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California Hazardous Materials Inventory Reporting Form - Chemical Description Page <br /> (1} <br /> ®ADD ❑DELETE ❑ qP:1 I REV1611 *AGE(2) OF(3) <br /> BUSINESS NAME (4) CHEVRON STATION#208118 <br /> CHEMICAL LOCATIONS)(5) <br /> <br /> CHEMICAL NAME (8) CARBON DIOXIDE TRADE SECRET(11) ❑YES H N <br /> COMMON NAME (9) *EHS(12) ❑ <br /> CARBON DIOXIDE(CO2) <br /> *IF EHS BOX IS"Y" <br /> CAS# (10) 124-38-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ®PURE ❑MIXTURE ❑ RADIOACTIVE(15) ❑YES ®N (16) <br /> PHYSICAL STATE(17) ❑SOLID ❑LIQUID IN GAS CURIES <br /> FED HAZARD I <br /> CATEGORIES (18) ❑FIRE ❑REACTIVE Z PRESSURE RELEASE Z ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑ MAX DAILY AMT(23) <br /> CODE [3LBS ❑TONS ON-SITE I I <br /> 350 <br /> DAYS ON SITE (20) 365 *If EHS,amounts must be in lbs AVG DAILY AMT(24) 175 <br /> ON-SITE <br /> LARGEST (21) 350 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) ❑A13OVE GROUNDIANK ❑CAN ❑BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY Z CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTHER... <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) ❑ABOVE AMBIENT ❑ <br /> PRESSURE <br /> STORAGE (28) ® ❑A13OVE AMBIEN 1 ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> 100% CARBON DIOXIDE DYES Z NO 124-38-9 -� <br /> F F_ <br /> ❑YES ❑NO <br /> ❑ YES ❑ !:] L <br /> ❑YES ❑ <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(33): DOT# 1 1013 <br /> (34)WHAT IS MATERIAL I SODA FOUN'IAIN DRINK DISPENSER <br /> USED FOR? <br /> ForOfficialUse Only: 13 C 13 R SSSJC 12/97 <br />