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03 <br /> California Hazardousoterials Inventory Form - ChemicalOcription DEC 1 9 <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME <br /> (4)IJIFFY LUBE #598 <br /> CHEMICALLOCATION(S)(5) <br /> = <br /> CHEMICAL NAME (8) WASTE OIL TRADE SECRET(11) ❑yES ®NO <br /> COMMON NAME (9) WASTE OIL *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) N/A <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID [:]G CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE []REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS <br /> CODE 221 ❑CU FT ❑TONS MAX DAILY AMT(23)500 <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS, amounts must be in lbs AVG Y AMT(24) <br /> 365 <br /> ON SITE 250 <br /> LARGEST (21)500 ANNUAL WASTE AMT(25) 12500 <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 ❑N <br /> ❑ YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270/1142 <br /> (34)WHAT IS MATERIAL Removed from vehicles during service. <br /> USED FOR; <br /> DATE REC'D: 12/19/03 For Official Use Only: ®C 0 R ❑S SIC 12/99 <br />