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% - <br /> California Hazardous MaPals Inventory Form - Chemical Descrlon <br /> (1) ®ADD ❑DELETE ❑REVISE PAGE(2) 2 1 OF(3)EJ— <br /> BUSINESS <br /> NAME (4) WENDY'S (3810) <br /> CHEMICAL LOCATION(S)(5) <br /> :::= E <br /> CHEMICAL NAME (8) CARBON DIOXIDE TRADE SECRET(11) ❑YES ® NO <br /> COMMON NAME (9) CO2 *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 124-38-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑ygS ®NO (16)F <br /> PHYSICAL STATE 0 7) ❑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 ®LBS MAX DAILY AMT(23)400 <br /> CODE ❑CU FT ❑TONS ON SITE <br /> DAYS ON SITE (20)365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 200 <br /> ON SITE <br /> LARGEST (21 400 ANNUAL WASTE AMT(25)�� <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ®CYLINDER ❑RAI <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑Othe <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) ❑AMBIENT ®ABOVE AMBIENT LJ BELOW AMBI <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 /> OYES ON <br /> ❑YES ❑N <br /> OYES ON <br /> EY—ES—ON <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1013 <br /> (34)WHAT IS MATERIAL Servino carbonated soft drinks <br /> USED FOR? <br /> DATE RECD: I/8/01 For Official Use Only: ®C El El SIC 12/99 <br />