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California Hazardous aterials Inventory Form - Chemica' ascription <br /> SAN 14 200L <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4) TRACY VW <br /> CHEMICAL LOCATION(S)(5)IOIL ROOM <br /> MAP#(6)/ GRID#(7) 4/DS 67 N/A N/A N/A <br /> CHEMICAL NAME (8) ATF TRADE SECRET(11) ❑YES ®NO Tra <br /> COMMON NAME (9) HYDROCARBON *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) N/A ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES ®NO (16) <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS ' CURIES <br /> FED HAZARD ®FIRE []REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH ®CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS*(22) H GAL ❑LBS MAX DAILY AMT(23)200 <br /> CODE N/A ❑CU FT ElTONS ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 200 <br /> ON SITE <br /> LARGEST (21 120 ANNUAL WASTE AMT(25) 200 <br /> CONTAINER <br /> STORAGE (26)®ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER ❑UNDER GROUND TANK []CARBOY ❑CYLINDER ❑RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) ®AMBIENT []ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT [:]ABOVE AMBIENT ❑BELOW AMBIENT []CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> > 99 MINERAL OIL I[E]YES ®N 8012-95-1 <br /> < 1 ZINC DIALKYL DITHIOPHOSPHATE ❑ YES ®N 64742-65-0 <br /> ❑ YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 <br /> (34)WHAT IS MATERIAL TRANSMISSION SERVICES <br /> USED FOR? <br /> DATE REC'D: 1/14/05 For Official Use Onhv: ®C ❑ R ❑S SIC 12199 <br />