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California Hazardous r '.erials Inventory Form - Chemical ,ription <br />BUSINESS NAME (4) <br />—dEMICAL LOCATION(S) (5) <br />MAP # (6) / GRID # (7) <br />PAGE (2) OF (3) <br />SIERRA CHEMICAL CO (STKN) <br /> <br /> <br />CHEMICAL NAME (8) SODIUM FLORIDE <br />COMMON NAME (9) INA <br />CAS # (10) 17681-49-4 <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TRADE SECRET (11) ID YES ® E071 <br />*EHS (12) IDYES ®NO <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />TYPE (14)IMPURE ❑ 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) N A <br />CODE <br />.YS ON SITE (20) 1365 <br />LARGEST (21)100 <br />CONTAINER I :J <br />STORAGE (26) <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />UNITS* (22) ❑ GAL ® LBS MAX DAILY AMT (23)12,000 <br />ID CU FT ❑ TONS ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE 6,000 <br />ANNUAL WASTE AMT (25) INA <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TANIS <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ RAIL <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTHI <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Other <br />❑ PLASTIC/NONMETALLIC DRUM <br />® BAG <br />[--]TOTE BIN <br />(27) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />(28) ® AMBIENT [:]ABOVE AMBIENT ❑ BELOW AMBIENT [--]CRYOGENIC <br />29 %WT (30) HAZARDOUS COMPONENT (3 1) EHS (32) CAS# <br />100 <br />SODIUM FLORIDE <br />❑ YES ®N <br />7681-49-4 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />,DITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) JUN 1690 <br />) WHAT IS MATERIAL IFOR SALE <br />USED FOR? <br />DATE REC'D: 1/18/05 For Official Use Only: C ❑ R 11 S SJC 12/99 <br />Tra <br />