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California Hazardous Mate. AS Inventory Form - Chemical Descrion O <br />PAGE (2) �l _F (3) <br />BTJSINESS NAME (4) SIERRA CHEMICAL CO (STKN) Pit -$c7 . <br />r, <br /> <br /> <br /> :=— <br />CHEMICALNAME <br />(8) INHIBITOR CROWN L60B TRADE SECRET (11) ❑YES ®NO <br />*EHS (12) ❑YES ®NO <br />COMMON NAME (9) ACID INHIBITOR <br />*IF EHS BOX IS "Y" <br />CAS # (10) SEE HAZAS COMPONENTS <br />ALL AMOUNTS MUST BE IN LBS <br />RDOU <br />FIRE CODE (13) <br />HALAKV (LEAVE BLANK <br />CATEGORIES <br />TYPE (14) [:]PURE ® MIXTURE ❑WASTE RADIOACTIVE (15) ❑ yE$ ®NO (16) <br />CURIES <br />PHYSICAL STATE (17) ❑ SOLID ® LIQUID ❑ GAS <br />FED HAZARD ❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTH <br />CATEGORIES (18) <br />STATE WASTE (19) NA UNITS* (22) ® GAL ❑ 55 LBS MAX DAILY AMT (23) <br />CODE ❑ CU FT ElTONS ON SITE <br />If EHS, amounts must be in lbs AVG DAILY AMT (24) 2 5 <br />AYS ON SITE (20) 365 ON SITE <br />LARGEST (21) 5 5 ANNUAL WASTE AMT (25) N A <br />CONTAINER <br />STORAGE (26) FUNDER <br />E GROUND TANK ❑CAN ED] BOX TANK WAGON <br />CONTAINER GROUND TANK ❑ CARBOY ❑CYLINDER ❑RAIL CAR <br />INSIDE BUILDING ❑ SILO ❑GLASS BOTTLE ❑OTHER <br />DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE ❑ Other... <br />TIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(29) %WT <br />15-10 <br />1-5 <br />5-20 <br />5-10 <br />(27) FN—A—MBIENT <br />(28)15a AMBIENT <br />ABOVE AMBIENT <br />ABOVE AMBIENT <br />YETHYLENEPOLYAMINE <br />OCO AMINE <br />HENAMINE <br />EN CHLORIDE <br />AMBIENT <br />BELOW AMBIENT ❑ CRYOGENIC <br />(3 1) EHS (32) CAS4 <br />❑ YES ®N 68603-67-8 <br />❑ YES ®N F61791-14-8❑YES HN 7-0 <br />❑ YES ®N [7647-01-0 <br />—1rlYES ❑N <br />I <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N A <br />(34) WHAT IS MATERIAL FOR SALE <br />USED FOR? C R S SJC 12/99 <br />For Official e On <br />DATE REC'D: 7/25/05 Usly: ❑ ❑ ❑ <br />