Laserfiche WebLink
California Hazardous 1 aerials Inventory Form - Chemical DL- iption JAN 14 20(1;j <br />PAGE (2) OF (3) <br />BUSINESS NAME (4) SIERRA CHEMICAL CO (STKN) <br />CHEMICAL LOCATION(S) ( <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />SODIUM CHLORIDE <br />SALT <br />17647-14-5 <br />LEAVE BLANK <br />TRADE SECRET (11) ❑ YES ®NO <br />*EHS (12) 10YES ®NO <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />TYPE (14) ® PURE []MIXTURE ❑WASTE RADIOACTIVE (15) ❑ YES ®NO (16) 0 <br />PHYSICAL STATE (17) IN SOLID ❑ LIQUID ❑GAS CURIES <br />FED HAZARD ❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTH <br />CATEGORIES (18) <br />STATE WASTE (19) UNITS* (22) El ® LBS <br />CODE N/ ❑ CU FT [I TONS ON MAX AMT (23 30,000 <br />:1 <br />4YS ON SITE (20) 365 *If EHS, amounts must be in Ibs AVG DAILY AMT (24) 15,000 <br />ON SITE <br />LARGEST (21 150# ANNUAL WASTE AMT (25) N/A <br />CONTAINER <br />STORAGE <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(26) <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TAN) <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ RAIL <br />❑ YES [--IN <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTHI <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Othex <br />❑ PLASTIC/NONMETALLIC DRUM <br />® BAG <br />❑ TOTE BIN <br />(27) <br />® AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT <br />(28) <br />® AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />('3(1) HAZARDOTTR COMPONRNT <br />(3 1) EHS <br />(321 CAR# <br />N/A <br />❑ YES ❑ N <br />❑ YES ❑ N <br />❑ YES ❑ N <br />❑ YES [--IN <br />❑ YES ❑ N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL FOR SALE <br />USED FOR? <br />ATE REC'D: 1/14/03 For Official Use Only: ❑ C ❑ R ❑ S <br />SJC 12/99 <br />