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cela <br /> California Hazardous Materials Inventory Form - Chemical Description OF ( ) <br /> (1) 2001 PAGE(2) IO <br /> ,44 <br /> ADD DELETE REVISE <br /> OEI <br /> BUSINESS NAME (4) l <br /> �tJ Iefe 1Nelde , s St, <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> <br /> TRADE SECRET(tl) ❑Y N <br /> nl l lw <br /> *EHS(12) ❑Y <br /> COMMON NAME (9) N I C <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 7 7Z 7 3 7-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) PURE MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y (16) <br /> CURIES <br /> PHYSICAL STATE(17)FEFSOLID LIQUID GAS <br /> FED CATEGORIES <br /> FIRE REACTIVE PRESSURE RELEASE E] ACUTE HEALTH E] CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19)�� UNITS*(22) EIGAL 'CU FT MAX DAILY AMT(23) <br /> CODE t� ON-SITE <br /> ONS <br /> DAYS ON SITE (20) LBS [:] T <br /> 5 AVG DAILY AMT(24) <br /> * <br /> If EHS, amounts must be in Ibs ON-SITE <br /> LARGEST (21r ANNUAL WASTE AMT(25) <br /> CONTAINER Z� <br /> STORAGE (26) FIABOVE GROUND TANK ❑ CAN ❑ BOX OTANK WAGON <br /> CONTAINER UNDER GROUND TANK [:]CARBOY CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING [:] SILO Ej GLASS BOTTLE El-------------------- <br /> [:1 STEEL DRUM Fj FIBER DRUM PLASTIC BOTTLE <br /> PLASTIC/NONMETALLIC DRUM ❑ BAG TOTE BIN <br /> STORAGE (27)119AMBIENT [:]ABOVE AMBIENT BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28)IUAMBIFNT ABOVE AMBIENT BELOW AMBIENT CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT 30 HAZARDOUS COMPONENT 3l EHS (32)CAS# <br /> []Y ❑N <br /> �YQN <br /> �Y [:]N <br /> FMY ON <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL <br /> USED FOR? <br /> For Official Use Only: ❑ C ❑ R [] S SJC 12/00 <br />