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California Hazardous Materials Inventory Form - Chemical Description <br /> (1) ❑ADD ❑DELETE ❑REVISE 2001 PAGE(2) OF(3) <br /> BUSINESS NAME (4) <br /> J.S.G. Trucking <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> <br /> CHEMICAL NAME (8) Diesel TRADE SECRET(I 1) ❑Y ❑N <br /> COMMON NAME (9) Diesel *EHS(12) [7:]Y7[:]N <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) Mixture ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) []PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y ❑N (16) <br /> PHYSICAL STATE(17)1 ❑SOLID LIQUID [-]GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (1.8)19 FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑CU FT MAX DAILY AMT(23)�� <br /> CODE ❑LBS ❑TONS ON-SITE <br /> N 12,500 <br /> DAYS ON (20)� AVG DAILY AMT(24)� <br /> 365 *If EHS, amounts must be in lbs ON-SITE 7 500 <br /> LARGEST (21� ANNUAL WASTE AMT(25)� <br /> CONTAINER 12,500 <br /> STORAGE (26) ®ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER [—]UNDERGROUND TANK ❑CARBOY ❑ CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE 0-------------------- <br /> [:1 STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <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 Q 1)EHS 32 CAS# <br /> ❑Y ❑N❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1993 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? Fuel Trucks <br /> For Official Use Only: C El R S SIC 12/00 <br />