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Automotive Fluids Storage Tank Labels

ORDER FORM

Product

Capacity

Quantity

Used Antifreeze

55 gallon drum

_______

Used Antifreeze

275 gallon tote

_______

Used Antifreeze

___ gallon tank

_______

Used Antifreeze

___ gallon tank

_______

Used Antifreeze

___ gallon tank

_______

Product

Capacity

Quantity

Used Oil

55 gallon drum

_______

Used Oil

275 gallon tote

_______

Used Oil

___ gallon tank

_______

Used Oil

___ gallon tank

_______

Used Oil

___ gallon tank

_______

Product

Capacity

Quantity

Gasoline

55 gallon drum

_______

Gasoline

275 gallon tote

_______

Gasoline

___ gallon tank

_______

Gasoline

___ gallon tank

_______

Gasoline

___ gallon tank

_______

Gasoline

___ Gas Buggy

_______

Gasoline

___ Gas Cans

_______

Product

Capacity

Quantity

Diesel

55 gallon drum

_______

Diesel

275 gallon tote

_______

Diesel

___ gallon tank

_______

Diesel

___ gallon tank

_______

Diesel

___ gallon tank

_______

Containers of all sizes must be labeled.

Total Quantity of Labels ordered _______

x $2 each = ________

Please fill out the company information:

Contact name: _____________________________

Facility Name: _____________________________

Address: __________________________________

__________________________________________

Under the new Hazard Communication GHS rules

containers of all sizes must be labeled, including

small volume and transfer containers.

Labels should

be chemical and weather resistant for durability

and longevity.

Complete the tank inventory at left, tally the number

of labels being ordered at the bottom and return with

payment to:

SUE SCHAULS CONSULTING

2214 Regal Ave

Waterloo, Iowa 50702

The tank inventory will also help identify if the facility

requires an SPCC (Spill Prevention Control and

Countermeasure) plan. If petroleum product storage

capacity is 1320 gallons or more then the facility

should either reduce tankage or prepare and imple-

ment an SPCC. Antifreeze does not count in the

SPCC total but new oil, hydraulic fluid and solvent ,

etc or any petroleum-based product in 55-gallon and

larger container counts.

Page 12

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