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California Hazardous aterials Inventory Form - Chemica' ascription JAN 14 200!' <br /> I* PAGE (2) = OF(3) <br /> BUSINESS NAME (4) TRACY VW <br /> CHEMICAL LOCATION(S)(5) OIL ROOM <br /> MAP#(6)/ GRID#(7) q/Fg N/A N/A N/A <br /> CHEMICAL NAME (8) NEW OIL TRADE SECRET (11) ❑YES ®NO Tra <br /> COMMON NAME (9) HYDROCARBON *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) N/A ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑yES ®NO (16) <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID []GAS CURIES <br /> FED HAZARD ®FIRE REACTIVE [I PRESSURE RELEASE ®ACUTE HEALTH ®CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS MAX DAILY AMT(23 400 <br /> CODE N/ ❑CU FT [I TONS ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 300 <br /> ON SITE <br /> LARGEST (21 240 ANNUAL WASTE AMT(25) 4S0 <br /> CONTAINER <br /> STORAGE (26)®ABOVE GROUND TANK ❑CAN ❑BOX ❑TANIS <br /> CONTAINER [:]UNDER GROUND TANK ❑CARBOY ❑CYLINDER ❑RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT (30)HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑ YES ❑ N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 <br /> (34)WHAT IS MATERIAL OIL CHANGES <br /> USED FOR? <br /> DATE REC'D: 1/14/05 For Official Use Only: ®C ❑ R ❑S SIC 12/99 <br />