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California Hazardous�I aterials Inventory Form - Chemical al Description <br /> (1) ADD ❑DELETE [—] <br /> <br /> <br /> == EAI %NCYSER CES <br /> CHEMICAL NAME (8) 0 Y P t ✓� TRADE SECRET(11) ❑1 <br /> *EHS(12) 1 ❑1 <br /> COMMON NAME (9) 0 L 1 di *IF EHS BOX IS"Y" <br /> CAS # (10) -7 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS _ <br /> TYPE (14)®PURE []MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y N (16) <br /> PHYSICAL STATE(17)1 []SOLIDIQUID ❑ CURIESGAS <br /> FED HAZARD IRE ❑REACTIVE ZPRFSSURE RELEASE ❑ ACUIEHEALTH ❑CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS* (22) ❑GAL CUFT MAX DAILY AMT(23) f a O <br /> CODE ON-SITE b <br /> 1[:]LBS [] TONS TONS u <br /> BAYS ON SITE (20)� AVG DAILY AMT(24) I <br /> 6 S *If EHS, amounts mus[ be in lbs ON-SITE <br /> LARGEST (21 ANNUAL WASTE AMT(25) <br /> CONTAINER �� U <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY b56LINDER []RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE❑------------------- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) AMBIENT RABOVEAMBIFNT ❑PELOWAMBIENT <br /> PRESSURE <br /> STORAGE (28) BIENT [:)ABOVEAMBIENT [:]BELOWAMBIENT CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT (30)HAZARDOUS COMPONENT �l E� 32 CAS# <br /> Y N <br /> ❑Y ❑N <br /> ❑Y ��171 <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) I fi 3 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? C' s., ( e -Cur V vL <br /> For Official Use Only: C R ❑ S SJC 12/00 <br />