Laserfiche WebLink
California Hazardous Mat. ds Inventory Form - Chemical Descr in <br />PAGE (2) ! ` 9SIVE ID <br />BUSINESS NAME (4) <br />CHEMICAL CO (STKN) <br /> <br /> <br /> <br />CHEMICAL NAME (8) WASTE OIL TRADE SECRET (11) ❑ YES ®NO <br />*EHS (12) 10YES ®NO <br />COMMON NAME (9) USED OIL <br />*1F EHS BOX IS "Y" <br />CAS # (10) N A ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />II LI <br />TYPE <br />(14) ❑PURE ❑MIXTURE ®WASTE I jt,�IVAI;IIV� �1�J lu y �, � 1V V I�"� <br />CURIES <br />PHYSICAL STATE <br />(17) ❑ SOLID ® LIQUID ❑ GAS <br />FED HAZARD <br />®FIltE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH H CHRONIC HEALTH <br />CATEGORIES <br />(18) <br />STATE WASTE <br />23) 60 <br />(19) NA UNITS* (22)FN GAL ❑ LBS I MAX DAILY AMT (23)E:= <br />❑ CU FT ❑ TONS I <br />CODE <br />ON SITE <br />- <br />❑YES ❑N <br />*H EHS, amounts must be in lbs AVG DAILY AMT (24) 2 5 <br />)AYS ON SITE <br />(20) 365 ON SITE <br />LARGEST <br />(21) ANNUAL WASTE AMT (25) 150 <br />CONTAINER <br />55 <br />STORAGE <br />(26) BOVE GROUND TANK ❑ CAN ❑ BOX❑TANK WAGON <br />❑ CARBOY❑CYLINDER ❑RAIL CAR <br />CONTAINER. <br />NDER GROUND TANK <br />ANK INSIDE BUILDING ❑SILO❑ GLASS BOTTLE ❑ OTHER <br />FEI <br />TEELDRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE ❑ Other... <br />LASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br />STORAGE <br />(27) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />PRESSURE <br />STORAGE <br />(28) ®AMBIENT ❑ABOVE AMBIENT ❑ BELOW AMBIENT [:1 CRY <br />TEMPERATURE <br />(31) EHS (32) CAS# <br />%W I <br />30) HAZARDOUS COMPONENT <br />REI YES ❑N <br />=SN <br />❑ YES ❑ N <br />E_ <br />7== <br />OYES ❑N <br />== <br />- <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) JUN 1270 <br />(34) WHAT IS MATERIAL Waste from repair of mobile equipment <br />USED FOR? <br />DATE RECD: 8/3/05 For Official Use Only: 0 C ❑ R ❑ S <br />SIC 12/99 <br />