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California Haza. .- Materials Inventory Form - ct iCREGE D <br /> (1) ❑ADD ❑DELETE REVISE 2001 46 13 2� OF(3) 3� <br /> BUSINESS NAME (4) JUAUUlN' j <br /> Sierra Chemical Co . , Stockton0FFICEOFEMERG 0� <br /> MM <br /> IrICES <br /> CHEMICAL LOCATION(S)( <br /> <br /> <br /> <br /> <br /> ­ <br /> CHEMICAL NAME (8) �o n`uM 11 O TRADE SECRET(11) =� E] <br /> COMMON NAME (9) L I � *EHS (12) ❑Y ❑N <br /> *IF EHS BOX IS `'Y" <br /> CAS # (10) -7��, _ S a _ �1 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (I 4)_j ❑PURE [gMIXTURE ❑WASTE RADIOACTIVE(15) ❑ Y ❑N (16) <br /> PHYSICAL STATE (17) ❑SOLIDLIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE REACTIVE ] PRESSURE RELEASE ACUTE HEALTH [:] CHROtiIC HEALTH <br /> STATE WASTE (19) UNITS* (22) ®GAL ❑CU F-1- MAX DAILY AMT(23) <br /> CODE ON-SITE <br /> ❑LBS F-1 TONS <br /> DAYS ON SITE (''-t)) 365 AVG DAILY ANiT(24) <br /> *It EHS, amounts must be in Its ON-SITE 55�coo <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER � (j� ��,� <br /> STORAGE (26) ©ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER {❑UNDER GROUND TANK [RCARBOY ❑ CYLINDER ❑RAIL CAR <br /> L�1 TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑------------------- <br /> ❑STEEL DRUM ❑ FIBER DRUM ® PLASTIC BOTTLE <br /> PLASTIC/NONMETALLIC DRUM ❑ BAG TOTE BIN <br /> STORAGE (27) ® Al <br /> PRESSURE ✓IBIENT [:]ABOVE AMBIENT ❑BELOW AMBIENT <br /> STORAGE (28) E AMBIENT [:]ABOVE AMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> (29)%aWT (30) HAZARDOUS COMPONENT (31) EHS (32) CAS# <br /> fa•S S0dLLJM 4oc_k (ocl"f• e ❑ Y ❑ N <br /> 8 7•f (,(��-4-e ❑ Y ❑N <br /> —1 F [:] YON] <br /> ❑Y ❑N <br /> F I I ❑ Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) ( / <br /> (34)WHAT IS MATERIAL <br /> USED FOR'? <br /> For Official Use Only: C ❑ R ❑ S SJC 12/00 <br />