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California Hazardous Wrials Inventory Form - Chemical l cription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4) CAR QUEST <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) ELETROLYTE TRADE SECRET(11) ❑ YES ®NO <br /> COMMON NAME (9) CAR BATTERY *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 74.39.92.1 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)ID FIRE ®REACTIVE ❑PRESSURE RELEASE 19 ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS <br /> CODE NA ❑CU FT ❑TONS MAX Y AMT(23)525 <br /> ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 250 <br /> ON SITE <br /> LARGEST (21 25 ANNUAL WASTE AMT(25) NA <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 H OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other <br /> ❑PLASTIC/NONMETALLIC DRUM []BAG ❑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 %aWT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> 53 LEAD 110YES ® N 7439-92-1 <br /> 30-40 ELECTROLYTE ❑YES 11 NJ 7664-93-9 <br /> ❑YES ❑N <br /> ❑YES ❑ N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 2794 <br /> (34)WHAT IS MATERIAL CORES <br /> USED FOR? <br /> DATE REC'D: 1/17/06 For Official Use Only: 0 C ❑R [IS SJC 12/99 <br />