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California Hazardo*ils Materials Inventory Form - ChPrfi>,.d D GE (Ption= OF (3) 11 <br />(1) ADD FIDELETE REVISE 2002 <br />BUSINESS NAME (4) VPL Transport, Inc. <br />CHEMICAL LOCATION(S) (5) <br />(Within facility, not street address) <br /> <br />CHEMICAL NAME (8)used Ethanediol TRADE SECRET (11) ❑ Y N <br />*EHS (12) ❑ Y ® N <br />COMMON NAME (9) 1used Antifreeze <br />CAS # (10) l N/A <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) (LEAVE BLANK <br />HAZARD CLASS <br />RADIOACTIVE (15) <br />TYPE (14)PURE ❑MIXTURE VASTE <br />L Y ® N <br />PHYSICAL STATE (17) 1 EISOLID LIQUID QGAS <br />r <br />FED HAZARD <br />CATEGORIES <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />FIRE I I REACTIVE <br />(19) <br />343 <br />365 <br />(21 <br />55 <br />FlABOVE GROUND TANK ❑ CAN ❑ BOX L <br />UNDER GROUND TANK F� CARBOY [] CYLINDER C <br />❑ TANK INSIDE BUILDING F1 SILO E] GLASS BOTTLE C <br />® STEEL DRUM F-1 FIBER DRUM ❑ PLASTIC BOTTLE <br />[--j PLASTIC/NONMETALLIC DRUM Q BAG E] TOTE BIN <br />(26) <br />(28) <br />UNITS* <br />PRESSURE RELEASE ® ACUTEHEALTH <br />(16) <br />CURIES <br />CHRONIC HEALTH <br />CU FT MAX DAILY AMT (23) 5 5 <br />ON-SITE <br />LBS [-] TONS AVG DAILY AMT (24) <br />*If EHS, amounts must be in lbs ON-SITE 30 <br />ANNUAL WASTE AMT (25) 150 <br />AMBIENT ❑ ABOVE AMBIENT []BELOW AMBIENT <br />AMBIENT [] ABOVE AMBIENT []BELOWAMBIENT <br />, 1.x10 <br />ANK WAI <br />:AIL CAR <br />CRYOGENIC <br />(111 ('AS# <br />30 HAZARDUUSI;UNIYUINMNi <br />=Y N <br />Y ❑ N <br />[:]Y <br />E-_-� <br />�Y QN <br />10 ❑N <br />❑Y QN <br />_ <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) <br />(34) WHAT IS MATERIAL ( (N . f <br />USED FOR? <br />For Official Use Only: C 7R El -s-1 <br />SIC 12/01 <br />