Laserfiche WebLink
California Hazardous Materials Inventory Form - Chem al Description <br /> � ) � <br /> (1) ADD DELETE OREVISE 2001 PAGE(2) = <br /> OF(3) l U <br /> BUSINESS NAME (4) <br /> C a Iz�e Weld ( ; 5� <br /> CHEMICAL LOCATION(S)(5) <br /> ES <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) 0')Carbon I- OV� de TRADE SECRET(11) ❑Y N <br /> (� OKI <br /> COMMON NAME (9) % I O XI d e *EHS(12) ❑Y N <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) Z _ 8 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE - (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) URE ❑MIXTURE [_]WASTE RADIOACTIVE(15) ❑Y N (16)tap � <br /> PHYSICAL STATE(17)1 ❑SOLIDIQUID ❑GAS CURIES <br /> FED RD <br /> CATEGORIES <br /> ❑FIRE ❑REACTIVE PRESSURE RELEASE ❑ ACU M MALTH ❑ CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19)D UNITS* (22) []GAL ❑CU FT MAX DAILY AMT(23) <br /> CODE nLBS ❑ TONS ON-SITE <br /> DAYS ON SITE (20) AVG—A—Y AMT(24) SO U <br /> *If EHS, amounts must be in lbs ON-SITF <br /> LARGEST (21 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX [—]TANK WAGON <br /> CONTAINER ❑ UNDER GROUND TANK ❑CARBOY La5YLINDER ❑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 XABOVEAMBTENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) AMBIENT ❑ABOVE AMBIENT [_]BELOWAMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT ❑31)EHS N 32 CAS# <br /> IF <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑YEN <br /> E]NII <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT)0 <br /> (34)WHAT IS MATERIAL 20 e/ S <br /> USED FOR? � C� <br /> For Official Use Only: C ❑ R ❑ S SIC 12/00 <br />