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California HazarL Materials Inventory Form - Cr �jcal Description <br /> (I) ❑ADD ❑DELETE [v REVISE 2001 PAGE(2) OF(3) 3�f <br /> BUSINESS NAME (4) <br /> Sierra Chemical Co. , Stockton <br /> CHEMICAL LOCA,rION(S)(5) <br /> [_ J A <br /> � S,;?d ,: <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) TRADE SECRET(1 1) ❑Y X❑ N <br /> � tvmtnvrri 5�� a�e <br /> COMMON NAME (9) -EHS (12) 1 ❑Y x❑ N <br /> •Q-l v m �c�r� <br /> *IF EHS BOX IS `•Y" <br /> CAS # (1O} 0�3- 1r3 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) ®PURE ❑MIXTURE ❑WASTE RADIOAC'I'[VE(15) ❑ Y ❑N 06) <br /> 1 1 <br /> PHYSICAL STATE (17) [gSOLID []LIQUID ❑GAS I CURIES <br /> FED HAZARD <br /> ❑ PRSSURE RELEASE ❑ CHROtiIC HEALTCATEGORIES (Is) FIRE REACTIVE <br /> STATE WASTE (19) UNITS* (22) ❑GAL ❑CU FT MAX DAILY AMT(23) <br /> CODE ON-SITE g�Coo <br /> ®LBS ❑TONS <br /> DAYS ON SITE (20) AVG DAILY AM-r(24) <br /> F __ _] <br /> 3 6 5 *If EHS, amounts must be in lbs ON-SITE 4"I'll <br /> LARGEST (21) 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 0--------------------- <br /> El STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑ PLASTIC/NONMETALLIC DRUM © BAG ❑ TOTE BIN <br /> STORAGE (27) ® AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT []ABOVE AIMB[ENT ❑BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> (29) %WT (30) HAZARDOUS COMPONENT (31)EHS (32)CAS#, <br /> F F I I ❑ Y NJ I <br /> 0 E]NII <br /> Y ❑N <br /> Y ❑N <br /> ❑Y [:]NJ F <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1-7 S <br /> (34)WHAT IS MATERIAL <br /> USED FOR'? ��` Sal <br /> For Official Use Only: M C ❑ R ❑ S SJC I2/00 <br />