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California Hazardous A,, , rials Inventory Form - Chemical 1'. -ription <br /> PAGE(2) = OF(31 <br /> BUSINESS NAME (4) PIZZA FACTORY <br /> CHEMICAL LOCATION(S)(5)BY SODA MACHINE, IN WALK IN <br /> MAP#(6)/ GRID#(7) MAP 1/D-5 NA NA NA NA <br /> CHEMICAL NAME (8) CO2 TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) CO2 *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) IC02 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ®PURE ❑MIXTURE []WASTE RADIOACTIVE(15) ❑YES ONOU6)� <br /> PHYSICAL STATE(17) ❑SOLID []LIQUID H GAS CURIES <br /> FED HAZARD <br /> CATEGORIES ORIES (18)ISFIRE H REACTIVE ®PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) , UNITS*(22) ❑GAL IN LBS <br /> CODE ❑CU FT ❑TONS MAX DAILY AMT(23) 160 <br /> ON SITE <br /> DAYS ON SITE (20) 3 fi 5 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 8 0 <br /> ON SITE <br /> LARGEST (21 SOLBS ANNUAL WASTE AMT(25) NA <br /> CONTAINER <br /> STORAGE (26)❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER ❑UNDER GROUND TANK []CARBOY ®CYLINDER ❑RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG []TOTE <br /> BIN <br /> STORAGE (27) ❑AMBIENT ®ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> NA NA 110YES 9Nq NA <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1013 <br /> (34)WHAT IS MATERIAL SODA FOUNTAIN AND BEER <br /> USED FOR? <br /> DATE REC'D: 4/24/07 For Official Use Only: INC ❑R ❑S SIC 12199 <br />