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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 04/23/2010- 12:38:46 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 rHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RETAIL SHELVES 0 YES®NO <br /> FACILITYiD>1 1 MA203/204 <br /> RequiredbySJ���� � <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES ®NO 206 <br /> CARBURETOR CLEANER If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 208 <br /> CARBURETOR CLEANER EHS* ❑YES ONO <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 <br /> YPE R k onMATERIAL <br /> e tem oIA y .a.PURE H&MIXTURE O c.WASTE 211 RADIOACTIVE❑YES 10 NO. 212 CURIES N/A 213 <br /> PHYSICAL STATE ❑SOLID ®LIQUID ❑GAS 214 LARGEST CONTAINER 215 <br /> (Check one item only) 19 OZ <br /> FEDHAZARD <br /> AZ h t CATS TOS ®FIRE ❑REACTIVE ❑PRESSURE RELEASE O ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 11 30 N/A N/A <br /> UNITS* ®GAL ❑CU FT ❑LBS ❑TONS 221 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 /> ❑CAN ❑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 or mixture or waste tml ERS CAS# <br /> 55 226 ACETONE 227 ❑YES ®NO 228 67-64-1 229 <br /> 35 230 TOLUENE 231 ❑YES ONO 232 108-88-3 233 <br /> 20 234 METHANOL 235 ❑YES ONO 236 67-56-1 237 <br /> 5 238 CARBON DIOXIDE 239 ❑YES ONO 240 12438-9 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) NI TA 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? IRETAIL SALES <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />