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California Hazardous Mates Inventory Form - Chemical Descre?'ion <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4) VE <br /> CIRCLE K 76 #2705447 <br /> CHEMICAL LOCATION(S)(5) <br /> ��----�� SAN JOACUIN 0 TY <br /> MAP#(6) / GRID#(7) N/A RVICES <br /> CHEMICAL NAME (8) PETROLEUM HYDROCARBON TRADE SECRET(11) ❑yES ®NO <br /> COMMON NAME (9) WASTE FUEL FILTERS *EHS (12) JE3 YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 8006-61-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LE <br /> CATEGORIES AVE BLANK <br /> TYPE (14) ❑PURE ❑MIXTURE ®WASTE RADIOACTIVE(15) ❑yE5 ®NO (16) N/A <br /> PHYSICAL STATE(17) ❑SOLID H LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE ❑REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH ®CHRONIC HEALTH <br /> STATE WASTE (19) UNITS* (22) ®GAL ❑LBS <br /> CODE N/ ❑CU FT ❑TOP MAX DAILY AMT(23)5 5 <br /> ON SITE <br /> DAYS ON SITE (20)365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 20 <br /> ON SITE <br /> LARGEST <br /> 5 5(21 ANNUAL WASTE AMT(25)CONTA5 5 <br /> STORAGE (26) ❑ABOVE GROUND TANK []CAN ❑BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK []CARBOY <br /> ❑CYLINDER El RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTHER <br /> ®STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE <br /> El Other... <br /> ❑PLASTIC/NONMETALLIC DRUM E3 BAG El 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 (31)EHS 32 CAS# <br /> 5 GASOLINE [--]YES ®N 8006-61-9 <br /> N/A FUEL FILTER ❑YES ®N N/A <br /> N/A N/A ❑YES ®N N/A <br /> N/A N/A ❑YES M N N/A <br /> N/A N/A ❑YES ®N N/A <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1203 <br /> (34)WHAT IS MATERIAL FUEL <br /> USED FOR? <br /> DATE REC'D: 1/14/04 For Official Use Only: ❑C ❑R ❑S SIC 12/99 <br />