Laserfiche WebLink
California Ilazardous Materials Inventory Reporting Form - . hemical Description Page <br /> (1I E]AUU E:]DEI_l TI: REVIS JE 1997 PAGE(2) OF(3) <br /> BUSINESS NAME (4) <br /> LIBERTY FIRE DISTRICT <br /> CHEMICAL LOCATION(S)(5) NORTH SIDE OF STATION <br /> MAP # (6)/ GRID# (7) <br /> CIIEMICAI_ NAME (8) DIESEL FUEL TRADE SECRET(11) 1 ❑Y ❑X N <br /> COMMON NAME (9) DII7SEL FUEL *EHS (12) 1 ❑Y DN] <br /> 68476-34-6 *IFEEIS BOX IS "Y" <br /> CAS # (10) ALL AMOUNTS MUST BE IN L13S <br /> FIRE CODE (13) <br /> HAZARD 3 <br /> CATEGORIES <br /> TYPE (14) ❑PURI: ❑MIXTURE ❑WASTE RADIOACTIVE(15) 1[:] y <br /> Y ❑N (16) <br /> PHYSICAL STATE (17) SOLID ®LIQUIDGAS CURIES <br /> FEU }IA"LARD <br /> CATEGORIES (I g)I 0 FIRF ❑REACTIVE ❑PRESSURE RELEASE ❑ACUIE 111 ALTII ❑CI IRONIC I TEAL"Il <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑CU rr MAX DAILY AMT(23) <br /> CODE 500 <br /> ❑LBs ❑ TONS <br /> DAYS ON SITE (20) 365 AVG DAILY AMT(24) 250 <br /> *If EMS, amounts must he in lbs <br /> LARGEST (21 500 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ® UNDER GROUND TANK ❑CARBOY ❑ CYLINDER ❑RAIL CAR <br /> ❑'TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE [:]-------------------- <br /> El STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOI`l-LE <br /> ❑ PLAS'T'IC/NONMETALLIC DRUM ❑ BAG ❑ TOTE I3IN <br /> STORAGE (27) © AMBIENI' [:]ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ® AMBIENT [:]ABOVE AMBIENT BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> 29 %oW I' 30 HAZARDOUS COMPONENT 31 El IS (32) CAS# <br /> ❑Y ❑N <br /> F I I �Y �N <br /> D nN <br /> I F 0Y N <br /> I F EY �N <br /> ADDITIONAL LOCALLY COLLECrED INFORMATION(33): DOT# <br /> For Official Use Only: <br /> 11 C K S SJC 12/96 <br />