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i• <br /> California Hazardous Mari s Inventory Form - Chemical Des c1Tp . n <br /> (1) <br /> []ADD ❑DELETE []REVISE PAGE(2) OF(3) <br /> BUSINESS NAME (4) AUTOFIX OF STOCKTON <br /> CHEMICAL LOCATION(S)(5) REAR OF SHOP <br /> MAP#(6)/ GRID#(7) H-2 <br /> CHEMICAL NAME (8) MOTOR, TRANS, HYDRAULIC OIL TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) MOTOR, TRANS, HYDRAULIC OIL <br /> *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)F <br /> PHYSICAL STATE(17) ❑SOLID H LIQUID []GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE ❑REACTIVE []PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS MAX DAILY AMT(23 170 <br /> CODE ❑CU FT []TONS ON SITE <br /> DAYS ON SITE (20)365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 130 <br /> ON SITE <br /> LARGEST (21 170 ANNUAL WASTE AMT(25)I I <br /> CONTAINER �J <br /> STORAGE (26) ®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 []BAG ❑TOTE BIN <br /> STORAGE (27) ®AMBIENT ❑ABOVE AMBIENT []BELOW AMBI <br /> PRESSURE <br /> STORAGE (28)IN AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29)%WT 30 HAZARDOUS COMPONENT (31)EHS (32)CAS# <br /> OYES ❑N <br /> ❑YES ❑N <br /> ❑Y_ES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDMONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? <br /> DATE RECD: 3/1/01 For Official Use Only: ®C ❑R [Is SIC 12/99 <br />