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California HazarL Materials Inventory Form - 0 tical Description <br /> (1) ❑ADD ❑DELETE REVISE 2001 PAGE(2) EE <br /> OF(3) 3y <br /> BUSINESS NAME (4) -- <br /> Sierra Chemical Co. , Stockton <br /> CHEMICAL LOCATION(S)( <br /> ,l <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (g) ru etu fn J-t O� 1D�i A-8 TRADE SECRET(1 1) ❑�" X❑ N <br /> r *EHS (1'_) ❑Y ❑ N <br /> COM��ION NAME (9) �0 �6C _Fabs <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (l3) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) ®PURE ❑tiIIXTURE [:]WASTE RADIOACTIVE(15) ❑Y ❑N (16) <br /> PHYSICAL STATE (17) ©SOLID ❑LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (IS) ❑ FIRE ® REACTIVE [:] PRESSURE RELEASE © ACUTE HEALTH ❑ CHROtiIC HEALTf I <br /> STATE WASTE (19) UNITS* (22) [_]GALElCU FT IMAX DAILY ALIT(23) <br /> CODE ON-SITE <br /> STATE WASTE (191 <br /> LBS ❑ TONS <br /> DAYS ON SITE (20) 3 6 5 AVG DAILY AMT(34) <br /> ___—] <br /> *If EHS, amounts must be in lbs ON-SITE 1OCb <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER I DO#DfuM <br /> 71 <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑UNDERGROUND 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 ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (23) ®AMBIENT [:]ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29) %WT (30)HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> F -1 F 110 ❑N <br /> ❑Y ON, <br /> ❑Y N1 E:::::=- <br /> F <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFOR�IIATION: (33) UNITED NATIONS ID 4(DOT) a,'1_p <br /> (34)WHAT IS MATERIAL <br /> USED FOR'? <br /> For Official Use Only: C [] R ❑ S SJC 12/00 <br />