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California Hazardous Mwials Inventory Form - Chemical D&iption <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4) TRACY BP SERVICE CENTER <br /> CHEMICAL LOCATION(S)(5) <br /> NIA NIA NIA <br /> CHEMICAL NAME (8) USED ANTI/ FREEZE TRADE SECRET (11) JE1 YES ® NO <br /> COMMON NAME (9) USED ANTIIFREEZE *EHS (12) ❑YES ® NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 1107-21-1 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) <br /> PHYSICAL STATE(17) ❑SOLID H LIQUID []GAS CURIES <br /> FED HAZARD ®FIRE [IREACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH ®CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS* (22) ®GAL ❑LBS <br /> CODE 343 I[]CU FT ❑TONS MAX DAILY AMT(23)$$ <br /> ON SITE <br /> DAYS ON SITE (20)1365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 25 <br /> ON SITE <br /> LARGEST (21)$$ ANNUAL WASTE AMT(25) 110 <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TANIK <br /> CONTAINER ❑UNDER GROUND TANK []CARBOY ❑CYLINDER ❑RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM [:]FIBER DRUM ❑PLASTIC BOTTLE ❑Other <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 (31)EHS 32 CAS# <br /> 94 ETHYLENE GLYCOL ❑YES ®N 107-21-1 <br /> I DIETHYLENE GLYCOL ❑YES ®N 111-46-6 <br /> 10 1 WATER ❑YES ®N 7732-18-5 <br /> 2 1 DIPOTASSIUM PHOSPHATE 1p.YES ®N 77$8-11-4 <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 11142 <br /> (34)WHAT IS MATERIAL WASTE <br /> USED FOR? <br /> DATE REC'D: 3125107 For Official Use Only: H C 0 R ❑S SJC 12199 <br />