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California Hazarc Materials Inventory Form - C- „cal Description <br /> (l) ❑ADD ❑DELETE REVISE 2001 PAGE(2) El OF(3) 3� <br /> BUSINESS NAME (4) 1i <br /> y_. <br /> Sierra Chemical Co. , Stockton <br /> %-� ��j - � <br /> CHEMICAL LOCATION(S)( <br /> ;': �ra:Y SE iViCES <br /> CHEMICAL NAME (R) n y r e� TRADE SECRET(1 1) ❑Y EF <br /> COMMON Nr\SIE (9) <br /> { l *EHS (12) ❑Y ❑ N <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) 14 _ 6(�,_P, ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) a PURE ❑:MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y M N (16) <br /> PHYSICAL STATE(17) ❑SOLID [:]LIQUID [NGAS CURIES <br /> FED HAZARD � <br /> CATEGORIES (1),) <br /> FIRE ❑ REACTIVE M PRESSURE RELEASE E] ACUTE HEALTH ❑ Cf IRONIC HEALTH <br /> . <br /> STATE WASTE (19) UNITS* (22) ❑GAL Z CU FI' MAX DAILY AMT(23) <br /> CODE [—] <br /> 7 90 <br /> ❑LBS ❑TOMS AVG DAILY AMT 24 <br /> DAYS ON SITE (_0) ( ) <br /> 365 <br /> *If EHS, amounts must be in lbs ON-SITE .760 <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER 100 <br /> STORAGE (2)6) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑ UNDER GROUND TANK ❑CARBOY 0 CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE D--------------------- <br /> [:1 STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑ PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ❑ AMBIENT 0 ABOVE AMBIENT ❑BELOW Aiv1BIENT <br /> PRESSURE <br /> STORAGE (28)WAMBIENT [:]ABOVE AMBIENT [:]BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT (31)EHS (32)CAS# <br /> F I ❑ YE] N <br /> ❑Y ❑N <br /> ❑ Y ❑ N <br /> 0 ❑N <br /> ❑Y ❑N:j <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) pp <br /> (34)WHAT IS MATERIAL �nfsr U S <br /> USED FOR? <br /> For Official Use Only: C ❑ R ❑ S SIC 12/00 <br />