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7524-3505 1995 CHEMICAL INVENTORY . <br /> Page 3 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: ETHYLENE GLYCOL Trade Secret Yes <br /> Trade Name: WASTE ANTIFREEZE EHS Material Yes <br /> Waste Classification: X 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. 15 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 0mmediate) X Chronic(delayed) _Irritant <br /> Incompatible Materials: <br /> Storage Type: _Aboveground Tank_Underground Tank X Drum _Cylinder_Secondary Containment <br /> Other: <br /> Storage Pressure: AMBIENT Storage Temp. ( F ): AMBIENT <br /> Storage Location: <br /> How is material used: WASTE ANTIFREEZE <br /> 1Mixture (list the three most hazardous components [by weight] <br /> 1. WASTE ANTIFREEZE CAS # 107-21-1 %wt 100.0 <br /> 2. CAS # %wt <br /> 3. CAS # %wt <br /> (Check one only) Addition: Deletion: Quantity Change of More than 100 Percent: <br /> Chemical Name: PETROLEUM HYDROCARBONS Trade Secret Yes <br /> Trade Name: WASTE OIL EHS Material Yes <br /> Waste Classification: Toxic X Ignitable Corrosive Reactive Extremely Hazardous <br /> DOT# 9189 CAS# 800-20-59 Number of Days on Site/Year: 365 <br /> Daily Amount Stored: 550 Max. 200 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 X Underground Tank_Drum _Cylinder_Secondary Containment <br /> Other: <br /> Storage Pressure: AMBIENT Storage Temp. ( F ): AMBIENT <br /> Storage Location: <br /> How is material used: WASTE OIL <br /> 1Mixture (list the three most hazardous components [by weight] <br /> 1. WASTE OIL CAS # 800-20-59 %wt 100.0 <br /> 2. CAS # %wt <br /> 3. CAS # %wt <br />