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California Hazardous D'lRCerials Inventory Form - Chemical9scription IAN 1 ` j00'3 <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4)1JSG TRUCKING CO <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) MOTOR OIL TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) MOTOR OIL, GEAR LUBE *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 []GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (t8) ®FIRE []REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS <br /> X DA <br /> CODE N/A ❑CU FT [ITONS ON SITE .Y AMT(23 555 <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 (21 500 ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26)I[N[]]] <br /> ABOVE GROUND TANK []CAN ❑BOX ❑TAN <br /> CONTAINER UNDER GROUND TANK []CARBOY [ICYLINDER El RAIL <br /> TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ElOTHSTEEL DRUM [IFIBER DRUM [IPLASTIC 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 IIAZARDOUS COMPONENT (31)EHS 32 CAS# <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> IF <br /> ❑YF,s ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 <br /> (34)WHAT IS MATERIAL VEHICLE MAINTENANCE <br /> USED FOR? <br /> DATE REC'D: 1/14/03 For Official Use Only: ®C ❑R ❑S SIC 12/99 <br />