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California Hazardous ' terials Inventory Form - Chemical ' 1cription <br /> \M.01uPAGE(2) = OF(3) <br /> BUSINESS NAME (4) CRYSTAL VALLEY CELLARS LLC <br /> CHEMICAL LOCATION(S)(5) <br /> - <br /> CHEMICAL NAME (8) OAKITE FISAN 500 M TRADE SECRET (11) ❑YES ®NO Tra <br /> *EHS(12) ❑YES ®NO <br /> COMMON NAME (9) N/A-MIXTURE <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 0001310732 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE ❑WI—STEI RADIOACTIVE(15) ❑yES ®NO (16) <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD ❑FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ®CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBSMAX DAILY AMT(23)5 5 <br /> CODE N/A ❑CU FT ❑TONS ON SITE <br /> DAYS ON SITE (20) 3 65 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 2 5 <br /> ON SITE <br /> LARGEST (21 5 5 ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN19 <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 /> IN 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 /> 40.5 SODIUM HYDROXIDE ❑YES ®N 0001310732 <br /> ❑YES ❑N <br /> ❑YES ❑ N q. <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) N/A <br /> (34)WHAT IS MATERIAL SANITATION OF TANKS/TARTRATE REMOVAL <br /> USED FOR? <br /> DATE REC'D: 4/8/05 For Oficial Use Only: I&C ❑R ❑S SJC 12/99 <br />