Laserfiche WebLink
UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 04/23/2010- 12:38:35 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 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RECEIVING AREA ®YES[:]NO <br /> FACILITY ID# IPI RAID#(, ) /A /A /A /A 203/204 <br /> RequiredH. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I 1) ❑YES ®NO 206 <br /> SPENT LIQUID CONTENT-SULFURIC ACID If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS ®YES ❑NO 208 <br /> SPENT 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(Check <br /> HAZARDOUS <br /> 13 a.PURE p b.MIXTURE H c.WASTE 211 RADIOACTIVE❑YES ®NO 212 CURIES N/A 213 <br /> PHYSICAL STATEp SOLID ®LIQUID p GAS 214 LARGEST CONTAINER 1.77 LBS OF 215 <br /> (Check one item only) QTTT WemTV AVT" <br /> (Check all <br /> apply)CATEGORIES <br /> p FIRE ❑REACTIVE ❑PRESSURE RELEASE 19 ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 120 240 12,50 131 <br /> UNITS* ❑GAL p CU FT 11 LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE p ABOVE GROUND TANK ❑CARBOY p GLASS BOTTLE ®Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM p TOTE BIN <br /> p STEEL DRUM 13BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ❑CAN p CYLINDER ❑OTHER 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT r mixture or waste onl EHS CAS# <br /> 20-40 226 SULFURIC ACID 227 ®YES ❑NO 228 7664-93-9 229 <br /> 230 231 ❑YES ❑NO 232 233 <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) 27M 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? IRETURNED FROM PUBLIC&REMOVALS FROM SERVICE. <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />