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California Hazardous P Aals Inventory Form - Chemical - :ription AUG 110 2004 <br />PAGE (2) = OF (3) =_ <br />BUSINESS NAME (4) <br />CHEMICAL LOCATION(S) (5) <br />CALIFORNIA WATER SVC - 21-01 <br /> <br /> <br />_] - <br />CHEMICAL NAME (8) DIESEL FUEL #2D TRADE SECRET (11) ❑ YES ®NO Tra <br />COMMON NAME (9) DIESEL FUEL #2D *EHS (12) ❑ YES ® NO <br />*IF EHS BOX IS "Y" <br />CAS # (10) N/A ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TYPE (14) ❑ PURE ®MIXTURE ❑ WASTE RADIOACTIVE (15) ❑ YES ®NO (16) 0 <br />PHYSICAL STATE (17) ❑ SOLID ®LIQUID []GAS CURIES <br />FED HAZARD <br />CATEGORIES (18) IN FIRE ❑ REACTIVE [:1PRESSURE RELEASE ❑ ACUTE HEALTH ® CHRONIC HEALTH <br />STATE WASTE <br />(19) N/A <br />('ODE <br />❑ TANI <br />_ _.YS ON SITE <br />(20) 1365 <br />LARGEST <br />(21) <br />CONTAINER <br />500 <br />STORAGE (26 <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />%W I <br />>95 <br />UNITS* (22) ® GAL ❑ LBS MAX DAILY AMT (23) 5 0 0 <br />IF—] CU FT ❑ TONS ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) 250 <br />ON SITE <br />ANNUAL WASTE AMT (25) N/A <br />® ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TANI <br />[:]UNDER GROUND TANK <br />[:]CARBOY <br />❑ CYLINDER <br />❑ RAIL <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTHI <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Other <br />❑ PLASTIC/NONMETALLIC DRUM <br />❑ BAG <br />❑ TOTE BIN <br />(27) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />(28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />rAn) T--1A7ARnn1TS COMPONENT (3 1) EHS (32) CAS# <br />HYDRA CARBONS <br />❑YES ®N <br />068-476-346 <br />❑YES ❑ N <br />❑YES ❑N <br />[--]YES ❑N <br />[]YES ❑N <br />1DITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 11993 <br />ks4) WHAT IS MATERIAL AUXILIARY ENGINE FUEL <br />USED FOR? <br />DATE REC'D: 8/10/04 For Official Use Only: ® C ❑ R ❑ S <br />SIC 12/99 <br />