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California HazarL Materials Inventory Form - C,.,..dcal Description <br /> (I) 0ADD DELETE REVISE 2001 PAGE(2) OF(3) <br /> BUSINESS NAME (4) <br /> Sierra Chemical Co . , Stockton <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) n TRADE SECRET(1 1) =YE]N <br /> � CtCG �CICY <br /> COMMON NAME (9) *EHS (12) =YE]N <br /> *IF EHS BOX IS"Y" <br /> CAS # (1 0) 77- 9a-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) g PURE ❑MIXTURE RADIOACTIVE(15) ❑y 0 N (16) <br /> PHYSICAL STATE(17) SOLID ❑LIQUID_= CURIES <br /> FED HAZARD <br /> CATEGORIES (1 R) ❑ f=1RE ❑REACTIVE ❑PRESSURE RELEASE ►ACUTE HEALTH ❑ CHRONIC HEALTH <br /> STATE WASTE (19)L UNITS* (22) ❑GAL ❑CU FI' MAX DAILY AMT(23) <br /> CODE ON-SITE L.2 <br /> ®LBS TONS <br /> DAYS ON SITE (20) 3 6 5AVG DAILY AMT(24) <br /> *If EHS, amounts must be in lbs ON-SITE o�Gj <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER Spm <br /> STORAGE (26) ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER UNDER GROUND TANK ❑CARBOY ❑ CYLINDER ❑RAIL CAR <br /> El 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 [:]BELOWAMBIENT <br /> PRESSURE <br /> STORAGE (28) AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30) HAZARDOUS COMPONENT (31)EHS (32)CAS# <br /> ❑Y [:]N —� <br /> ❑Y [:]N <br /> ❑Y ❑N <br /> 11 DY ❑N <br /> F ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) q/ <br /> (34)WHAT IS MATERIAL r sa/e <br /> USED FOR? <br /> For Official Use Only: C :J R S SJC 12/00 <br />