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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/14/2009-04:20:10 PM <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 QX YES❑NO <br /> FACILITY ID# 1 MAP#GRID# /A /A /A /A 203/204 <br /> Required by SJ <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I 1) (3 YES ®NO 206 <br /> PAINT THINNER If Subject to PPCCRA,refer to instructions <br /> COMMON NAME 207 EHS 0 YES 19 NO 208 <br /> PAINT THINNER <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 O a.PURE ®b.MIXTURE 17 c.WASTE 211 RADIOACTIVE 0 YES H NO 212 CURIES N/A 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATEO SOLID ®LIQUID 0 GAS 214 215 <br /> LARGEST CONTAINER I PT <br /> (Check one item only) <br /> FID HAZARD CATEGORIES ®FIRE 0 REACTIVE 0 PRESSURE RELEASE 19 ACUTE HEALTH 0 CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217MAXIMUM DAILYAMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 3.7 5 N/A N/A <br /> UNITS* H GAL O CU FT 0 LBS 0 TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE O ABOVE GROUND TANK O CARBOY O GLASS BOTTLE 0 Other... <br /> CONTAINER 0 UNDER GROUND TANK O SILO O PLASTIC BOTTLE <br /> 0 TANK INSIDE BUILDING 0 FIBER DRUM 0 TOTE BIN <br /> 0 STEEL DRUM (3 BAG 0 TANK WAGON <br /> 0 PLASTIC/NONMETALLIC DRUM 0 BOX O RAIL CAR <br /> ®CAN O CYLINDER O OTHER 223 <br /> STORAGE PRESSURE ®AMBIENT (3 ABOVE AMBIENT 0 BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE O AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT 0 CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT For mixture or waste onl EHS CAS# <br /> 90-100 226 STODDARD SOLVENT 227 OYES ONO 228 8052-41-3 229 <br /> 0-4 230 ETHYLTOLUENE 231 0 YES ONO 232 25550-14-5 233 <br /> 2.4 234 1,2 4 TRIMETHYLBENZENE 235 0 YES ONO 236 95-63-6 237 <br /> 238 239 0 YES 0 NO 240 241 <br /> 242 243 0 YES 0 NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) NFPA 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? RETAIL SALES <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />