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COMPLIANCE INFO_1995-2004
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_1995-2004
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Last modified
1/30/2023 2:09:10 PM
Creation date
6/3/2020 9:43:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995-2004
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_1995-2004.tif
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EHD - Public
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7524-3505 1995 CHEMICAL INVENTORY 9) <br /> Page 2 of 5 <br /> BUSINESS NAME: Country Club Shell PHONE: 209-948-0574 <br /> CONTACT NAME: Steve Griffen TITLE: Manager <br /> SITE ADDRESS: 2575 Country Club <br /> (Check one only) Addition: Deletion: Quantity Change of More than 100 Percent: <br /> Chemical Name: PETROLEUM HYDROCARBONS Trade Secret Yes <br /> Trade Name: MOTOR OIL EHS Material Yes <br /> Waste Classification: Toxic Ignitable Corrosive Reactive Extremely Hazardous <br /> DOT# 1270 CAS# 64742-65-0 Number of Days on Site/Year: 365 <br /> Daily Amount Stored: 180 Max. 70 Ave. Units of Measure: X Gal. _ Lbs. _ Cu.Ft. <br /> Physical State _Solid X Liquid _Gas X Mixture*1 (must complete components of mixture below) <br /> Physical Hazards: _Fire _Pressure _Reactivity <br /> Health Hazards: —Acute(immediate) X Chronic(delayed) _Irritant <br /> Incompatible Materials: <br /> Storage Type: _Aboveground Tank _Underground Tank_Drum _Cylinder_Secondary Containment <br /> Other: PLASTIC QUART CONTAINERS <br /> Storage Pressure: AMBIENT Storage Temp. ( F ): AMBIENT <br /> Storage Location: <br /> How is material used: LUBRICANT <br /> *Mixture (list the three most hazardous components [by weight] <br /> 1. DISTILLATES CAS # 94742547 %wt > 70.0 <br /> 2. ADDITIVES CAS # MIXTURE %wt < 25.0 <br /> 3. SYNTHETIC BASE OIL CAS # MIXTURE %wt < 5.0 <br /> (Check one only) Addition: Deletion: Quantity Change of More than 100 Percent: <br /> Chemical Name: ETHYLENE GLYCOL Trade Secret Yes <br /> Trade Name: ANTIFREEZE EHS Material Yes <br /> Waste Classification: Toxic Ignitable Corrosive Reactive Extremely Hazardous <br /> DOT# 3082 CAS# 107-21-1 Number of Days on Site/Year: 365 <br /> Daily Amount Stored: 55 Max. 30 Ave. Units of Measure: X Gal. _ Lbs. _ Cu.Ft. <br /> Physical State _Solid X Liquid _Gas X Mixture*1 (must complete components of mixture below) <br /> Physical Hazards: _Fire _Pressure _Reactivity <br /> Health Hazards: X Acute(immediate) X Chronic(delayed) _Irritant <br /> Incompatible Materials: <br /> Storage Type: _Aboveground Tank_Underground Tank Drum _Cylinder_Secondary Containment <br /> Other: PLASTIC CONTAINERS <br /> Storage Pressure: AMBIENT Storage Temp. ( F ): AMBIENT <br /> Storage Location: <br /> How is material used: COOLANT <br /> *Mixture (list the three most hazardous components [by weight] <br /> 1. ETHYLENE GLYCOL CAS # 107-21-1 %wt 94.0 <br /> 2. CAS # %wt <br /> 3. CAS # %wt <br />
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