COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

California Haz Materials Inventory Form-Zf7l�4�ical Description (1)E❑IADD ©REVISE 2001 PAGE (2) a4 OF (3) �4 BUSINESS NAME (4) Sierra Chemical Co., Stockton CHEMICAL LOCA,rION(S) (5) MAP # (6) / GRID # (7) CHEMICAL NAME (R) �o t�� Lj+ TRADE SECRET (l 1) ❑�' ❑ N COMMON NAME (9) *EHS (12)❑ Y X❑ N *IF EHS BOX IS `Y" CAS # (10) -76 C I „ S 7 _ ALL AMOUNTS MUST BE IN LBS FIRE CODE (l3) LEAVE BLANK HAZARD CLASS TYPE (14) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE (15) ❑ Y 0 N (16) PHYSICAL STATE (17) ❑SOLID ®LIQUID ❑GAS CURIES FED HAZARD CATEGORIES (18)11:1 FIRE ® REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC f IEALTH STATE WASTE (19) UNITS* (22) CODE ©CAL ❑ CU FT MAX DAILY AMT (23) ❑LBS TONS `�' II ON-SITE eco ❑ DAYS ON SITE (2t)) 365 AVG DAILY AMT (24) *If EHS, amounts must be in lbs ON-SITE �DC� LARGEST (2 1) ANNUAL WASTE AMT (25) CONTAINER SS u I �v STORAGE (26) CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE 9) u/0WT 7S ❑ ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON ❑ UNDER GROUND TANK ❑ CARBOY ❑ CYLINDER ❑ RAIL CAR ❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE 0 --------------------- El STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE ® PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN (27)1 ® AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT (28) ® AMBIENT [:]ABOVE AMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC (30) HAZARDOUS COMPONENT (3 1) EHS (3') CAS# _26,&I -T-7- LJ --1 ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) (34) WHAT IS MATERIAL Sa e USED FOR? For Official Use Only: T C n R n S SJC 12/00 ❑Y ❑N ❑Y ❑N ❑Y ❑N El ❑N (3') CAS# _26,&I -T-7- LJ --1 ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) (34) WHAT IS MATERIAL Sa e USED FOR? For Official Use Only: T C n R n S SJC 12/00