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FED HAZARD <br />CATEGORIES <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />(18) 1 ❑ FIRE ® REACTIVE ❑ PRESSURE RELEASE <br />(19) <br />(20)1777-1 <br />(21) � <br />So Q0_ <br />STORAGE (26) <br />CONTAINER <br />N ACUTE HEALTH ❑ CHRONIC HEALTH <br />UNITS* (22) ❑GAL ❑ CU FT MAX DAILY AMT (23) <br />Q LBS ❑ TONS ON-SITE <br />AVG DAILY AMT (24) <br />*If EHS, amounts must be in lbs ON-SITE <br />ANNUAL WASTE AMT (25) 1. <br />❑ ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br />❑ UNDER GROUND TANK ❑ CARBOY ❑ CYLINDER ❑ RAIL CAR <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑-------------------- <br />❑ STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM [g BAG ❑ TOTE BIN <br />STORAGE (27) 10 AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT <br />PRESSURE <br />STORAGE (28) AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />t_)ul riH/.AK000J UUMrU1NEN 1 (3l) EHS <br />❑ YF] N <br />-11 ❑Y ❑N <br />❑Y ❑N <br />❑Y ❑N <br />❑Y ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) <br />(34) WHAT IS MATERIAL rmr sat e <br />USED FOR'? <br />For Official Use Only: V1 C n R <br />SJC 12/00 <br />California Hazar,. _ Materials Inventory Form - ('wCal <br />Description <br />(1) ❑ADD ❑DELETE ©REVISE 2001 <br />PAGE (2) ® <br />OF (3) <br />DE <br />BUSINESS NAME (4) <br />[:S:i:er:r::a:Chemica1 Co., Stockton <br />ni <br />CHEMICAL LOCATIONS) ( <br /> <br />CHEMICAL NAME (8) <br />TRADE SECRET (1 l) <br />=YE]N <br />COMMON NAME (9)1___L—;,Al <br />*EHS (12) <br />1:1 <br />CAS # (l0) <br />*IF EHS BOX <br />IS "Y" <br />(o,'Z — G <br />ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) LEAVE BLANK <br />HAZARD CLASS <br />TYPE (14) ®PURE ❑MIXTURE ❑WASTEI RADIOACTIVE (15) <br />❑Y ON (16) <br />PHYSICAL STATE (17) ®SOLID ❑LIQUID ❑GAS I <br />CURIES <br />FED HAZARD <br />CATEGORIES <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />(18) 1 ❑ FIRE ® REACTIVE ❑ PRESSURE RELEASE <br />(19) <br />(20)1777-1 <br />(21) � <br />So Q0_ <br />STORAGE (26) <br />CONTAINER <br />N ACUTE HEALTH ❑ CHRONIC HEALTH <br />UNITS* (22) ❑GAL ❑ CU FT MAX DAILY AMT (23) <br />Q LBS ❑ TONS ON-SITE <br />AVG DAILY AMT (24) <br />*If EHS, amounts must be in lbs ON-SITE <br />ANNUAL WASTE AMT (25) 1. <br />❑ ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br />❑ UNDER GROUND TANK ❑ CARBOY ❑ CYLINDER ❑ RAIL CAR <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑-------------------- <br />❑ STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM [g BAG ❑ TOTE BIN <br />STORAGE (27) 10 AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT <br />PRESSURE <br />STORAGE (28) AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />t_)ul riH/.AK000J UUMrU1NEN 1 (3l) EHS <br />❑ YF] N <br />-11 ❑Y ❑N <br />❑Y ❑N <br />❑Y ❑N <br />❑Y ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) <br />(34) WHAT IS MATERIAL rmr sat e <br />USED FOR'? <br />For Official Use Only: V1 C n R <br />SJC 12/00 <br />