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California Hazardous 0terials Inventory Form - Chemical Ocription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME <br /> (4)JIFFY LUBE #598 <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) NEW OIL TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) MOTOR, TRANSMISSION, HYDRAULIC (OIL) *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) MIXTURE 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 H LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE []REACTIVE ElPRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL []LBS <br /> CODEN/A ❑CU FT ❑TONS MAX DAILY AMT(23)1,800 <br /> ON SITE <br /> DAYS ON SITE (20) AVG DAILY AMT(24)365 *If EHS, amounts must be in lbs 1 000 <br /> D ON SITE D <br /> LARGEST (21)500 ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26)®ABOVE GROUND TANK ❑CAN []BOX ❑TAN <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ❑CYLINDER ❑RAIL <br /> ®TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other <br /> ❑PLASTIC/NONMETALLIC DRUM []BAG ❑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 /> ❑YES NNIF- <br /> 110YES ❑N <br /> ❑YES ❑N <br /> ❑ YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 <br /> (34)WHAT IS MATERIAL OIL CHANGE <br /> USED FOR? <br /> DATE REC'D: 12/19/03 For Official Use Only: ®C 0 R ❑S SIC 12/99 <br />