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0 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 10/14/2009-04:20:12 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 rEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> RETAIL SHELVES AYES❑NO <br /> FACILITY II)# 1 MAP203/20 <br /> Required by Sp���� E= <br /> H. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET(I 1) ❑YES ®NO 206 <br /> BRAKE CLEANER If Subject to EPCRA,refer to instructions <br /> COMMON NAME 207 <br /> BRAKE CLEANER EHS* ❑YES 13 NO 208 <br /> CAS# 209 <br /> MUCTURE *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if requited by CUPA) 210 <br /> LEAVE BLANK <br /> HAZARDOUS MATERIAL p a.PURE N b.MIXTURE p c.WASTE 211 RADIOACTIVE❑YES ®NO 212 CURIES N/A 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE ❑SOLID N LIQUID ❑GAS 214 LARGEST CONTAINER 215 <br /> (Check one item only) 1 GAL <br /> FED HAZARD CATEGORIES ®FIRE ❑REACTIVE ®PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAX[MUM DAILY AMOUNT 21 ANNUAL WASTE AMOUNT 21 <br /> 9 STATE WASTE CODE 220 <br /> 11.95 30 N/A N/A <br /> UNITS* N GAL ❑CU FT ❑LBS ❑TONS 221 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 D Other... <br /> CONTAINER ❑UNDER GROUND TANK O SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM O BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> ®CAN ❑CYLINDER ❑OTHER <br /> 223 <br /> STORAGE PRESSURE 10 AMBIENT ❑ABOVE AMBIENT 0 BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE IN AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC 225 <br /> %wr HAZARDOUS COMPONENT ffor mixture or waste onl EHS CAS# <br /> 45-55 226 Acetone 227 ❑YES ®NO 228 67-641 229 <br /> 25-35 230 Toluene 231 0 YES ONO 232 108-88-3 233 <br /> 10-20 234 Methanol 235 ®YES ONO 236 67-56-1 237 <br /> 5-10 238 Carbon Dioxide 239 ❑YES ONO 240 124-38-9 241 <br /> 242 243 ❑YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNTIED NATIONS ID#(DOT) NPA 246 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? IRETAIL SALES <br /> UPCF(Rev.12/2007) If EPCRA,Please Sign Here <br />