Laserfiche WebLink
California Hazardous r terials Inventory Form - Chemical r cription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4) COMPLETE WELDERS SUPPLY INC <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) LIQUID NITROGEN TRADE SECRET(11) ❑YES ®NO Tra <br /> COMMON NAME (9) LIQUID NITROGEN *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 7727-37-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) 1@PURE ❑ MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES ®NO (16) <br /> PHYSICAL STATE(17) ❑SOLID H LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE ❑REACTIVE ®PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ❑GAL ❑LBS <br /> CODE N/ 19CU FT ❑TONS MAX DAILY AMT(23 12,000 <br /> ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 8 000 <br /> ON SITE <br /> LARGEST (21 3600 ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK []CAN ❑ BOX ']TAN TAN <br /> CONTAINER ❑UNDER GROUND TANK []CARBOY ® CYLINDER ❑RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑ GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE ❑Othe <br /> ❑PLASTIC/NONMETALLIC DRUM []BAG ❑ TOTE BIN <br /> STORAGE (27) ❑AMBIENT ®ABOVE AMBIENT []BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ❑AMBIENT []ABOVE AMBIENT ❑BELOW AMBIENT ® CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1977 <br /> (34)WHAT IS MATERIAL RESALE FOR CUSTOMERS <br /> USED FOR? <br /> DATE REC'D: 1/27/05 For Official Use Only: ® C ❑ R ❑S SIC 12199 <br />