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California Hazardou��aterials ti <br /> Inventory Form - Chemi Uescription <br /> (1) p ADD ❑DELETE p REVISE PAGE (2) OF(3) <br /> BUSINESS NAME a EJ <br /> (4) EVEN ELEVEN#20632 <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> <br /> CHEMICAL NAME (8) MOTOR VEHICLE FUEL <br /> TRADE SECRET(11) 113 <br /> COMMON NAME (9) UNLEADED GASOLINE 'EHS (12) EES <br /> *IF EHS BOX IS"YES" <br /> CAS# (10) 8006-61-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD CLASS LEAVE BLANK <br /> TYPE (14) ❑ ® AIXTURE ❑ ADIOACTIVE (15) 10 YFZS=(l 6) NIA <br /> PHYSICAL STATE 17 <br /> ® D <br /> FED HAZARD UAS <br /> CATEGORIES (18) IN p <br /> STATE WASTE (19) UNITS*(22) ® ❑ MAX DAILY AMT(23) <br /> CODE p CU�FT 13 TONS N SITE 0,000 <br /> DAYS ON SITE (20) 'If EHS, amioun musern s <br /> 65 AVG DAILY AMT(24) <br /> ON SITE 0,000 <br /> LARGEST (21) AMT WASTE 25 <br /> CONTAINER 110000 ANNUAL ( ) [ __1 <br /> STORAGE (26) <br /> TANK WAU01T_ <br /> CONTAINER [13 <br /> UNDER GROUND TANK p CARBOY CAN p CYLINDER p RAIL CAR <br /> TANK INSIDE BUILDING p SILO p GLASS BOTTLE p Other... <br /> STEEL DRUM p FIBER DRUM p PLASTIC BOTTLE <br /> PLASTIC/NONMETALLIC DRUM p BAG p TOTE BIN <br /> STORAGE (27) ® ❑ABOVE AMBIENT ❑ <br /> BELOW XMBIENT <br /> PRESSURE <br /> STORAGE (28) ---®AMBIENT E3 ABOVE AMBIENT ❑BELOW AMBIENT E3TEMPERATURE <br /> (29) %WT <br /> 5-95 PETROLEUM DISTILLATES ©YES ® 006-61-9 <br /> 4.9 BENZENE ❑ ® 100-14-1 <br /> 11 LIPHATIC ETHERS ❑ hS ®NO 006-61-9 <br /> ©YES j3 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? Notor ve rc e e <br /> or Official Use Only: XC R S SJC 1/2001 <br />