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California Hazardous Materials Inventory Reporting Form - Chemical Description Page <br /> (1) ADD ❑DELETE ❑REVISE 1997 PAGE(2) 2 OF(3)© <br /> BUSINESS NAME (4) a - terra ipe Inc. N Un T13 IL99D <br /> CHEMICAL LOCATION(S) (5) _ L <br /> MAP# (6)/ GRID#(7) <br /> CHEMICAL NAME (8) TRADE SECRET(l 1) ❑Y ❑N <br /> COMMONNAME (9) I Diesel I *EHS(12) ❑YM N <br /> CAS # *IF EHS BOX IS "Y" <br /> (10) ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) physical Hazard--Category 3 <br /> HAZARD Health Hazard--Category 4 <br /> CATEGORIES <br /> TYPE (14) ❑PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y ❑N (16)(�_� <br /> PHYSICAL STATE(17)JE]SOL[ CURIES <br /> FED HAZARD <br /> CATEGORIES (I8) 0[lRE ❑ AVE [:]PRESSURE RELEASE ®ACUIE HEALTH ®CSTATE HRONIC HEALTH <br /> CODE WASTE (19) UNITS*(22) ®GAL ❑CU FT MAX DAILY AMT(23) <br /> �-y 500 <br /> DAYS ON SITE (20)� uLBS ❑TONS <br /> LL�� AVG DAILY AMT(24) <br /> 365 *If EHS, amounts must be in It s 50 <br /> LARGEST <br /> CONTAINER (21 500 ANNUAL WASTE AMT(25)E= <br /> STORAGE (26) ®ABOVE GROUND TANK <br /> CONTAINER ❑ CAN ❑ BOX [:]TANK WAGON <br /> ❑UNDER GROUND TANK ❑CARBOY ❑ CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑-------------------- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ® AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT [:]ABOVEAMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT (3U)HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> •09 f Benzene, ( 1-methyletal ) ❑Y Q N 1 98-62_8 <br /> 09 Benzene ❑Y ❑X N 71-43-2 <br /> -� ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(33):,' DOT# <br /> For Official Use Only: ❑ C ❑ R ❑ S SJC 12/96 <br />