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California HazarL vlaterials Inventory Form - Cl}!!i. al Description <br /> (1) ❑ADD ❑DELETE ©REVISE 2001 PAGE(2) OF(3) 3� <br /> BUSINESS NAME (4) :,A y <br /> Sierra Chemical Co. , Stockton <br /> Le <br /> CHEMICAL LOCATION(S)(5) <br /> Qr <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) TRADE SECRET(I I) ❑Y 0 N <br /> �[vmtnvrn ��l�a�e <br /> COMMON NAME (9) l v M *EHS (12) ❑Y X❑N <br /> *IF EHS BOX IS `Y" <br /> CAS # (10} <br /> ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) PURE ❑MIXTURE ❑WAS"I'El RADIOACTIVE(15) ❑Y 0 N (16) <br /> PHYSICAL STATE(17) �]C SOLID ❑LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE ❑REACTIVE ❑PRESSURE RELEASE © ACUTE HEALTH ❑ C14RONIC HEALTH <br /> STATE WASTE (19) UNITS* (22) ❑GAL ❑CU FI' MAX DAILY AMT(23) <br /> CODE ®LBS ❑ TONS ON-SITE g'Co0�_9 <br /> DAYS ON SITE (20) 36-5 AVG DAILY AMT(24) <br /> *If EHS, amounts must be in lbs ON-SITE <br /> LARGEST (21) ANNUAL WASTE A (25) <br /> CONTAINER Jr0 (3a� <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 0--------------------- <br /> El 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 (28) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> ❑ Y ❑N <br /> IF]Y_❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y NIE <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL <br /> USED FOR? <br /> For Official Use Only: M C E] R S SJC 12/00 <br />