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California Hazardous ftis Inventory Form - Chemical Deuton <br /> (1) ❑ADD ❑DELETE B REVISE PAGE(2) = OF(3)� <br /> BUSINESS NAME (4) <br /> AUTOFIX OF STOCKTON <br /> CHEMICAL LOCATION(S)(5)IBACK OF SHOP <br /> MAP#(6)/ GRID#(7) H-3 E <br /> CHEMICAL NAME (8) WASTE MOTOR, TRANS HYDRAULIC OILS TRADE SECRET(11) ❑yES B NO <br /> COMMON NAME (9) WASTE OIL *EHS(12) ❑YES B 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 B MIXTURE B WASTE RADIOACTIVE(15) ❑yES B NO (16) <br /> PHYSICAL STATE(17) ❑SOLID B LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) B FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) 221 UNITS*(22) B GAL ❑LBS MAX DAILY AMT(23 170 <br /> CODE ❑CU FT ❑TONS <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS, amounts must be in lbs AVG AMT(24) <br /> 365 ON SITE 100 <br /> LARGEST (21 170 ANNUAL WASTE AMT(25) 1200 <br /> CONTAINER <br /> STORAGE (26) B ABOVE GROUND TANK ❑CAN ❑BOX []TAN <br /> CONTAINER ❑UNDER GROUND TANK []CARBOY ❑CYLINDER ❑RAI <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑Othe <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM d BAG []TOTE BIN <br /> STORAGE (27) B AMBIENT []ABOVE AMBIENT []BELOW AMBI <br /> PRESSURE <br /> STORAGE (28) B AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> ❑YES ON <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑ YF,S ❑N <br /> ❑ YES ❑N( <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 <br /> (34)WHAT IS MATERIAL Wste oil <br /> USED FOR? <br /> DATE REC'D: 9/11/01 For Official Use Only: B C ❑R ❑S SIC 12/99 <br />