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SITE INFORMATION AND CORRESPONDENCE_PRE 2019
Environmental Health - Public
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2900 - Site Mitigation Program
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SITE INFORMATION AND CORRESPONDENCE_PRE 2019
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Last modified
3/2/2022 8:12:40 AM
Creation date
5/4/2021 12:08:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
PRE 2019
RECORD_ID
PR0500041
PE
2953
FACILITY_ID
FA0004530
FACILITY_NAME
MARLOWE PROPERTY
STREET_NUMBER
4648
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
4648 WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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CHEMICAL INVENTORY <br />Pag• 01.- of F <br />„NESS NAME: <br />,(TACT NAME: <br />1„), 6 'Rdi y .R42N //Y('. PHONE: 54_5 <br />1) TITLE: Pkiiv r r• • <br />,TE ADDRESS: <br />(LIST ALL CHENICRLS INCLUDING HAZARDOUS WASTES) <br />Chemical Name: 'PAj N r Trade Secret Yes <br />Trade Name: PG1,_ 114 r AHM Material Yes <br />Waste Classification: Toxic •LIgnitable _Corrosive Reactive _Acutely Hazardous <br />DOT# /aA CAS# /11 ix To <br /> <br />Number of Days on Site/Year: •5 5 <br /> <br />Daily Amount Stored: //277 Max. <br />Physical State: _Solid Liquid <br />Physical Hazards: _LFire _Pressure <br />Health Hazards: Acute (Immediate) <br />Incompatible Materials: <br />Gas _Mixture al (must complete components of mixture below) <br />Reactivity <br />_ Chronic (delayed) _Irritant <br />Sc) Avg. Units of Measure: GaI. _Lbs. _Cu.Ft. <br />Storage Type: Aboveground Tank _Underground Tank Z.Drum Cylinder _Secondary Containment <br />Other: <br />Storage Pressure: A Storage Temperature ( F): A pi A N <br />Storage Location:_, <br />How is material used: /-'(1 //yr 3 r <br />Mixture: (List the three most hazardous components (by weight): <br /> <br />1. CAS# %wt <br /> <br />2. CAS# %wt <br /> <br />3. CAS# %wt <br />Chemical Name: y le N Trade Secret Yes <br />Trade Name: Prz., , r. itsiiye t- AHM Material _Yes <br />Waste Classification: Toxic ,_Ignitable Corrosive Reactive Acutely Hazardous <br />DOT# CAS# r Number of Days on Site/Year: <br /> <br />OES <br />USE <br />ONLY <br />Ocr <br />RD <br /> <br />Daily Amount Stored: <br />Physical State: <br />Physical Hazards: <br />Health Hazards: <br />Incompatible Materials: <br /> Max. 4it Avg. Units of Measure: GaI._Lbs. _Cu.Ft. <br />Solid I_Liquid _Gas _Mixture't (must complete components of mixture below) <br />_Fire _Pressure _ Reactivity <br />Acute (Immediate) _ Chronic (delayed) _Irritant <br />Storage Type: Type: Aboveground Tank _Underground Tank ,LDrum Cylinder Secondary Containment <br />Other: <br />Storage Pressure: /V/2} Storage Temperature ( 9: <br />Storage Location:_ <br />How is material used: ±h/ Al 11 ci rv <br />1 Mixture: (List the three most hazardous components (by weight): <br />1. CAS# <br />2. CAS# <br />3. CAS# <br />OES <br />USE <br />ONLY <br />C <br />R 1=1 <br />S <br />%wt <br />°/0 wt <br />%wt <br />FOR OES USE ONLY: L S TOTALS AHM REVIEWED BY INSP <br />FOR 1993 CALENDAR YEAR ONLY
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