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VSW 1.1r <br /> California Hazardous Materials Inventory Form - Chemical Description <br /> (1) ADD F]DELEM REVISE 2001 PAGE(2) ©OF(3)� <br /> BUSINESS NAME (4 <br /> CHEMICAL LOCATION(S)(5) SAN InAn''IN MIFINTY <br /> L � <br /> MAP#(6)/ GRID#(7) .� �; E=:= E= C E S <br /> CHEMICAL NAME (8) TRADE SECRET(I I I []Y N <br /> COMMON NAME (9) � 9 _ I� Gln # <br /> -EHS(12) ❑Y M <br /> / — !✓ <br /> .IF EHS BOX IS"Y" <br /> CAS# (1(q _ / (- ALL AMOUNTS MUST BE IN LRS <br /> FIRE CODE (13) LEAVEBLANK <br /> HAZARD CLASS <br /> TYPE (14) []PURE LEfMIXTURE ❑WASTE RADIOACTIVE(15) Y N (16)� <br /> PHYSICAL STATE(I7) ❑SOLID ' LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (1R) FIRE []REA(.-nvE ❑PRESSURE RELEASE [] AQI7EHFiUTH ❑ CHRONIC IIFALIIi <br /> STATE <br /> CODE WASTE (14) UNITS*(22) AL OCU FI- MAX DAILYAMT(23) 5U® <br /> ❑LBS TONS <br /> DAYS ONSITE (2()) AVG DAILY AMT(24)� <br /> *If CHS- amounts must be in IM ON-SITE 4 <br /> LARGEST (21 ANNUAL WASTE AMT(25)� <br /> CONTAINER <br /> STORAGE (26) ABOVI'.GROUND TANK ❑CAN [] BOX [:]TANK WAGON <br /> CONTAINER 0 UNDER GROUND TANK ❑CARBOY ❑ CYLINDER [:]RAILCAR <br /> ❑TANK INSW,BUILDING SILO GLASS BOTTLE❑------------------- <br /> ❑STEEL DRUM FIBER DRUM PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC 13RUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) AMBIENT ❑ABOVE AMBIENT []BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (21i) AMBIENT QAROVE AMBIENT ORELOW AMRIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30)HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> G+ <br /> ro <br /> 1la(i��li�C:/7 '�B�t/C' CIC' ❑Y N zk.=' -(� - / <br /> �YQN <br /> Y N <br /> []Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS TD#(DOT) <br /> (34)WHAT IS MATERIAL <br /> USED FOR? �/ <br /> For Otricial Use Only: b4 C R ❑ S SIC 12/00 <br />