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y �L�E�IVED <br /> California Hazardous Materials Inventor Form - hemcea I)escri tion <br /> (1) ADD ❑DF,LE7'EREVISE 2001 DEC 1 pqM02) F-11 � <br /> BUSINESS NAME (4) �.&vh )0 w OFEMERGE <br /> gf{{ MSERMCES <br /> �a r I VC VE <br /> CHEMICAL LOCATION(S)(5) DEC 14 <br /> 2000 <br /> - <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) Q ) / TRADE SECRET(1 1) ❑TON] <br /> COMMON NAME (9) r t (� *EHS(12) FET N <br /> r *IF EHS BOX IS"Y" <br /> CAS # (10) L 7i4� 6 y n ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LFAVF.BLANK <br /> HAZARD CLASS <br /> TYPE (14)114 PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y N (16)� <br /> PHYSICAL STATE(17) ❑SOLID t@LIQUID ❑GAS CURIES <br /> PED HAZARD <br /> CATEGORIES (IR) pQ FIRE ❑REACPIVF ❑PRFSSURERFLEASE ACUTEHEALTH ❑ RONICH <br /> CHEALTH <br /> STATE WASTE (19) UNITS*(22) GAL ❑CU FT MAX DAILY AMT(23) <br /> CODE ISI CY ON-SITE <br /> [:]LBS ❑TONS <br /> DAYS ON SITE (20)�� AVG DAILY�6 AMT(24)tj *If EHS, amounts must be in lbs ON-SITE <br /> LARGEST (21 „/ ANNUAL WASTE AMT(25)� <br /> CONTAINER �! <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX [:]TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ❑ CYLINDER [:]RAIL CAR <br /> TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE El-------------------- <br /> STEEL DRUMn FIBER DRUM E] PLASTIC BOTTLE <br /> E]PLASTIC/NONMETALLIC DRUM H BAG ❑ TOTE BIN <br /> STORAGE (27) AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) AMBIENT [:]ABOVEAMBIENT [—]BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30)HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT)E � <br /> (34)WHAT IS MATERIAL <br /> USED FOR? r I <br /> For Official Use Only: LJ C R D S SJC 12/00 <br />