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California Hazardous M...,,,rials Inventory Form - Chemical D...,ription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME <br /> (4) SPEE DEE OIL CHANGE & TUNE-UP <br /> CHEMICAL LOCATION(S) ( <br /> <br /> CHEMICAL NAME (8) ETHYLENE GLYCOL SOLUTION OF SALTS TRADE SECRET(11) ❑YES ®NO Tra <br /> COMMON NAME (9) ANTIFREEZE *EHS(12) ❑YES NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) N/A ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES ®NO (16) <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE ❑REACTIVE [3PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS <br /> CODE ❑CU FT [I TONS MAX DAILY AMT(23 15 0 <br /> ON SITE <br /> DAYS ON SITE (20)365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 100 <br /> ON SITE <br /> LARGEST (21 150 ANNUAL WASTE AMT(25) 1850 <br /> CONTAINER <br /> STORAGE (26)[100M ABOVE GROUND TANK []CAN ❑BOX ❑TAN <br /> CONTAINER UNDER GROUND TANK ❑CARBOY ❑ CYLINDER ❑RAIL <br /> TANK INSIDE BUILDING [ISILO ❑GLASS BOTTLE [IOTHSTEEL DRUM [IFIBER DRUM ElPLASTIC BOTTLE [3Othe PLASTIC/NONMETALLIC DRUM [IBAG ❑TOTE BIN <br /> STORAGE (27)IN 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 /> 85-95 ETHYLENE GLYCOL 110YES [1Nqj <br /> LESS THAN 5 DIETH GLYCOL ❑YES ❑N <br /> LESS THAN 5 HYDRATED UNSOLNIC ACID ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YF.S ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 91 S 9 <br /> (34)WHAT IS MATERIAL Radiator Flushes <br /> USED FOR? <br /> DATE REC'D: For O[Pcial Use Only: 0 C ❑R ❑S SIC 12/99 <br />