Laserfiche WebLink
VF <br /> California Hazardou aterials Inventory FAME emic� escription <br /> (I) ADD DELETE OREVISE 2005 JUL 13 PAGE(2) ® OF(3) 2 <br /> COUNTY <br /> BUSINESS NAME (4) <br /> m ?72A� Sp02i 1�l•L , !11 c <br /> CHEMICAL LOCATIONS) es <br /> <br /> <br /> CHEMICAL NAME (8) )e7 Fw TRADE SECRET(11) ❑Y N <br /> COMMON NAME (9) d 1X4 / *EHS(12) ❑Y N <br /> N *IF EHS BOX IS"Y" <br /> CAS # (10) 7702,- 44 -7 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) k <br /> HAZARD CLASS <br /> TYPE (14) PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y N (16) <br /> PHYSICAL STATE(17)FEISOLID ❑LIQUID GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE REACIIVE PRESSURE RELEASE ACVTEHEALTH ❑ CHROMCt-EALTH <br /> STATE WASTE (19) UNITS*(22) [—]GAL CU FT MAX TEDAILY AMT(23)� <br /> CODE NIl ON-SITE <br /> 1[]LBS ❑TONS / 7 <br /> DAYS ON SITE (20) AVG DAII Y AMT(24) I 1 � Ga <br /> 7j�p 5 *If EHS, amounts must be in lbs ON-SITE "T— <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER T L F <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY GeCYLINDER [:]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 ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) =]IENT F]ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT 31 EHS 32 CwA�S1# <br /> 9 o Q ❑Y N -r sz-44 — ! I <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 07 <br /> (34)WHAT IS MATERIAL w E l_ t N 5 (moi M F T7),L$ <br /> USED FOR? <br /> For Official Use Only: ❑ C [I-T S SIC 12/03 <br />