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California Hazar, s Materials Inventory Form - C nical Description <br /> (1) ❑ADD ❑DELETE REVISE 2001 PAGE(2) �3 OF(3) 3� <br /> BUSINESS NAME (4) <br /> Sierra Chemical Co . , Stockton <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> - -- -- <br /> CHEMICAL NAME (8) G n L 1 G C LGY TRADE SECRET(1 1) ❑Y' X❑N <br /> COMMON NAME (9) C4 i 4--1B r *EHS (12) ❑Y X❑N <br /> *IF EHS BOX IS "Y" <br /> CAS # (IU) ALL AMOUNTS h1UST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (141 Y]PURE ❑MIXTURE ❑WAS`CE RADIOACTIVE(15) ❑Y ❑N (I6) <br /> PHYSICAL S'rATE(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) ❑GAL ❑CU FI' MAX DAILY A,%-IT(23) <br /> CODE ON-SITE p2� <br /> ©LBS ❑ TONS <br /> DAYS ON SITE (20) 365 AVG DAILY AI%1T(24) <br /> *If EHS, amounts must be in Ihs ON-SITE O©� <br /> LARGEST (21) <br /> CONTAINER SO# ANNUAL WASTE AMT(25) <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 [gBAG ❑ TOTE BIN <br /> STORAGE (27) ® AMBIENT [:] ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) AMBIENT [:]ABOVE ANIB[ENT ❑BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> (29)%AWT (30)HAZARDOUS CO,vIPONENT (31)EHS (32)CAS# <br /> F F I ❑ Y NJ I <br /> I F 10YON11 <br /> Y ❑ N <br /> L F I I ❑Y ❑N <br /> Y NJ I <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) jy <br /> (34)WHAT IS MATERIAL <br /> USED FOR'? <br /> For Official Use Only: C ❑ R ❑ S SJC 12/00 <br />