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California Hazardous Materials Inventory Form - Chemical Description (1/25/2008 ) <br />PAGE (2) OF (3) <br />BUSINESS NAME (4) AT&T MOBILITY -LINCOLN VILLAGE <br />CHEMICAL LOCATION(S) (5) <br /> <br />MAP N (6) / GRID N (7) N/A N/A N/A �] N/A <br />CHEMICAL NAME (8) DIESEL #2 TRADE SECRET (11) ❑ YES ®NO <br />COMMON NAME (9) DIESEL *EHS (12) ❑ YES N NO <br />*IF EHS BOX IS "Y" <br />CAS N (I0) 16847-34-6 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />"TYPE (14) N PURE ❑ MIXTURE ❑ WASTE RADIOACTIVE (15) ❑ YES NN (16)FO <br />PHYSICAL STATE (17) ❑ SOLID N LIQUID ❑ GAS CURIES <br />FED HAZARD ❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ❑ ACUTE HEALTH N CHRONIC HEALTH <br />CATEGORIES (18) <br />STATE WASTE <br />(19) N / A <br />CODE <br />❑ TANK WAGON <br />DAYS ON SITE <br />(20) <br />❑ CYLINDER <br />1365 <br />LARGEST <br />(21) <br />CONTAINER <br />132 <br />STORAGE (26) <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(29) %WT <br />IN/A <br />UNITS* (22) N GAL ❑ LBS MAX DAILY AMT (23I 13 ❑ CU FT ❑ TONS ON SITE 1 7 <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE 132 <br />ANNUAL WASTE AMT (25) N/A <br />® ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TANK WAGON <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ RAIL CAR <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTHER <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Other... <br />❑ PLASTIC/NONMETALLIC DRUM <br />❑ BAG <br />❑ TOTE BIN <br />(27) N AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />(28) N AMBIENT [:]ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />(30) HAZARDOUS COMPONENT (3 1) EHS (32) CAST/ <br />N/A JJEIYES <br />❑ N <br />N/A <br />❑YES ❑N IF <br />❑ YES ❑ N <br />FO YES ❑N <br />IF' YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS IDN (DOT) 12794 <br />(34) WHAT IS MATERIAL EMERGENCY BACKUP GENERATOR <br />USED FOR? <br />DATE RECD: 10/12/05 For Official Use Only: ❑ C N R ❑ S <br />SJC 12/99 <br />