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`. <br /> California Hazardous Materials Inventory Form - Chemical Description <br /> (U ADD DELETE REVISE 2001 PAGE(2) 5–DOF(3)� <br /> BUSINESS NAME (4) <br /> 1 RECEIVED <br /> CHEMICAL LOCATION(S)(5) <br /> DEC - 8 2000 <br /> MAP H(6)/ GRID H(7) SAN 0 WIN COUNTY <br /> CHEMICAL NAME (R) TRADE SECRET(1 1) ❑ <br /> COMMONNAME (9) 'EHS(12) ❑}' <br /> D .Q+I/� <br /> IF EHS BOX IS"Y" <br /> CASH I. <br /> ALL AMOUNTS MUST BE:IN LAS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) QfURF ❑MIXTURE ❑WASTE RADIOACI'IVE(15) in ON (16)� <br /> PHYSICAL STATE(I7) SOLID IQUID OCAS CURIES <br /> FED HAZARD <br /> CATEGORIES (1R) O'EIRE OREA(717VE O PRESSURE RELEASE OACtffr—w 1.-11 CHRONIC IIFALTII <br /> STATE WASTE (19) UNITS"(22) AL OCU F'1' MAX DAILY AMT(23)� <br /> CODE ON-SITE ZSc�n <br /> [:]LBS TONS <br /> DAYS ON SITE (20) �! AVG DAILY AMT(24� <br /> "If GHS. amounts must be in IM ON-SITE <br /> LARGEST (21 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) LtrABOVL GROUND TANK ❑CAN 0 BOX ANK WAGON <br /> CONTAINER [_]UNDER GROUND TANK 0 CARBOY 0 CYLINDER [:]RAILCAR <br /> ❑TANK INSIDG BUILDING 0 SILO 0 GLASS BOTTLE 0-------------------- <br /> ❑STEEL DRUM 0 FIBER DRUM 0 PLASTIC BOTTLE <br /> 0 PLASTICINONMETALLIC DRUM 0 BAG O TOTE BIN <br /> STORAGE (27) IffAMBIENT OABOVEAMB1ENf ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) AMRIFNT OAROVRAMRIENT ORF.I.OWAMRIFNT OCRYOGF.NIC <br /> TEMPERATURE <br /> 29 %WT 30)HAZARDOUS COMPONENT (31 EHS (32)CASH <br /> ❑Y IJ" % <br /> YON11 <br /> O Y N <br /> OYON <br /> ADDITIONAL LOCALLY COLLECTED INFORM Al[ON: (33)UNITED NATIONS ID H(DOT) <br /> (34)WHAT IS MATERIAL <br /> USED FORTT7.L'r <br /> For Official Use Only: C R ` .l S SIC 12!00 <br />