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California Hazardous rials Inventory Form - Chemicalription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4) NICK'S 76 #2611195 <br /> CHEMICAL LOCATION(S)(5) NORTH SIDE OF SITE <br /> MAP#(6)/ GRID#(7) 1/F4 <br /> CHEMICAL NAME (8) PETROLEUM HYDROCARBON TRADE SECRET (11) ❑YES ®NO <br /> COMMON NAME (9) PREMIUM UNLEADED *EHS (12) ❑YES ®NO <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 ❑ WASTE RADIOACTIVE(15) ❑yES ®NO (16) N/A <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE []REACTIVE ElPRESSURE RELEASE ®ACUTE HEALTH ®CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS MAX DAILY AMT(23)12,000 <br /> CODE ❑CU FT ❑TONS ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) <br /> ONSITE 6,000 <br /> LARGEST (21)� ANNUAL WASTE AMT(25) <br /> CONTAINER 6,000 <br /> STORAGE (26)[:]ABOVE GROUND TANK ❑CAN []BOX ❑TAN <br /> CONTAINER ®UNDER GROUND TANK []CARBOY ❑CYLINDER ❑RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ElOther <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 /> 1-14 XYLENES ❑YES ®N 1330-20-7 <br /> 1-9 TOLUENE ❑YES ®N 108-88-03 <br /> <10 ETHANOL ❑YES ®N 64-17-5 <br /> 1-5 1,2,4 TRIMETHYL BENZENE ❑YES ®N 95-63-6 <br /> 1-5 ETHYL BENZENE ❑YES ON 100-41-4 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1203 <br /> (34)WHAT IS MATERIAL Fuel <br /> USED FOR? <br /> DATE REC'D: 1/14/04 For Official Use Only: 0 C 9 R ❑S SJC 12/99 <br />