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California Haze Materials Inventory Form - ._t. ical Description <br /> (1) ❑ADD ❑DELETE REVISE 2001 PAGE(2) a,� OF(3) <br /> 3� <br /> BUS[NESS NAME (4) �20 <br /> Sierra Chemical Co . , Stockton <br /> CHEMICAL LOCATION(S)(5) <br /> MAP#(6)/ GRID#(7) <br /> == <br /> CHEMICAL NAME (8) II .1L 1l� TRADE SECRET 1 I Y' <br /> �o a l o ry) (C_1L"O n cL\e, A n R �QCIs ( ) ❑ X❑N <br /> COMMON NAME (9) �'t *EHS (12) ❑Y X❑N <br /> *IF EHS BOX IS "Y" <br /> CAS # (1 0) �,�ql „ ��_ ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14)1 MPURE ❑\IIXTURE ❑WASTE RADIOACTIVE(15) 10 [EN (16) <br /> PHYSICAL STATE(17) SOLID ❑LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) E] FIRE NREACTIVE E] PRESSURE RELEASE ACUTE HEALTH ❑ CHRONIC Ht �LTH <br /> STATE WASTE (19) UNITS* (22) ❑GAL ❑CU F-F MAX DAILY AMT(23) _ <br /> CODE ON-SITE <br /> R( LBS ❑ TOMS <br /> DAYS ON SITE (20) AVG DAILY AI�iT(24) <br /> 365 *If EHS, amounts must be in lbs ON-SITE <br /> LARGEST (21) <br /> CONTAINER 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 ® BAG ❑ TOTE BIN <br /> STORAGE (27)NANIBIENT [] ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) AMBIENT [:]ABOVE AMB[ENT ❑BELOW AMBIENT ❑ CRYOGENIC <br /> TE\[PERATURE <br /> (29) %WT (30) HAZARDOUS COMPONENT (3l)EHS (32)CAS# <br /> ❑ Y ❑N <br /> ❑Y <br /> -0 NJ <br /> 11E]Y ❑N <br /> —1 F ❑Y ❑N <br /> --] JOY ON <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT)I tq A <br /> (34)WHAT IS MATERIAL �o e <br /> USED FOR'? <br /> For Official Use Only: C ❑ R ❑ S SIC 12/00 <br />