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p� California Hazardous materials Inventory Form - Chemical ./cription <br /> PAGE(2) ON (3) <br /> I <br /> BUSINESS NAME (4) CRYSTAL VALLEY CELLARS LLC <br /> CHEMICAL LOCATIONS)(5) <br /> <br /> CHEMICAL NAME (8) PROPANE TRADE SECRET (11) ❑YES ®NO Tra <br /> *EHS(12) <br /> COMMON NAME (9) <br /> PROPANE ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 74-98-6 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 ®NO (16) <br /> PHYSICAL STATE(17) ❑SOLID ❑LIQUID H GAS CURIES <br /> FED HAZARD [N— FIRE [:]REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS MAX DAILY AMT(23)500 <br /> CODE N/A ❑CU FT ❑TONS ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 250 <br /> ON SITE <br /> LARGEST (21 500 ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26)H 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 ❑Othe <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE 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 (31)EHS 32 CAS# <br /> OYES ON <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1075 <br /> (34)WHAT IS MATERIAL FORKLIFT FUEL AND HEATING <br /> USED FOR? <br /> DATE REC'D: 4/8/05 For Official Use Only: ®C ❑It ❑S SJC 12/99 <br />