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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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LOCKE
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12470
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3500 - Local Oversight Program
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PR0545392
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Last modified
3/5/2020 11:58:37 AM
Creation date
3/5/2020 10:37:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545392
PE
3528
FACILITY_ID
FA0004054
FACILITY_NAME
Valley L P Gas
STREET_NUMBER
12470
STREET_NAME
LOCKE
STREET_TYPE
Rd
City
Lockeford
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
12470 Locke Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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:s <br /> California Hazardous Materials Inventory Form -Chemical Description <br /> (1) ®ADD ❑ DELETE ❑REVISE PAGE (2) OF (3)El <br /> BUSINESS NAME (4) COPPER ENTERPRISES INC <br /> sy <br /> CHEMICAL LOCATION(S) (5) <br /> MAP # (6)/'GRID # (7) <br /> 1 <br /> E <br /> CHEMICAL NAME (8) CHEVRON DELO 400 WASTE OIL TRADE SECRET (11) ❑YES ® NO E <br /> COMMON NAME (9) WASTE MOTOR OIL *ENS (12) ©YES ® NO <br /> "IF EHS BOX IS "YES" <br /> CAS # (10) 64741-88-4 <br /> ALL AMOUNTS MUST BE IN LBS <br /> � <br /> FIRE CODE (13) <br /> HAZARD CLASS LEAVE BLANK <br /> � TYPE (14) ❑ PURE [] MIXTURE ®WASTE RADIOACTIVE (15) ❑YES ®NO (16)� <br /> .CURIES. .. <br /> PHYSICAL STATE (17)❑SOLID ®LIQUID ❑GAS <br /> ._� FED HAZARD <br /> CATEGORIES (18)[H FIRE ❑REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH IN CHRONIC HEALTH <br /> } STATE WASTE (19) UNITS` (22) ®GAL ❑LBS MAX DAILY AMT (23) <br /> CODE 221 ❑CU FT ❑TONS ON SITE 110 <br /> DAYS ON SITE (20) *If EHS, amounts-must be in lbs AVG DAILY AMT (24) <br /> 'j 365 ON SITE 55 <br /> _t <br /> LARGEST (21) ANNUAL WASTE AMT (25) I <br /> 250 <br /> CONTAINER 55 I <br /> STORAGE '(26) ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE <br /> CONTAINER ❑UNDER ROUND TANK [3 SILO PLASTIC BOTTLE f <br /> [3 TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ' } IN STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTICINONMEfALLIC DRUM ❑BOX ❑RAIL CAR <br /> ❑CAN ❑CYLINDER ❑Other... <br /> STORAGE (27) IN AMBIENT ❑ABOVE AMBIENT ❑ BELOW AMBIENT <br /> ' j PRESSURE <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT []CRYOGENIC <br /> TEMPERATURE <br /> 1 29 %WT 30 HAZARDOUS COMPONENT (31) EHS 32 CAS# <br /> ❑YES -[I NO F_ <br /> I <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ❑YES ❑ NO <br /> - ❑YES ❑NO IF <br /> -;7 ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 112701 <br /> (34) WHAT IS MATERIAL <br /> USED FOR? Waste oil from construction equipment <br /> For Official Use Only; ®C ❑R ❑S SJC 112001 <br />
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