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California Hazardous Ma mals Inventory Form - Chemical De ription OF(3) <br /> E(2) = <br /> BUSINESS NAME (4) FEDERAL AVIATION ADMINISTRATION <br /> CHEMICAL LOCATION(S)(5) ABOVE GROUND DOUBLE WALL 1000 GAL CONVAULT TANK <br /> MAP # (6)/ GRID#(7) 2/C4 = = C= <br /> CHEMICAL NAME (8) DIESEL TRADE SECRET(11) ❑ YES ® NO Tra <br /> *EHS (12) ❑YES ® O <br /> COMMON NAME (9) DIESEL <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) MIXTURE <br /> 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 /> CURIES <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID []GAS <br /> FED HAZARD ®FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ ACUTE HEALTH ®CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) N/A UNITS* (22) ®GAL ❑LBSMAX DAILY AMT(23)1,000 <br /> CODE ❑CU FT ❑TONS ON SITE <br /> _..YS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 1,000 <br /> ON SITE <br /> LARGEST (21 ANNUAL ANNUAL WASTE AMT(25)�� <br /> CONTAINER <br /> 1000 GAL <br /> STORAGE (26)rE]PLASTIC/NONMETALLIC <br /> 7==o <br /> K ❑CAN ❑BOX <br /> ❑TAN <br /> CONTAINER NK ❑CARBOY ❑CYLINDER ❑ RAIL <br /> ING 0 FIBER DRUM ❑PLASTIC BOTTLE ❑SILO OthOT <br /> [I GLASS BOTTLE ler <br /> DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) %AMBIENT ❑ABOVE ABIENT ❑BELOW AMBIENT <br /> M <br /> PRESSURE <br /> STORAGE (23) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE 3l EHS 32)CAS# <br /> (29)%WT 30)HAZARDOUS COMPONENT ❑PES ON 68476346 <br /> 100 FUEL, DIESEL <br /> ❑YES COIN <br /> PCI YES ❑N <br /> ❑YES 0NOJ <br /> ❑YES ❑N <br /> )DITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1993 <br /> t34)WHAT IS MATERIAL FAA backup generator for power to operate Radar when commercial power is lost. <br /> USED FOR? — H C J21R ❑S SJC 12/99 <br /> DATE RECD: 7/9/04 For Official Use Only: <br />