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UNIFIED PROGRAM CONSOLIDATED FORM <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION <br />10/14/2009 - 04:57:35 P <br />Page. of <br />I. FACILITY INFORMATION <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) <br />3 <br />SEARS #1288!6791 <br />CHEMICAL LOCATION 201 <br />LOCATION CONFIDENTIAL EPCRA <br />202 <br /> <br />rHEMICAL <br />[@YES❑ NO <br />FACILF11rID# I <br />MAP#GRII}# 2031204 <br />Required by SJ <br />II. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 <br />TRADE SECRET (11) ❑ YES 11 NO <br />206 <br />WASTE PROPANE <br />If Subject to EPCRA, refer to instructions <br />COMMON NAME 207 <br />208 <br />WASTE PROPANE <br />EHS* 0 YES IN NO <br />CAS # 209 <br />74„98-6 <br />*If EFTS is `Yes', all amounts must be in lbs. <br />FIRE CODE HAZARD CLASSES (Complete if required by COPA) <br />210 <br />LEAVE BLANK <br />HAZARDOUS MATERIAL O a. PURE p b. MIXTURE ® c. WASTE 211 <br />TYPE (Check one item only) <br />RADIOACTIVE ❑ YES 0 NO 212 <br />CURIES <br />213 <br />PHYSICAL STATE <br />❑ SOLID [3 LIQUID H GAS 214 <br />(Check one item only) <br />LARGEST CONTAINER 18 <br />215 <br />FED HAZARD CATEGORIES ® FIRE ❑ REACTIVE ® PRESSURE RELEASE ACUTE HEALTH CHRONIC HEALTH <br />216 <br />I1 ❑ <br />(Check all that apply) <br />AVERAGE DAMY AMOUNT 217 <br />MAXIMUM DAILY AMOUNT 218ANNUAL WASTE AMOUNT 219 <br />STATE WASTE CODE <br />220 <br />4.5 <br />118 136 <br />162 <br />UNITS* IN GAL ❑ CU FI' ❑ LBS ❑ TONS 221 1 <br />DAYS ON SITE <br />222 <br />(Check on item only * If EHS, amount must be in pounds. <br />365 <br />STORAGE ❑ ABOVE GROUND TANK ❑ CARBOY ❑ GLASS BOTTLE ❑ Other... <br />CONTAINER ❑ UNDER GROUND TANK ❑ SILO ❑ PLASTIC BOTTLE <br />❑ TANK INSIDE BUILDING ❑ FIBER DRUM ❑ TOTE BIN <br />❑ STEEL DRUM ❑ BAG ❑ TANK WAGON <br />❑ PLASTICINONMETALLIC DRUM ❑ BOX ❑ RAIL CAR <br />❑ CAN- OCYLINDER ❑ OTHER <br />223 <br />STORAGEPRESSURE ❑ AMBIENT ® ABOVE AMBIENT ❑ BELOW AMBIENT <br />224 <br />STORAGE TEMPERATURE 0 AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />225 <br />%WT <br />HAZARDOUS COMPONENT For mixture or waste onl <br />EHS <br />CAS# <br />100 226 <br />WASTE PROPANE 227 <br />[:]YES ® NO 228 <br />74-98-6 <br />229 <br />230 <br />231 <br />❑ YES ❑ NO 232 <br />233 <br />2.34 <br />235 <br />❑ YES ❑ NO 236 <br />237 <br />238 <br />2.39 <br />D YES ONO 240 <br />241 <br />242 <br />243 <br />O YES ❑ NO 244 <br />245 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION. (33) UNITED NATIONS ID# (DOT) N/A <br />246 <br />(34) WHAT IS MATERIAL <br />USED FOR? N/A <br />UPCF (Rev. 12/2007) If EPCRA, Please Sign Here <br />