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California Hazardoussorials Inventory Form - Chemical:ription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4) <br /> JAGUAR EXPRESS <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) USED MOTOR OIL TRADE SECRET (11) ®YES ❑NO Tra <br /> COMMON NAME (9) USED MOTOR OIL *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 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 <br /> CODE NA ❑CU FT [ITONS MAX TDAILY AMT(23)165 <br /> ON SITE <br /> DAYS ON SITE (20) AVG DAILY AMT(24)1 S 0 *If EHS, amounts must be in lbs 3 0 <br /> D ON SITE D <br /> LARGEST (21)55 GAL ANNUAL WASTE AMT(25) 75 GAL <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑CAN []BOX ❑TANIK <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 (31)EHS 32 CAS# <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑ YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 <br /> (34)WHAT IS MATERIAL MOTOR LUBRICANT <br /> USED FOR? <br /> DATE REC'D: 7/11/05 For Official Use Only: ®C ❑R ❑S SIC 12/99 <br />