a.PURE N b.MIXTURE O c.WASTE 211 RADIOACTIVE❑YES ®NO 212 CURIES N/A 213 <br /> (ChePHYSICAL STATE p SOLID ®LIQUID p GAS 214 LARGEST CONTAINER 177 LBS OF 215 <br /> (Check one item only) QTtr l rtvtuI A VT" <br /> (FED k all RD CATEGORIES ®FIRE ®REACTIVE ❑PRESSURE RELEASE N ACUTE HEALTH 13 CHRONIC HEALTH 216 <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 1,000 1,000 N/A N/A <br /> UNITS* ❑GAL ❑CU Fr H 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 p CARBOY ❑GLASS BOTTLE ®Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> O TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> p STEEL DRUM ❑BAG O TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM p BOX O RAIL CAR <br /> ❑CAN ❑CYLINDER ❑OTHER <br /> 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> 46WT HAZARDOUS COMPONENT or mixture or waste onl ERS CAS# <br /> 20-40 226 SULFURIC ACID 227 ®YES ONO 228 7664-93-9 229 <br /> 230 231 0 YES 0 NO 232 233 <br /> 234 235 ❑YES ONO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 0 YES 0 NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 2794 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? IFOR RETAIL SALE. <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />
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