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California Haza Materials Inventory Form - k-ii—aical Description <br />(1) ❑ADD ❑DELETE REVISE 2001 PAGE (2)EoZ] OF (3) 13ql <br />BUSINESS NAME (4) <br />Sierra Chemical Co., Stockton _. <br />CHEMICAL LOCATION(S) (5)JAN I <br />LU a re k0 v S t- .; <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) c M -�-r .` u 1 �a+e TRADE SECRET (l l) =YE] <br />COMMON NAME (9) *EHS (12) =YE] <br />*IF EHS BOX IS `Y" <br />CAS # (10) -I-77 2 _ CT _ 7 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) [LEAVE BLANK <br />HAZARD CLASS <br />TYPE (14) IMPURE ❑MIXTURE ❑WASTE RADIOACTIVE (15) ❑ Y 0 N (16) <br />PHYSICAL STATE (17) ❑X SOLID ❑LIQUID []GAS CURIES <br />FED HAZARD <br />CATEGORIES (18) ❑ FIRE ®REACTIVE ❑ PRESSURE RELEASE © ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) []GAL ❑ CU FT MAX DAILY AMT (23) <br />CODE ON-SITE <br />LBS [:]TONS <br />DAYS ON SITE (20)365 AVG DAILY AMT (24) <br />*If EHS, amounts must be in lbs 0I4 -SITES 0�0 <br />LARGEST (21) <br />CONTAINER ANNUAL WASTE AMT (25) <br />S(��4� <br />STORAGE (26) <br />CONTAINER <br />❑ ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br />❑ UNDER GROUND TANK ❑ CARBOY ❑ CYLINDER ❑ RAIL CAR <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE D --------------------- <br />El STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM BAG ❑ TOTE BIN <br />STORAGE (27) 1K] AMBIENT ❑ ABOVE AMBIENT [-]BELOW AMBIENT <br />PRESSURE <br />STORAGE (28) ® AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(30) HAZARDOUS COMPONENT (31) EHS <br />❑Y ❑N <br />❑Y ❑N <br />❑Y ❑N <br />❑Y ❑N <br />LE] Y ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) /V <br />(34) WHAT IS MATERIAL <br />USED FOR'? <br />For Official Use Only: C [] R ❑ S SJC 12/00 <br />