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California Hazardous Tserials Inventory Form - Chemical Dr._ . iption SAN 14 2003 <br />PAGE (2) = OF (3) <br />BUSINESS NAME (4 <br />CHEMICAL LOCATION(S) (5 <br />SIERRA CHEMICAL CO (STKN) <br /> <br /> <br />CHEMICAL NAME (8) TRISODIUM PHOSPHATE TRADE SECRET (I I) 10YES ON <br />COMMON NAME (9) N/A *EHS (12) 10 YES ® NO <br />*IF EHS BOX IS "Y" <br />CAS # (10) 10101-89-0 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <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) <br />CODE <br />AYS ON SITE (20) <br />LARGEST (21)50# <br />21)50# <br />CONTAINER <br />N/A <br />❑ BOX <br />1365 <br />❑ UNDER GROUND TANK <br />[:]CARBOY <br />STORAGE (26) <br />CONTAINER <br />UNITS* (22) ❑ GAL ® LBS MAX DAILY AMT (23) 1,000 <br />❑ CU FT ❑ TONS ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) 400 <br />ON SITE <br />ANNUAL WASTE AMT (25) N/A <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TANK <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 />N BAG <br />❑ TOTE BIN <br />STORAGE (27) ®AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />PRESSURE <br />STORAGE (28) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />ro w i <br />(30) HAZARDOUS COMPONENT (31) EHS (32) CAS# <br />N/A <br />❑ YES ❑ N <br />❑YES ❑N <br />❑ YES ❑ N <br />❑ YES ❑ N <br />❑ YES ❑ N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL IFOR SALE <br />USED FOR? <br />ATE REC'D: 1/14/03 For Official Use Only: RC ❑ R [:IS SJC 12/99 <br />