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California Hazardous Materials Inventory Dorm - CIfla�-CEf[0011 <br /> (D2001 PACE(2) 01:(3) <br /> OADD �DELE7'E �REVIS� 1 9 2000 <br /> BUSINESS NAME (4) rya AOUIN COUNTY FIECEIVED <br /> �ry �h l' 1` (� 1M + S"WA ERGENCY SERVICE <br /> CHEMICAL LOCATION(S)(5)�� <br /> <br /> TRADE SECRET(11) ❑Y ,I�JJ N <br /> *EHS(12) ❑Y N <br /> COMMON NAME (9) ' <br /> *IF EHS BOX IS"Y" <br /> CAS # (IU) C// ^Z ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) PURE <br /> ❑WAS"fE RADIOACTIVE(IS) ❑Y N (If')C� <br /> r-- [ <br /> PHYSICAL STATE(17)I uSOLID [:]LIQUID <br /> L.1Q UID GAS� CURIES <br /> FED HAZARD <br /> CATEGORIES <br /> REACTIVE PRESSURE RF,LEASE ACUTE HEAL7N ❑ CHRONICHEALTH <br /> CATEGORIES (IR) <br /> STATE WASTE (19) UNITS*UNITS*(22)FC: <br /> GAL ®CU FT MAX DAILY AMT(23) � <br /> CODE / `�f� <br /> LBS ❑TONS ON-SITE <br /> DAYS ON SITE (20) AVC DAILY AMT(24) <br /> *If EHS, amounts must be in lbs ON-SITE rrrr---O---v <br /> LARGEST (21 � ANNUAL WASTE AMT(25)��I <br /> CONTAINER JJ <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO CLASS BOTTLE❑-------------------- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ❑ AMBIENT AABOVEAMBIENIT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28)INAMBIENT E]ABOVEAMBIENT EJBELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30)HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> ❑Y <br /> [IN <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> Y N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL I <br /> USED FORT I � �I <br /> For Official Use Only: U C R u S SJC 12100 <br />