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�5 DRUMMED MATERIAL INVENTORY FORM Page 1 of 2 Store Number cl 974�:, Address/City/State/ZIP 13 Y'? N MAtO St MAt,+eca CA clS`33 AAffift Facility Contact and Phone # IT Corporation Representative (A, �Ay Accumulation Start Date M^-1 t7, `l Completion Date /VI^Y r?, ( g S ' Exact Drum Storage Location S k 0 c 7–(I, ' CONTENTS #OF DRUM ID LID LABEL TYPE DRUM DESCRIPTION DRUMS (A,B,C ) TYPE HAZARDOUS, COLOR, CONDITION, OR (OPEN NOW MARKINGS (1,2,3 ) OR HAZARDOUS, BUNG) UNCLASSIFIED GASOLINE O or B H / N / U GASOLINEIWATER MIXTURE O or B H / N ! U GASOLINE IMPACTED PURGE WATER O or B H / N ! U ' GASOLINE TANK BOTTOMS/SLUDGE O or B H / N I U GASOLINE IMPACTED DEBRIS O or B H I N 1 U GASOLINE IMPACTED SOIL O or 8 H / N I U ' FUEL OIL(INC DIESEL&HEATING O or B H / N / U OIL) FUEL OILNUATER MIXTURE O or B H / N ! U FUEL OIL IMPACTED PURGE WATER O or B H / N / U FUEL OIL TANKS BOTTOMSISLUDGE O or 8 H / N I U FUEL OIL IMPACTED DEBRIS O or 8 H I N / U FUEL OIL IMPACTED SOIL O or B H I N / U HYDRAULIC FLUID O or B H I N ! U HYDRAULIC FLUID/WATER MIXTURE O or B H / N I U HYDRAULIC FLUID IMPACTED PURGE O or B H I N 1 U WATER ' HYDRAULIC FLUID IMPACTED O or B H I N I U SLUDGE HYDRAULIC FLUID IMPACTED DEBRIS O or B H / N I U ' HYDRAULIC FLUID IMPACTED SOIL O or B H I N 1 U USED OIL O or B H / N I U USED OILANATER MIXTURE O or B H / N I U ' USED OIL IMPACTED PURGE WATER O or 8 H / N / U USED OIL TANK BOTTOMS/SLUDGE O or B H / N I U USED OIL IMPACTED DEBRIS O or B H / N I U ' USED OIL IMPACTED SOIL O or 8 H I N / U CHLORINATED SOLVENT O or B H / N / U ' NON-CHLORINATED SOLVENT O or 8 H 1 N I U S OTHER Dr, I l i`^ C,,,t ir— 5 O or B H I N / U OTHER O or B H / N I U ' OTHER O or 8 H / N ! U NOTE There should NEVEI7 be 2 drums with the same ID present at a site at the same time)