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California Hazardous erials Inventory Form - Chemical P, cription <br /> *AGE (2) OF(3) <br /> BUSINESS NAME (4)ALPHA ENTERPRISE CORP <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) PETROLEUM DISTILLATES TRADE SECRET (11) ❑YES H NO Tra <br /> COMMON NAME (9) WASTE MOTOR OIL *EHS (12) ❑YES H 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 H NO (16) <br /> PHYSICAL STATE(17) ❑SOLID H LIQUID ❑GA= <br /> CURIES <br /> FED HAZARD H FIRE ❑REACTIVE ❑PRESSURE RELEASE H ACUTE HEALTH ❑CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS*(22) H GAL ❑LBSMAX DAB.Y AMT(23)110 <br /> CODE N/ ❑CU FT ElTONS ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 5 0 <br /> ON SITE <br /> LARGEST (21)55 GAL ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <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 /> H STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) H AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) H AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> +75 DISTALLATES (PETROLEUM) DYES ON 964742-54-7 <br /> DISTILLATES (PETROLEUM) DYES ❑N 64742-65-0 <br /> 25 PROPRIETARY ADDITIVES OYES ❑N MIXTURE <br /> ❑YES ❑N <br /> FM7171N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1270 <br /> (34)WHAT IS MATERIAL WASTE OIL FROM CHANGING OIL IN MOTORS. <br /> USED FOR? <br /> DATE REC'D: 1/11/05 For Official Use Only: EIC ❑R ❑S SIC 12/99 <br />