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California Hazardous Materials Inventory Form�E�hle�igp�lDescription <br /> 2001 PAGE(2) ® OF(3) I '1 <br /> (1) ADD aDELETE aREVISE ;�.'rj';^ V <br /> BUSINESS NAME (4) Coves t Ac w6j e o 01 RECENED <br /> CHEMICAL LOCATION(S)(5) <br /> MAP#(6)/ GRID#(7) E 6ENCYSERVICE <br /> CHEMICAL NAME (8) OXY q C ki TRADE SECRET(11) ❑Y N <br /> *EHS(12) ❑Y N <br /> COMMON NAME (9) oxy q e ✓1 <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) , b _ l _ 7 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14)1 MUREE]MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y (16) ES <br /> CURIES <br /> PHYSICAL STATE(17) ❑SOLID ❑LIQUID NGAS <br /> FED HAZARD CATEGORIES (18) RE ❑REACTIVE EZPREssLJRE RELEASE ❑ ACMEHEALTH ❑ CHRONIC HEALTH <br /> STATE WASTE (19)�� UNITS*(22) ❑GAL LWU FT MAX DAILY AMT(23) <br /> CODE ON-SITE 6 �V <br /> ❑LBS ❑ TONS <br /> DAYS ON SITE (20)� AVG DAILY AMT(24) <br /> 6S *If EHS, amounts must be in lbs ON-BYTE <br /> LARGEST (21 �!1 ANNUAL WASTE AMT(25)�� <br /> CONTAINER V <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY WYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO �uY GLASS BOTTLE❑-------------------- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27)RAMBIENT ABOVE AMBIENT [-]BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) AMBIENT ❑ABOVE AMBIENT [:]BELOWAMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT (30)HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> F11 ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION:: (33)UNITED NATIONS ID#(DOT) Q Z <br /> (34)WHAT IS MATERIAL e e �Ur W v� 1 <br /> USED FOR? <br /> For Official Use Only: C ❑ R ❑ S SIC 12/00 <br />