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0 <br /> t <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 04/23/2010-12:44:01 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 CAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RETAIL SHELVES OYES[:]NO <br /> FACILITY ID# I MAPIGRID# /A /A /A /A 203/204 <br /> Required by SI <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(11) O YES I&NO 206 <br /> WINDSHIELD WASHER FLUID if Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 EHS O YES ONO 208 <br /> WINDSHIELD WASHER FLUID <br /> CAS# 209 <br /> MIXTURE *If EHS is "Yes",all amounts must be in IIx. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVE BLANK <br /> TAY E( US k ornMEtte TERIAL 3 a.PURE N b.MIXTURE p c.WASTE 2111 RADIOACTIVE 13 YES IN NO 212 CURIES MA 213 <br /> PHYSICAL STATEO SOLID ®LIQUID [3 GAS 214 LARGEST CONTAINER 215 <br /> (Check one item only) I <br /> FED HAZARD CATEGORIES ®FIRE ❑REACTIVE O PRESSURE RELEASE ®ACUTE HEALTH O CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 100 150 N/A N/A <br /> UNITS* H GAL OCU F1' O LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EAS,amount must be in pounds. 365 <br /> STORAGE O ABOVE GROUND TANK []CARBOY O GLASS BOTTLE O Other... <br /> CONTAINER O UNDER GROUND TANK O SILO ®PLASTIC BOTTLE <br /> O TANK INSIDE BUILDING O FIBER DRUM O TOTE BIN <br /> ❑STEEL DRUM O BAG O TANK WAGON <br /> ❑PLASTICINONMETALLIC DRUM O BOX O RAIL CAR <br /> O CAN O CYLINDER O OTHER <br /> 223 <br /> STORAGE PRESSURE ®AMBIENT O ABOVE AMBIENT ❑BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE ®AMBIENT O ABOVE AMBIENT O BELOW AMBIENT O CRYOGENIC 225 <br /> %WT HAZARDOUS'COMPONENT Eor mixture or waste onl EHS CAS# <br /> �I 226 METHYL ALCOHOL 227 ❑YES ONO 228 67-56-1 229 <br /> 230 231 ❑YES ❑NO 232 233 <br /> 234 235 ❑YES ❑NO 236 237 <br /> 238 239 ❑YES ❑NO 240 241 <br /> 242 243 ❑ITS ❑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 />