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California Hazardous Materials Inventory Reporting Form - Chemical Description Page <br /> (1) ®ADD ❑DELEI E ❑REVISE *AGE(2) =1 OF(3)� <br /> BUSINESS NAME (4) CHEVRON STATION#208118 <br /> CHEMICAL LOCATIONS)(5) <br /> <br /> CHEMICAL NAME (8) PETROLEUM HYDROCARBONS TRADE SECRET(11) ® YES ❑NO <br /> COMMON NAME (9) *EHS(12) <br /> SUPREME UNLEADED GASOLINE(92 OCTANE) <br /> *IF EHS BOX IS"Y" <br /> CAS# (10) 8006-61-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE (3 WASTE � RADIOACTIVE(15) ❑YES ®N (16) <br /> PHYSICAL STATE(17) [3 SOLID [3CURIES <br /> FED HAZARD II__ <br /> CATEGORIES (18) ❑FIRE ❑REACTIVE ❑PRESSURE RELEASE X ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ®CU FT MAX DAILY AMT(23)r® <br /> CODE [3 LBS [3 TONS ON-SITE I 15,000 <br /> DAYS ON SITE (20) *If EHS,amounts must be in lbs AVG DAILY AMT(24) <br /> 365 ON-SITE 7,500 <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER 15,000 ::1 <br /> STORAGE (26) ❑ ❑CAN ❑BOX ❑ <br /> CONTAINER ®UNDER GROUND TANK ❑CARBOY ❑CYLINDER ❑RAIL CAR <br /> 0 TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTHER... <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG 0 TOTE BIN <br /> STORAGE (27) ® ❑ABOVE AMB=FTBELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIEIT7❑ ❑BELOW AMBIENT ❑CRYOUENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> 1 < <br /> <br /> <br /> <br /> YES <br /> IE: ❑ YES ❑ <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(33): DOT# 1 1203 <br /> (34)WHAT IS MATERIAL FTOMOBILE FUEL <br /> USED FOR? <br /> ForOfficialUse Only: 13 C 13 R 13S SJC 12/97 <br />