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Calil'omia Itarar(lous hlate, ►als Inventory Reporting Form - Chemical Description llage <br /> t l) ❑ADD ❑DL'Lr Ili ❑RI;VISI; 1997 PAGE (2) = OF(3) <br /> BUSINESS NAMIi (4) <br /> I, 111FRTY DI <br /> ('III NIICAL I.00ATION(S)(5) <br /> STATION SHOP <br /> n1Al' a (6)I (;IIID H(7) <br /> #I/E-6 <br /> ('1II:MICAL NAMIE (8) MOTOR OIL I'RADE SECRET(1 I) ❑l' ❑N <br /> COMMON NAME (9) MOTOR OIL *EI-IS (12) 1 ❑Y ® N <br /> "MIXTURE" *1F L'HS BOX IS "Y" <br /> C nS H (10) ALL AMOUN'T'S MUST'13E IN LBS <br /> FIRIi CODI? (13) <br /> HAZARD <br /> CA'I1�GOItl I:S � <br /> TYI'li (14) ❑PUREEaMIXI'URE ❑WASTE RADIOACTIVE(15) ❑ Y ©N (16) <br /> I'IIYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> IT'D HAZARD <br /> CATEGORIES (18) ® FIRE ❑RIEACI1VlE [:]PRESSURE RELEASE 11ACUIL'In?AI.n1 ❑CIIRONIC III:Al:111 <br /> STAKE WASTE (19) UNITS* (22) ®GAL ❑CU 1--r MAX DAILY AMT(23) <br /> CODE ❑ [_55 <br /> LBS [:] TONS <br /> DAYS ON SITE (20) AVG DAILY AMT(24) <br /> 365 *If EHS, amounts must he in lbs 25 <br /> LARGEST (21 5 5 ANNUAL WASTE AMT(25) <br /> CON'T'AINER <br /> :1 <br /> STORAGE (26) ❑ ABOVE GROUND TANK ❑ CAN ❑ BOX [—]TANK WAGON <br /> CON'T'AINER ❑ UNDER GROUND TANK ❑CARBOY ❑ CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOT'I'LE ❑-------------------- <br /> k❑STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOT"i'LIE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ❑ AMI311:NT []ABOVE AMBIENT ❑BELOW AMBIENTPRESSURE <br /> STORAGE (28) ❑AMBIENT ❑ABOVE AMBIENT []BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> 2'))'7,1VT 30 1IAZARDOUS COMPONENT 3I EHS 32 CASH <br /> ❑Y ❑N <br /> ]IE]YE]NIF <br /> E]Y []NJ F7--- <br /> . ❑ Y ❑N [� -� <br /> ❑Y MN <br /> ADDITIONAL LOCALLY COLLEC'T'ED INFORMATION(33): DOTH _-- <br /> F'Dr Official Use Only: ❑ C ❑ R �� S SJC 1._/yG <br />