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California Haz Materials Ing _ RECEIVED <br /> Inventory Form Beal Description <br /> (I) ❑ADD ❑DELETE REVISE 2001 A01G2(") OF(3) 3 <br /> BUSINESS NAME (4) <br /> Sierra Chemical Co . , Stockton S'ERl/ICES <br /> CHEMICAL LOCA'rION(S)(5) { <br /> Gva�e�ovse C. <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAI IE (R) <br /> OX y 5en ! (Cox) <br /> TRADE SECRET(1 I) ❑J Y a N <br /> COMMON NAME (9) *EHS (12) ❑Y X❑N <br /> *IF EHS BOX IS 'Y" <br /> CAS # (10) 71�a _ 4y,_7 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) PURE []MIXTURE ❑WAS"CE RADIOACTIVE(15) ❑Y ❑N (16) <br /> PHYSICAL STATE (17) ❑SOLID ❑LIQUIDGAS CURIES <br /> FED HAZARD <br /> CATEGORIES (I R) ❑FIRE EIREACTIVE PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTI I <br /> STATE WASTE' (19) UNITS* (22) ❑GAL [SCU FI' MAX DAILY AMT(23) <br /> CODE ON-SITE <br /> Lam.. <br /> DAYS ON SITE (20) LBS ❑ TONS <br /> AVG DAILY ALIT(24) <br /> [7365 *IF EHS, amounts must be in lbs ON-SITE <br /> LARGEST (21) ANNUAL WASTE ANIT(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 R--------------------- <br /> El STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑ PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ❑ A1vIBIENT ®ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) E©AMBIENT [:]ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%VvT (30) HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> NI F <br /> ❑ Y ❑N <br /> 10 ❑N <br /> ❑ Y ❑N <br /> F__1 ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL _!7^4--erna [ �S <br /> USED FOR? <br /> For Official Use Only: C ❑ R ❑ S SIC 12/00 <br />