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California Hazardoubkaterials Inventory Form - Chefcal Description Page <br /> (1) ❑ADD❑DELETE❑REVISE 2001 PAGE(,) MOF (,) LLJ <br /> BUSINESS NAME (4) Nick's 76#2611195 RECEIVED <br /> CHEMICAL LOCATION(5) NORTH SIDE OF SITE JAN 0 <br /> 5 2001 <br /> MAP#(6) / GRID# (7) 11 F4 SAN JOAQUIN COUNTY <br /> CHEMICAL NAME (a) PETROLEUM HYDROCARBON TRADESECRET (11) ❑y ON <br /> COMMONNAME (9) PREMIUM UNLEADED .EHS(12) py ON <br /> IF EHS BOX IS"Y" <br /> CAS# (1o) 8006-61-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE LEAVE BLANK <br /> HAZARD CLASSES* (13) <br /> *COMPLETE BLOCK(13)IF REQUESTED BY THE LOCAL FIRE CHIEF-REFER TO INSTRUCTIONS. <br /> TYPE (4) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y ON (16) <br /> PHYSICAL STATE (17) ❑ SOLID ®LIQUID ❑ GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (ls) ® FIRE 11REACTIVE [IPRESSURE RELEASE ®ACUTE HEALTH 0 CHRONIC HEALTH <br /> STATE WASTE (19) ® GAL ❑CU FT MAX DAILY AMT(23) 12000.00 <br /> CODE UNITS(zz) ❑ LBS ❑TONS ON-SITE <br /> AVG DAILY AMT(24) <br /> DAYS ON SITE (2o) 365 If EHS,amounts must be in Ib. 6000.00 <br /> ON-SITE <br /> LARGEST (21) 6000 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TANK WAGON <br /> CONTAINER ®UNDER GROUND TANK ❑CARBOY ❑CYLINDER ❑RAILCAR <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASSBOTTLE ❑BATTERY CELL <br /> ❑STEELDRUM ❑FIBERDRUM ❑PLASTIC BOTTLE ❑Other.. <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> PRESSURE (2'0 09 AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br /> STORAGE <br /> STORAGE (28> ❑x AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)"YoWT (3o)HAZARDOUS COMPONENTS (3 1)EHS (32)CAS# <br /> 1-14% XYLENES ❑Y ON 1330-20-7 <br /> 1-9% TOLUENE ❑Y 17N 108-88-3 <br /> <10.0% ETHANOL ❑Y [SIN 64-17-5 <br /> 1-5% 1,2,4-TRIMETHYLBENZENE _ ❑Y ON 95-63-6 <br /> 1-5% ETHYLBENZENE ❑Y ❑X N 100-414 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION 33 UNITED NATIONS ID#(D2,,1 <br /> O 1203 <br /> (34)WHAT IS THE MATERIAL FUEL <br /> USED FOR <br /> For Official Use Only: ❑C E6 R 0 S SJC 12/99 <br />