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California Hazardous Ma als Inventory Form - Chemical Desc_ <br />BUSINESS NAME (4)ISIERRA CHEMICAL CO (STKN) <br />CHEMICAL LOCATION(S) (5) <br /> <br /> <br /> <br /> <br /> <br />CHEMICAL NAME (8) CHEVRON DELO 400 TRADE SECRET (11) ❑ YES ®NO <br />*EHS (12) ❑ YES ®NO <br />COMMON NAME (9) MOTOR OIL <br />*IF EHS BOX IS "Y" , <br />CAS # (10) MIXTURE - HIGHLY REFINED MINERAL OIL ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TYPE (14) ❑PURE ®MIXTURE ❑ WASTE I KAI�LVAI LLVD �u) lU Y �� ivvl�•�� <br />CURIES <br />PHYSICAL STATE (17) ❑SOLID ®LIQUID ❑ GAS <br />FED HAZARD ❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />CATEGORIES (18) <br />STATE WASTE (19)E:= <br />UNITS* (22) ® GAL ❑ LBS MA <br />CODE <br />AMT (23) 400 <br />CODE ❑ CU FT ❑ TONS ONSITE <br />)AYS ON SITE (20)365 *U EHS, amounts must be in lbs AVG DAILY AMT (24) 200 <br />ONSITE <br />LARGEST (21)400 ANNUAL- WASTE AMT (25) 150 <br />CONTAINER <br />STORAGE <br />(26) <br />GROUND TANK <br />❑ CAN ❑ BOX <br />❑ CARBOYCYLINDER <br />❑ TANK WAGON <br />❑RAIL CAR <br />CONTAINER <br />FABOVE <br />NDER GROUND TANK <br />ANK INSIDE BUILDING <br />❑ SILO ❑ GLASS BOTTLE <br />❑OTHER <br />❑ YES ❑ N <br />TEEL DRUM <br />❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />❑ Other... <br />LASTIC/NONMETALLIC DRUM ❑BAG ® TOTE BIN <br />STORAGE <br />(27) <br />® AMBIENT ❑ ABOVE <br />AMBIENT ❑ BELOW AMBIENT <br />PRESSURE <br />STORAGE <br />(28) <br />®AMBIENT ❑ABOVE <br />AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />%a W 1 <br />3U HAGA&UVUJ l.V1vLr%J1Yr.1V L <br />--1 ---- <br />[:]YES ❑ N <br />❑ YES ❑ N <br />❑ YES ❑ N <br />❑ YES ❑ N <br />❑YES ❑ N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) IN/A <br />(34) WHAT IS MATERIAL IN HOUSE USE <br />USED FOR? <br />DATE REC'D: 8/3/05 For Official Use Only: ❑ C ❑ R ® S <br />SJC 12/99 <br />