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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/14/2009-04:20:10 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 20l rCAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RETAIL SHELVES ®YES❑NO <br /> FACILITY ID# I MAPIGRID# /A /A /A /A 2031204 <br /> Required by SJ <br /> II. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) OYES ONO 206 <br /> SPRAY PAINT If Subject to EPCRA.refer to instructions <br /> COMMON NAME 207 EFTS ❑YES ®NO 208 <br /> SPRAY PAINT <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 HAZARDOUS <br /> k one TERIIAy O a.PURE H b.MIXTURE p c.WASTE 211 RADIOACTIVE O YES 19 NO 212 CURIES N/A 213 <br /> em onl <br /> STATE ❑SOLID O LIQUID H GAS 214 LARGEST CONTAINER 21 <br /> (Check one <br /> (Check item only) 12 OZ <br /> (Check HAZARD <br /> ®FIRE ❑REACTIVE 19 PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT ISTATE WASTE CODE 220 <br /> 13.69 20 N/A N/A <br /> UNITS* ®GAL ❑CU FI' ❑LBS ❑TONS 221 1 DAYS 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 O FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM O BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> 0 CAN ❑CYLINDER ❑OTHER <br /> 223 <br /> STORAGE PRESSURE H AMBIENT ❑ABOVE AMBIENT O BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT or mixture or waste only ERS CAS# <br /> 25-30 226 ACETONE 227 O YES ®NO 228 67-64-1 229 <br /> 25-30 230 XELENE 231 O YES ®NO 232 1330-20-7 233 <br /> 27 234 PROPANE MIXTURE 235 O YES ONO 236 68476-86-8 237 <br /> 238 239 ❑YES'O NO 240 241 <br /> 242 243 ❑YES ONO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) ?ITA 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? jRh7AIL SALES <br /> UPCF(Rev.1V2W7) If EPCRA,Please Sign Here <br />