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` California Hazardous Materials Inventory Form - Chemical Description <br /> (1) PAGE(2) 3 3 OF(3) 5 5 <br /> ®ADD [I DELETE ❑REVISE <br /> BUSINESS NAME (4) BULK TRANSPORTATION <br /> CHEMICAL LOCATION(S)(5)OUTSIDE MAINTENANCE SHOP <br /> MAP#(6)/ GRID#(7) E= E= <br /> CHEMICAL NAME (8) NITROGEN, REFRIGERATED LIQIUD TRADE SECRET(11) ❑YES ®NO <br /> *EHS(12) ❑YES ®NO <br /> COMMON NAME (9) NITROGEN, CRYOGENIC LIQUID <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 7727-37-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (l4) ®PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES ®NO (16) N/A <br /> CURIES <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS <br /> FED HAZARD ❑FIRE ❑REACTIVE ®PRESSURE RELEASE ❑ACUTE HEALTH [ICHRONIC HEALTH <br /> CATEGORIES (18) <br /> UNITS*(22) ®GAL ❑LBS <br /> STATE WASTE (19)r-� LYAMT(23 650 <br /> CODE u ❑CU FT ❑ ONSITE <br /> TONS ON SITE <br /> DAYS ON SITE (20)365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 300 <br /> ON SITE <br /> LARGEST (21 ANNUAL WASTE AMT(25)�� <br /> CONTAINER 650 <br /> STORAGE (26) ®ABOVE GROUND TANK []CAN ❑BOX []TAN <br /> CONTAINER ❑UNDER GROUND TANK []CARBOY ❑CYLINDER ❑RAI] <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑Othc <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) ❑AMBIENT ®ABOVE AMBIENT ❑BELOW AMBI <br /> PRESSURE <br /> STORAGE (28) ❑AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT N CRYOGENIC <br /> TEMPERATURE <br /> 29 /owT (30)HAZARDOUS COMPONENT ❑YES H❑ N EHS (32)CAS# <br /> [I YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDrfIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1977 <br /> (34)WHAT IS MATERIAL Chlorine Loading and Delivery <br /> USED FOR? <br /> DATE RECD: 1/2/02 For Official Use Only: ®C ❑R EIS SIC 12/99 <br />