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California Hazardous I,",terials Inventory Form - Chemical ' cription OF(3) <br /> PAGE(2) <br /> BUSINESS NAME (4)ICRYSTAL VALLEY CELLARS LLC <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) SODIUM TRIPOLYPHOSPHATE TRADE SECRET (11) ❑YES ®NO Tra <br /> *EHS(12) ❑YES ®NO <br /> COMMON NAME (9) T S P <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 7758-29-4 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) N/A <br /> PHYSICAL STATE(17)IN SOLID []LIQUID ❑GAS CURIES <br /> FED HAZARD ❑FIRE [I REACTIVE <br /> [I PRESSURE RELEASE El ACUTE HEALTH ®CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS*(22) GAL ® LBS MAX DAILY AMT(23 500 <br /> CODE N/ ❑CU FT [ITONS ON SITE <br /> DAYS ON SITE (20) 3 6 5 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 25 0 <br /> ON SITE <br /> LARGEST (21 5 0 ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26)❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ❑CYLINDER L1RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other <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 (3 1)EHS 32 CAS# <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES <br /> IN <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) N/A <br /> (34)WHAT IS MATERIAL Sanitation of Equipment <br /> USED FOR? <br /> DATE RECD: 4/8/05 For Official Use Only: JXC ❑R ❑S SIC 12/99 <br />