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California Hazardo Materials Inventory Form - Ch,..,ical Description <br /> (1) ❑ADD ❑DELETE ❑REVISE 2001 PAGE(2) OF(3) <br /> 2 <br /> BUSINESS NAME (4) <br /> QTTY F RIPON <br /> CHEMICAL LOCATION(S)(5) eaS'1- cj u`nn 4(7a5e SANJOQUINCOU <br /> BOOSTER STATIOr4CE0FEMERGENCyg C <br /> — ES <br /> MAP#(6) / GRID#(7) W.r E E� <br /> CHEMICAL NAME (8) TRADE SECRET(1 1) ❑Y ®N <br /> COMMON NAME (9) DIESEL *EHS (12) ❑Y ®N <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) aPURE []MIXTURE ❑WAS'CE RADIOACTIVE(15) ❑Y ®N (16)E= <br /> PHYSICAL STATE (17)1 ❑SOLID ❑LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE ❑REACTIVE [:]PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HESLTH <br /> STATE <br /> CODE WASTE (19)= UNITS* (22) ®GAL ❑CU FT MAX DAILY AMT(23) <br /> 260 <br /> ❑LQS [:] TONS ON-SITE <br /> DAYS ON SITE (20)� AVG DAILY AMT(24) <br /> 365 *If EHS- amounts must be in lbs ON-SITE <br /> `LARGEST (21 220 <br /> CONTAINER 260 ANNUAL WASTE AMT(25)�� <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGONCONTAINER ❑ UNDER GROUND TANK ❑CARBOY ❑ CYLINDER [:]RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑-------------------- <br /> ❑STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ® AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIE(T [:]ABOVEAMBIENT []BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29) COWT (30) HAZARDOUS COMPONENT (31Y ❑EHS N CAS <br /> ❑ <br /> ❑ Y ❑N <br /> ❑Y ❑ N <br /> ❑ Y ❑N <br /> ❑Y ❑N <br /> DDITIONAL LOCALLY COLLECTED INFORMATION: .(33) UNITED NATIONS ID#(DOT) 1993 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? gyp" <br /> For Official Use Only: 1 C J R [] S SJC 12/00 <br />