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California Haza -laterials Inventory Form - eu. cal Description <br /> (1) PAP <br /> 01;'(3) <br /> ®ADD ❑DELETE ❑REVISE 2001 �P � -�Ip - 3►1 <br /> BUSINESS NAME (4) J A u (_uu i 7 <br /> Sierra Chemical Co . , Stockton t <br /> CHEMICAL LOCATION(S)(5) (� _ <br /> <br /> MAP# (6) / GRID#(7) <br /> CHEMICAL NAME (8) TRADE TRADE SECRET(l l) ❑�" 0 N <br /> l„;obv� cl) l e'F(_vlty Ga s <br /> COMMON NAI\IE (9) 7 *EHS (12) ❑ FIN] <br /> N <br /> I ro a,n e <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) 0 PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) 1[:]y ❑N (16) <br /> PHYSICAL STATE(17) ❑SOLID [-]LIQUID :GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) FIRE [-]REACTIVE QPRrssURERELEASE ® ACUTE l IEALTH [:] CHROMIC FIEALTH <br /> STATE WASTE (19) UNITS*S* (22) ®GAL ❑CU FT MAX DAILY ANIT(23) <br /> CODE ON-SITE � oO <br /> ❑LBS ❑TONS <br /> DAYS ON SITE (20)F3 6 5 AVG DAILY ANIT(24) <br /> *If EHS, amounts must be in lbs ON-SITE 390 <br /> LARGEST (21) J4���7 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER UNDER GROUND TANK ❑CARBOY ❑ CYLINDER [:]RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE El--------------------- <br /> El STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ❑ AMBIENT [AABOVE AMBIENT E]BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) S AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> (29) cWT (30) HAZARDOUS COMPONENT (3 1)EHS (32) CAS# <br /> ❑ Y ❑ N <br /> F ❑Y ❑N <br /> —1 F 1 ❑Y ❑N <br /> I E 11 ❑Y ON] F7 <br /> ❑Y ONJ F <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) 10-7 S <br /> (34)WHAT IS MATERIAL t vS e <br /> USED FOR'? <br /> For Official Use Only: ❑ C ❑ R ❑ S SIC 12/00 <br />