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California Hazardous `.erials Inventory Form - Chemical <br />BUSINESS NAME (4) <br />i.rIEMICAL LOCATION(S) (5) <br />SIERRA CHEMICAL CO (STKN) <br /> <br /> <br /> <br /> <br />CHEMICAL NAME (8) WASTE OIL TRADE SECRET (11) ❑ YES ®NO <br />COMMON NAME (9) USED OIL *EHS (12) 10 YES ® NO <br />*IF EHS BOX IS "Y" <br />CAS # (10) INA ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TYPE (14) ❑ PURE [--]MIXTURE ®WASTE RADIOACTIVE (15) ❑ YES ®NO (16) <br />PHYSICAL STATE (17) ❑ SOLID ®LIQUID ❑ GAS CURIES <br />FED HAZARD IN FIRE ElREACTIVE [:1PRESSURE RELEASE ® ACUTE HEALTH ® CHRONIC HEALTH <br />CATEGORIES (18) <br />STATE WASTE (19) UNITS* (22) COGAL ❑ LBS <br />`)DENA ❑ CU FT ❑TONS MAX DAILY AMT (23) 60 <br />ON SITE :1 <br />—..YS ON SITE (20) *If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />365 ON SITE 2 5 <br />LARGEST (21) 55 <br />ANNUAL WASTE AMT (25) 150 <br />CONTAINER <br />STORAGE (26) <br />CONTAINER <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TANP <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ RAIL <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTHI <br />® STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Other <br />❑ PLASTIC/NONMETALLIC DRUM <br />❑ BAG <br />[--]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 (3 1) EHS (32) CAS# <br />WDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) JUN 1270 <br />4) WHAT IS MATERIAL Waste from repair of mobile equipment <br />USED FOR? <br />DATE REC'D: 8/4/05 For Official Use Only: 0 C ❑ R ❑ S SIC 12/99 <br />Tra <br />❑YES El IF <br />❑YES ❑ N <br />❑YES ❑N <br />❑YES El <br />❑ YES ❑ N <br />WDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) JUN 1270 <br />4) WHAT IS MATERIAL Waste from repair of mobile equipment <br />USED FOR? <br />DATE REC'D: 8/4/05 For Official Use Only: 0 C ❑ R ❑ S SIC 12/99 <br />Tra <br />