Laserfiche WebLink
California Hazardc " .terials Inventory Form - Cher. Description <br /> (1) ®ADD ❑DELETE E:jKEVISE 2002 PAGE(2) = OF(3)� <br /> BUSINESS NAME (4) Sht UE 1' EL11 <br /> iecc-� C�erntCc�l Co. <br /> CHEMICAL LOCATIONS) (5) <br /> LV LUUI <br /> � <br /> f trdlt <br /> CHEMICAL NAME (8) o TRADE SECRET(11) Ely E]N <br /> % [A(Y�PAOO(uryi � '���s�le <br /> *EHS (12) ❑1' ®N <br /> COMMON NAME (9) �J/A <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) (o,Q a-3C-o ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) []PURE ®MIXTURE []WASTE RADIOACTIVE(15) ❑Y [E N (16) <br /> PHYSICAL STATE(17) [—]SOLID ©LIQUID []GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE © REACTIVE [:]PRESSURE RELEASE © ACUTE HEALTH ❑ CHRONIC HEALTH <br /> STATE WASTE (19) UNITS* (22) ®GA ❑CU FT MAX DAILY ALIT(23) <br /> CODE ON-SITE 3 bo o <br /> ❑LBS TONS <br /> DAYS ON SITE (20) AVG DAILY AMT(24) <br /> *If EHS, amounts must be in lbs ON-SITE (O <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER 5h_.�c1. _DcvM <br /> STORAGE (26) ❑ ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ❑ CYLINDER E]RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑-------------------- <br /> ❑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 AMBIENT []BELOW AMBIENT CRYOGENIC <br /> TEMPERATURE <br /> (29) %WT 30 HAZARDOUS COMPONENT 31)EHS (32) CAS# <br /> Y ®N ( oIQa-3b-o <br /> 3o -5S ivc� �er ❑Y ©N -773a- 18 -5� <br /> ❑�' ❑N <br /> ❑ Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (3 3)UNITED NATIONS ID#(DOT) �� 3 <br /> (34) WHAT IS MATERIAL Fo c ScL l� <br /> USED FOR? <br /> For Official Use Only: C [] R Lj S SJC 12/01 <br />