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California Hazardouslwrials Inventory Form - Chemica%ription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4).JAGUAR EXPRESS <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) ANTIFREEZE TRADE SECRET(11) ❑YES ®NO Tra <br /> COMMON NAME (9) ANTIFREEZ *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) NA 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) <br /> PHYSICAL STATE(17) ❑SOLID ®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 <br /> CODE NA ❑CU FT ElTONS MAX Y AMT(23)6 0 <br /> ON SITE <br /> DAYS ON SITE (20) 1 S 0 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 4 0 <br /> ON SITE <br /> LARGEST (21)GALLON ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26)[]ABOVE GROUND TANK []CAN ❑BOX ❑TAN <br /> CONTAINER []UNDER GROUND TANK []CARBOY ❑CYLINDER ❑ RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ®PLASTIC 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 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> ❑YES ❑N <br /> JI <br /> ❑ YES ❑N <br /> ❑ YES ❑N <br /> ❑ YES ❑N <br /> ❑ yES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1142 <br /> (34)WHAT IS MATERIAL ENGINE COOLING SYSTEMS <br /> USED FOR; <br /> DATE REC'D: 7/11/05 For Official Use Only: 0 C ❑R ❑S SIC 12/99 <br />