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California Hazardous .erials Inventory Form - Chemical wiption <br />PAGE (2) OF (3) <br />Bt1ESS NAME (4) SIERRA CHEMICAL CO (STKN) <br />CHEMICAL LOCATION(S) <br />MAP # (6) / GRID # (7) <br />, <br /> <br />CHEMICAL NAME (8) USED OIL <br />COMMON NAME (9) USED OIL <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TRADE SECRET (11) ❑ YES ® NO <br />*EHS (12) JE1 YES ® NO <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />TYPE (14) ❑ PURE [:]MIXTURE ®WASTE RADIOACTIVE (15) ❑ YES ®NO (16) <br />PHYSICAL STATE (17) ❑ SOLID ®LIQUID ❑ GAS CURIES <br />FED HAZARD IN FIRE [IREACTIVE [IPRESSURE RELEASE ElACUTE HEALTH ElCHRONIC HEALTH <br />CATEGORIES (18) <br />STATE WASTE <br />(19) UNITS* (22) ® GAL [:]LBS <br />MAX DAILY AMT (23) 60 <br />C'r)1DE <br />❑ CU FT ❑ TONS <br />ON SITE <br />i . S ON SITE <br />(20) 365 *If EHS, <br />amounts must be in lbs <br />AVG DAILY AMT (24) 25 <br />ON SITE <br />LARGEST <br />(21) <br />ANNUAL <br />WASTE AMT (25) <br />CONTAINER <br />55 <br />STORAGE <br />(26) ❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX ❑ TANK <br />CONTAINER <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER ❑ RAIL <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE ❑ OTHI <br />® STEEL DRUM <br />❑ FIBER DRUM ❑ PLASTIC BOTTLE ❑ Othei <br />❑ PLASTIC/NONMETALLIC <br />DRUM ❑ BAG <br />❑ TOTE BIN <br />STORAGE <br />(27) ® AMBIENT [:]ABOVE AMBIENT [:]BELOW AMBIENT <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(28) ® AMBIENT ❑ ABOVE AMBIENT []BELOW AMBIENT [:]CRYOGENIC <br />(30) HAZARDOUS COMPONENT (31) EHS (32) CAS# <br />)ITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) <br />(-14) WHAT IS MATERIAL OIL FROM REPAIR OF MOBILE EQUIPMENT <br />USED FOR? <br />DATE REC'D: 10/10/05 For Official Use Only: 9 C 0 R ❑ S SJC 12/99 <br />Tra <br />