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California Hazardous ' &t4es Inventory Reporting Form qPhAal Description Page <br />0 ADD El DELETE <br />DED OF (3) <br />:o: o REVISE PAGE (2) EE E -L] <br />BUSINESS NAME (4) 1 MOUNTAIN VALLEY EXPRESS I . <br />CHEMICAL LOCATION(S) (5) <br />I SOUTH END OF MAINT, BUILDING INSIDE BAY # 2 <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) <br />L ANTIFREEZE TRADE SECRET (11) <br />COMMONNAIME (9) ANTIFREEZE *EHS (12) <br />*IF EHS BOX IS "Y" <br />CAS # (10) 1 107-21-1 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD CLASS LEAVE BLANK <br />,.TYPE (14)ILJ PURE JAMIXTURE DWASTE IOACTFVE (15) YES - NO (16) <br />PHYSICAL STATE (17) JLJ SOLID A LIQUID ® GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)LUFIRE OREACTIVE OPRESSURE RELEASE <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />ACUTE HEAL CHRONIC HEALTH <br />(19) UNITS* (22) GAL 1:1 MAX DAILY AMT (23 <br />L= ns�MONSITE <br />(20) *If EHS, amounts must be in lbs AVG DAILY AMT (24) = <br />[;;:=] ON SITE 27 <br />(21 <br />(261 IEEE] ANNUAL WASTE AMT (25) <br />L-JABOVE GROUND TAN <br />CIUNDER GROUND TANK <br />0TANK INSIDE BUILDING <br />Q STEEL DRUM <br />IC DRUM <br />(27) AMBIENT EIABOVE AMBIENT <br />(28) PFAMBIENT OABOVE AIMBIENT <br />DIETHYLENE GLYCOL <br />ETHYLENE GLYCOL <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: <br />(34) WHAT IS MATERIAL <br />USED FOR? <br />1999 <br />U CAN <br />0CARBOY <br />0 SILO <br />0 FIBER DRU�-1 <br />X BAG <br />U BOX -E] TANK <br />0 CYLINDER El RAIL <br />C1 GLASS BOTTLE 0 Other <br />0 PLASIC BOTTLE <br />r�xZfwff <br />SJC 12/97 <br />