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California I-Iazardoun, iVIaterials Inventory Form - Che cal Description Page <br /> (1) ❑ADD❑DELETE❑REVISE 2001 PAGE(2) FTI OF (3) LLJ <br /> BUSINESS NAME (4) Nick's 76#2611195 RECEIVED <br /> CHEMICAL LOCATION(5) NORTH SIDE OF SITE IAN 0 5 2001 <br /> MAP#(6) / GRID# (2) 1 /F4 <br /> AN JOAOUIN COUNTY <br /> CHEMICAL NAME (s) PETROLEUM HYDROCARBON TRADE SECRET (u) ❑y ❑D N <br /> COMMONNAME (9) REGULAR UNLEADED .EHS(12) ❑Y DN <br /> 'IF EHS BOX IS"Y" <br /> CAS# (1o) 8006-61-9 <br /> ALL AMOUNTS MUST BE IN LHS <br /> FERE CODE LEAVE BLANK <br /> HAZARD CLASSES' (13) <br /> - *COMPLETE BLOCK(13)IF REQUESTED BY THE LOCAL FIRE CHIEF-REFER TO INSTRUCTIONS. <br /> TYPE (14) []PURE 91 MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y EIN (16) <br /> PHYSICAL STATE (17) ❑ SOLID ®LIQUID ❑ GAS CURIES <br /> FED HAZARD ® Fpm [IREACTIVE ❑ PRESSURE RELEASE 10 ACUTE HEALTH ®CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) D9 GAL 11CU FT MAX DAILY AMT(23) 12000.00 <br /> CODE UMTS(zz) ❑ LBS ❑TONS ON-SITE <br /> AVG DAILY AMT(24) <br /> DAYS ON SITE (2o) 365 'If EHS,amounts must be in 1b. 6000.00 <br /> ON-SITE <br /> LARGEST (21) 12000 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) []ABOVE GROUND TAMC ❑CAN ❑BOX ❑TANK WAGON <br /> CONTAINER NIUNDER GROUND TANK ❑CARBOY ❑CYLINDER ❑RAIL CAR <br /> []TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑BATTERY CELL <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other... <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> PRESSURE (27) ®AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT <br /> STORAGE <br /> STORAGE (28) El AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)"/6WT (3o)HAZARDOUS COMPONENTS (31)EHS (32)CAS# <br /> 1-14% XYLENES ❑Y ON 1330-20-7 <br /> 1-9% TOLUENE ❑Y MIN 108-88-3 <br /> <10.0% ETHANOL ❑Y ❑x N 64-17-5 <br /> 1-5% 1,2,4 TRTMETHYL BENZENE ❑Y ❑x N 95-63-6 <br /> 1-5°/a ETHYL BENZENE ❑Y ON 100-41-4 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 33 UNITED NATIONS ID# O 1203 <br /> (34 WHAT IS THE MATERIAL FUEL <br /> USED FOR <br /> For Official Use Only: 19C 0 R 0 S SIC 12/99 <br />