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"aw N500 <br /> California Hazardous Materials Inventory Form - Chemical Description <br /> 00 ❑ADD ❑DELETEREVISE 2001 PAGE(2) OF(3) <br /> BUSINESS NAME (4) <br /> c tTc vF l�ot>I (P��I L�)#44) <br /> CHEMICAL LOCATION(S)(5) f3A�Et-lt✓NT P�LI`S >��( Du«t�N <br /> a'F '� "ulauNuulnauU <br /> OMAP#(6)/ GRID#(7) E== [== CES <br /> CHEMICAL NAME (8) T 1�SE� �L TRADE SECRET(11) ❑Y <br /> COMMON NAME (9) I E5 Eta F Lue t, *EHS(12) ❑Y <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) N/A - h IX'r IM27✓ ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) ❑PUREwIIXTURE []WASTE RADIOACTIVE(15) ❑Y N (16) �a <br /> PHYSICAL STATE(17) ❑SOLID aIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) FIRE ❑REACTIVE ❑PRESS RELEASE 2ACUTEHEALTH a&RONICtiFALTH <br /> STATE WASTE (19)D UNITS*(22) GAL ❑CU FT MAX DAILY AMT(23) <br /> 1[_]LBS CODE N A ❑ ON-SITE <br /> DAYS ON SITE (20)� AVG DAILY AMT(24)� <br /> 3(0!7 *If EHS, amounts must be in lbs ON-SITE � <br /> CONTAINER (21 s ANNUAL WASTE AMT(25) <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER [�I UNDER GROUND TANK ❑CARBOY ❑ CYLINDER [-IRAILCAR <br /> Lv7TANKINSIDE 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 to /A . <br /> PRESSURE <br /> STORAGE (28) AMBIENT ❑ABOVE AMBIENT �ELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT (30)HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> �{q .q- IOO�e �167T ❑Y N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y NJ F <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) Q <br /> (34) MATERIAL <br /> USED F T� _VokmK- Ohl �`1= �c►Jty( �N�R ac�Zr(L <br /> USED FOR? ✓ <br /> For Official Use Only: C R ❑ s SJC 12/00 <br />