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California Hazardous Materials Inventory Form - Chemical Description (7/16/2008 ) <br />PAGE (2) OF (3) <br />BUSINESS NAME (4) <br />CHEMICAL LOCATION(S) (5) <br />AT&T MOBILITY -N MANTECA WOS1 <br /> <br />MAP # (6) / GRID # (7) N/A N/A N/A N/A <br />CHEMICAL NAME (8) HYDROGEN GAS TRADE SECRET (11) JE3 YES ®NO <br />COMMON NAME (9) HYDROGEN *EHS (12) JE1 YES ® NO <br />*IF EHS BOX IS "Y" <br />CAS # (10) 1333-74-0 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TYPE (14) ® PURE ❑ MIXTURE ❑ WASTE RADIOACTIVE (15) ❑ }, ES ®NO (16) N/A <br />PHYSICAL STATE (17) ❑ SOLID ❑ LIQUID ®GAS CURIES <br />FED HAZARD IN FIRE ❑ REACTIVE ® PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />CATEGORIES (18) <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />N/A <br />1365 <br />LARGEST (21)197 <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />CONTAINER <br />❑ RAIL CAR <br />STORAGE (26) <br />CONTAINER <br />UNITS* (22) El GAL El LBS MAX DAILY AMT (23)1,182 <br />IN CU FT OTO N S ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE 1,182I <br />ANNUAL WASTE AMT (25) 0 <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TANK WAGON <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />® CYLINDER <br />❑ RAIL CAR <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTHER <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Other... <br />❑ PLASTIC/NONMETALLIC DRUM <br />❑ BAG <br />❑ TOTE BIN <br />STORAGE (27) ❑ AMBIENT ®ABOVE AMBIENT ❑ BELOW AMBIENT <br />PRESSURE <br />STORAGE (28) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(30) HAZARDOUS COMPONENT (3 1) EHS (32) CAS# <br />ADDITIONAL LOCALLY COLLECTED INFORMATION <br />(34) WHAT IS MATERIAL EMERGENCY POWER GENERATION <br />USED FOR? <br />DATE REC'D: 10/12/05 lFor Official Use Only <br />(33) UNITED NATIONS ID# (DOT) 11049 <br />El ❑R ❑S <br />SJC 12/99 <br />❑ YES ❑ N <br />❑YES ❑N <br />❑YES ❑N <br />❑ YES ❑ N <br />❑ YES ❑ N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION <br />(34) WHAT IS MATERIAL EMERGENCY POWER GENERATION <br />USED FOR? <br />DATE REC'D: 10/12/05 lFor Official Use Only <br />(33) UNITED NATIONS ID# (DOT) 11049 <br />El ❑R ❑S <br />SJC 12/99 <br />