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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/17/2022 4:20:09 PM
Creation date
3/31/2021 3:22:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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California Environmental Reporting System:Business Kiumars Khaievandi's Account Sin Out Tools Reports Help <br /> HazardousCFRS Business Home Submittals Facilities Compliance My Business <br /> inventory: <br /> Detail <br /> You must complete a separate inventory form for each individual hazardous material and hazardous waste that you handle at your facility in an <br /> aggregate quantity subject to Hazardous Material Business Plan(HMBP)reporting requirements.The completed inventory must reflect all <br /> hazardous materials at your facility,reported separately for each building or outside storage area,with separate entries for unique occurrences of <br /> physical state,storage temperature,storage pressure.Where the aggregate quantities of some hazardous materials are below the HMBP threshold <br /> reporting quantity,report the general hazard class of the materials(e.g.,"Misc.Flammable Liquids"),rather than the Common Name,and the <br /> aggregate quantity of all hazardous materials having this hazard class which individually are below the threshold reporting quantity. <br /> Submitted for CERS ID 10180606 on 5/27/2021 2:56PM by Kiumars Khpievan i of FLAG CITY CHEVRON(LODI• A) <br /> i� <br /> (31-e Meal Me tification and <br /> Physieel Properfles <br /> Chemical Name CERS Chemical Library ID <br /> PETROLEUM HYDRO CARBONS <br /> Common Name CAS Number US EPA SRS ID <br /> GASOLINE UNLEADED REGULAR 8006-61-9 <br /> Physical State Hazardous Material Type Trade Secret <br /> Liquid Pure No <br /> -ftefrtieeF <br /> ENS Fire Code Hazard Classes(by DOT Hazard Class <br /> No priority) 3-Flammable and Combustible Liquids <br /> Radioacti <br /> No <br /> Curies <br /> Lookup Code <br /> (Federal Hazard Categories Yes PHYSICAL:Flammable <br /> No Fire(Obsolete) No PHYSICAL:Gas Under Pressure <br /> No Reactive(Obsolete) No PHYSICAL:Explosive <br /> No Pressure Release(Obsolete) No PHYSICAL:Self-heating <br /> No Acute Health(Obsolete) No PHYSICAL:Pyrophoric <br /> No Chronic Health(Obsolete) No PHYSICAL:Oxidizer <br /> No PHYSICAL:Organic Peroxide <br /> No PHYSICAL:Self-reactive <br /> No PHYSICAL:Pyrophoric Gas <br /> No PHYSICAL:Corrosive to Metal <br /> No PHYSICAL:In Contact with Water Emits Flammable Gas <br /> No PHYSICAL:Combustible Dust <br /> No PHYSICAL:Hazard Not Otherwise Classified(HNOC) <br /> Yes HEALTH:Carcinogenicity <br /> NO HEALTH:Acute Toxicity <br /> Yes HEALTH:Reproductive Toxicity <br /> Yes HEALTH:Skin Corrosion or Irritation <br /> NO HEALTH:Respiratory or Skin Sensitization <br /> No HEALTH:Serious Eye Damage or Eye Irritation <br /> NO HEALTH:Specific Target Organ Toxicity <br /> Yes HEALTH:Aspiration Hazard <br /> Yes HEALTH:Germ Cell Mutagenicity <br /> No HEALTH:Simple Asphyxiant <br /> https://cersbusiness3.calepa.ca.gov/49393/Facility/10180605/Su...Draft/HMI/4916758/HazMatlnventory/22309321/Detail/23338909 5/27/21, 3:03 PM <br /> Page 1 of 2 <br />
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