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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/14/2009-04:20:11 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 /> CHEMICALLOCATION 201 HEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RETAIL SHELVES ®YES®NO <br /> FACILITY ID# 1 =r�b ID`f J /A /A /A /A 203/204 <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) ❑YES 19 NO 206 <br /> UNDERCOATING If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS ❑YES ®NO 208 <br /> UNDERCOATING <br /> CAS# 209 <br /> MurL, *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by COPA) 210 <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL 3 a.PURE H b.MIXTURE O c.WASTE 211 RADIOACTIVE O YES IN NO 212 CURIES N/A 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE O SOLID ❑LIQUID 13 GAS 214 LARGEST CONTAINS 215 <br /> (Check one item only) 20 OZ <br /> FED <br /> (Check all 10 CATEGORIES ®FIRE ❑REACTIVE 11 PRESSURE RELEASE N ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> dud apply) <br /> AVERAGE DAILY AMOUNT 211MAXWUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219STATE WASTE CODE 220 <br /> 6.85 12 N/A N/A <br /> UNITS* N GAL O CU Fr O 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 O GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM O TOTE BIN <br /> O STEEL DRUM ❑BAG O TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM O BOX ❑RAIL CAR <br /> ®CAN ❑CYLINDER MOTHER 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE 19 AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT For mixture or waste onl ERS CAS# <br /> 20-25 226 TOLUENE 227 OYES ®NO 228 108-88-3 229 <br /> 5-10 230 MINERAL SPIRITS 231 0 YES N NO 232 64742-88-7 233 <br /> 6 234 PROPANE 235 0 YES ONO 236 76-98-6 237 <br /> 5 238 ISOBUTANE 239 0 YES ®NO 240 75-28-5 241 <br /> 242 243 0 YES ONO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) NFPA^� 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? JR13TATL SALES <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />