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California Hazardous' `.erials Inventory Form - Chemical cription PAGE (2) = OF (3) BUSINESS NAME (4 �rIEMICAL LOCATION(S) ( MAP # (6) / GRID # (7) SIERRA CHEMICAL CO (STKN) )) CHEMICAL NAME (8) SODIUM CARBONATE, ANHYDROUS COMMON NAME (9) SODA ASH CAS # (10) 1497-19-8 FIRE CODE (13) HAZARD CATEGORIES LEAVE BLANK TRADE SECRET (11) JO YES ®NO *EHS (12) 10 YES ® NO *IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS TYPE (14) ® PURE ❑ MIXTURE ❑ WASTE RADIOACTIVE (15) ❑ YES ®NO (16) 0 PHYSICAL STATE (17) IN SOLID ❑ LIQUID ❑ GAS CURIES FED HAZARD ❑ FIRE ® REACTIVE [:1PRESSURE RELEASE ® ACUTE HEALTH [--]CHRONIC HEALTH CATEGORIES (18) STATE WASTE (19) UNITS* (22) ❑GAL ®LBS MAX `")DE N/A ❑ CU FT ❑ TONS ON SIDE ILY AMT (23) 50,000 —.,YS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT (24) 19,500 ON SITE LARGEST (21)5 0 ANNUAL WASTE AMT (25) N/A CONTAINER STORAGE (26) CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE ❑ ABOVE GROUND TANK ❑ CAN ❑ BOX ❑ TANIS ❑ UNDER GROUND TANK ❑ CARBOY ❑ CYLINDER ❑ RAIL ❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑ OTHI ❑ STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE ❑ Other ® PLASTIC/NONMETALLIC DRUM ® BAG ❑ TOTE BIN (27) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT (28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC (30) HAZARDOUS COMPONENT (3 1) EHS (32) CAS# W4DITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A ) WHAT IS MATERIAL FOR SALE USED FOR? DATE REC'D: 8/4/05 For Official Use Only: ® C ❑ R ❑ S SJC 12/99 Tra ❑YES El NJ ❑YES ON ❑YES ON ❑YES ❑ N ❑YES 0 W4DITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A ) WHAT IS MATERIAL FOR SALE USED FOR? DATE REC'D: 8/4/05 For Official Use Only: ® C ❑ R ❑ S SJC 12/99 Tra