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• <br /> California Hazardous Materials Inventory Form - Chemical Description <br /> (1) ®ADD [::]DELETE [—]REVISE] 2001 PAGE(2) 1 OF(3) <br /> BUSINESS NAME (4) y <br /> SDUNGS LOCKEFORD PAYLESS MARKET INC. <br /> CHEMICAL LOCATION(S)(5) go Fr <br /> OM SOUTH EAST OF BUILDINGS <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) PROPANE TRADE SECRET(11) ❑Y Q N <br /> *EHS(12) © <br /> COMMON NAME (9) SAME Y 0 N <br /> *IF EHS BOX IS`Y" <br /> CAS # (10) 74-98-6 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) ®PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y ®N (16)� <br /> PHYSICAL STATE(17)1 ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD -- <br /> ((�-� <br /> CATEGORIES (18) 43 FIRE ❑REACTIVE ©PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑CU FT MAX DAILY AMT(23) 100 <br /> CODE ON-SITE <br /> ❑LBS ❑TONS <br /> DAYS ON SITE (20) AVG DAILY AMT(24) 60 <br /> 365 *If EHS, amounts must be in Ibs ON-SITE <br /> LARGEST (21 ANNUAL WASTE AMT(25) <br /> CONTAINER 150 GAL <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❑-------------------- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27)JE] AMBIENT K]ABOVE AMBIENT []BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28)10AMBIENT ❑ABOVE AMBIENT []BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> NA PROPANE 11 ❑Y [:]NI 74-986 -� <br /> 11 ❑Y [:]NJ I <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL ForklIft FUEL <br /> USED FOR? <br /> For Official Use Only: ® C ❑ R ❑ S SIC 12/00 <br />