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California Hazardous Materials lgventory Reporting Form - Chemical Description Pa e <br /> (1) ADD❑ DELETE OREVISE ' 200 PAGE(2) OF (3) <br /> -'JSINESS NAME (4) 99 Shell 7524-4180 <br /> CHEMICAL.LOCATION (5) <br /> MAP#(o) i GRID#(7) T- T <br /> CHEMICAL NAME (8) PETROLEUM HYDROCARBON TRADE SECRET (l)) x <br /> ❑•Y ❑N <br /> COMMON NAME (9) REGULAR UNLEADED GASOLINE 'EHS(12) ❑Y ON <br /> CASs (10) 8006-61-9 <br /> IF EHS BOX IS"Y" <br /> ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE LEAVE BLANK <br /> HAZARD CLASSES' (13) <br /> TYPE (14) ❑PURI., 19 MIXTURE ❑ WASTE RADIOACTIVE(i5) ❑Y EFF <br /> PHYSICAL STATE (17) ❑ SOLID WLIQUID ❑ GAS CURIES <br /> FED HAZARD FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ACUTE HEALTH LYI.HRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS(22) �GAL 1:1 CU P"1' MAX DAILY AMT J23) <br /> CODE ❑ LBS ❑TONS <br /> DAl J SITE (2o) 365 If EHS,amounts must be in Ib. AVG DAILY AMT(24) 5000 <br /> L JEST (71) 12000 ANNUAL WASTE AMT(25) <br /> C_..TAINER <br /> STORAGE ('-a) ❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TANK WAGON <br /> CONTAINER ($1:JNDER GROUND TANK []CARBOY ❑CYLINDER ❑RAIL CAR <br /> n ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑BATTERY CELL <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BTN <br /> ?RESS3TORAJRE (''-7) <br /> iTORAGE A11MBIENT ❑ ABOVE AMBIENT BELOW AMBIENT <br /> rEMPERE ('-s) (]x AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (3o)HAZARDOUS COMPONENTS (31)EHS (32)CAS# <br /> 90-100 GASOLINE ❑Y ON 8006-61-9 <br /> 1-14 XYLENES ❑Y ON 1330-20-7 <br /> <10.0% ETHANOL ❑Y ON 6417-5 <br /> 1-9 TOLUENE ❑Y ON 198-88-3 <br /> 1-54% ETHYL BENZENE ❑Y ON 100-41-4 <br /> .DD1T'r)NAL LOCALLY COLLECTED INFORMATION 33 UNITED NATIONS ID# DO 1203 <br /> (34, USED FORHE MATERIAL [FUEL <br /> For Official Use Only: ❑C 0 R 0 S SJC 12/00 <br />