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California Hazart. Materials Inventory Form - C 1„cal Description <br /> (I) ❑ADD ❑DELETE ZC REVISE 2001 PAGE(2) ® OF(3) 3i <br /> l <br /> � - <br /> BUSINESS NAME (4) - - -- <br /> Sierra Chemical Co . , Stockton <br /> CHEMICAL LOCATIONS)( <br /> <br /> <br /> CHEMICAL NAME (8) (?at C't o m CU-0 e TRADE SECRET(1 1) =� F <br /> 11 *EHS (12) =YE] <br /> COMMON NAME (9) Lt,r,A I r GQ-ra'�� <br /> *IF EHS BOX IS "Y” <br /> CAS # (10) (3 pS boa —CJ ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) ®PURE [:];MIXTURE ❑WASTE RADIOACTIVE(15) ❑ Y ❑N (16) <br /> PHYSICAL STATE(17) ®SOLID ❑LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) 1:1 FIRE RE=ACTIVE ❑ PRESSURE RELEASE ACUTE HE- LTH ❑ CHRONIC HEALTH <br /> STATE WASTE (19) UNITS* (22) ❑GAL ❑CU F-1- MAX DAILY ALIT(23) �S COO <br /> LBS ❑ TONS ON-SITE <br /> DAYS ON SITE (2t)} 3 6 S AVG DAILY AMT(24) <br /> *If EHS, amounts must be in Ibs ON-SITEcoo <br /> LARGEST (21) ' <br /> CONTAINER Som ANNUAL WASTE AMT(25) <br /> QQ5 <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 ❑-------------------- <br /> ❑STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑ PLASTIC/NONMETALLIC DRUM ® BAG ❑ TOTE BIN <br /> STORAGE (27) ® AMBIENT ❑ ABOVE AMBIENT [:]BELOWAMBIENT <br /> PRESSURE <br /> STORAGE (28) 1S AMBIENT [:]ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29) %NkT (30) HAZARDOUS COMPONENT (3l)EHS (32)CAS# <br /> F F I ❑ Y Nil <br /> ❑ Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> F [_ ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT)I A/ 1A <br /> (34)WHAT IS MATERIAL f--&-r sa r' e <br /> USED FOR? <br /> For Official Use Only: C ❑ R ❑ S SJC 12/00 <br />