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DC OVED <br /> Tier Two Emergency and Hazardous Chemical Inventory MAR - 7 2006 <br /> Reporting Period From January 1 to December 31, 2005 Page 1 of 2 <br /> FacilityIdentification Owner/Operator Name ENV y R�^C' <br /> Name Flying J Travel Plaza g\U`��� ` Nam. CFJ Properties PERMIT/SERVICESPhone 8011��'2��4n`td9dVE <br /> street 15237 Thornton Rd Mail 1104 Country Hill Or MAR —9 �p <br /> Couny San Joaquin state CA ZIP 95242 a 5AN JUAUUIN t;Uury i r <br /> city Lodi q a Ogden ,IrFICEOFEMERGENCYS CES <br /> Latitude Longitude coumry USA state UT mp 84403 country USA <br /> Mailing Address (if different from facility address) Emergency Contact <br /> street 1104 Country Hill Or Name John Bogue Title District Manager • <br /> city Ogden state UT zip 84403 country USA Phone 208-385-9745 24 Hr.Phone 801 710-8128 <br /> sic code 5541 Dun a and Numuer 623404449 Name Dru Rigby Tme General Manager <br /> Phone 208-453-9225 u Nr.Phone <br /> Physical and ! <br /> Chemical Description y Inventory Storage Codes and Locations <br /> Heath Hazards � � € (Non-Confidential) <br /> ❑ ClrackHallofinelrHormalbnforthlacMmkslle ® <br /> Mrs 05 B 1 4 Near Dispensers <br /> Itlamical m tM Irlformatmn eubmHtetl last year <br /> Max.Daly <br /> cAs 68476-34-6 Trade secret ❑ ❑ suddenR- <br /> fade <br /> of Pressure <br /> pmoum(eMte) <br /> .".m Diesel Fuel ❑ Reactivity Avg.Dally <br /> 05 <br /> ® immediate(acute) Amount(coda) <br /> ® Delayed(chronic) 365 <br /> Chock All ❑ ® ❑ ® ❑ ❑ No.of Days <br /> That APPY Pun Mix Solld Liquid Das ENS Onaha(days) <br /> ❑ ChaekHella/tMinformatlonTwmiseMmicalta ® Fina05 B 1 4 Near Dispensers <br /> Idermeal to iM IMonnetlon submmed lest year <br /> DAs 8006-61-9 ❑ ❑ <br /> Max.Deity <br /> B 1 4 Near Dispensers <br /> Tiede Secret sudden Ralnq Amonm onde <br /> of Pressure OS <br /> l m Gasoline ❑ RY�� p 5 <br /> ® � y <br /> Immediate(scuta) Amoumc oily <br /> o.of Days <br /> =11y <br /> hock All ❑ ® ❑ ® ❑ ❑ ® Delayed(chronic) N365 <br /> 7Mt APPY Pun Mix sold Liquid Das Eels I On,tite(daya) <br /> Certification(Read and sign after completing all sections) Optional Attchments <br /> I cenHy under penny of law that I have perawmiy examired and am f rani iarw the intarrnadon sulxniaed in pages one mlough 2, ❑ 1 have stlachad a site Plan <br /> aha that hasad onmy Inquiryof those Individuals respomlMe for o0hlning this Ilrtormatlon,I balkwe matthe submitted Infonnatton Is true,accurate,and complete. ❑ <br /> I have attached•Ilei a aria coordinate abtaavielfaM <br /> Paul Siler �.� -A ` _"/Z/ Ga <br /> y I have r"me s descnptlon of dikes atM ofllar <br /> Nene and official title of owmrbraimse akaatan DW signed ❑ aafaguarda measures <br /> OR oamrbpenbYa autladzed rapreeeMatlw <br />