Laserfiche WebLink
California Haz Materials Inventory Form -.�, ical Description <br />(I) ❑ADD ❑DELETEREVISE 2001 PAGE (2) OF (3)Lntj ] <br />BUSINESS NAME (4) <br />Sierra Chemical Co., Stockton <br />Sn <br />CHEMICAL LOCATION(S) (5) <br /> � _• _ , , � .,::_:;•� <br />MAP # (6) / GRID # (7) r, <br />CHEMICAL NAME (8) -r <br />0GY_flr G F-tC t TRADE SECRET (1 l) ❑Y ❑ N <br />r 1 <br />COMMON NAME (9) r' ` 'r l ci + I c, A Ct- Cly *EHS (12) ❑ Y 0 N <br />*TF EHS BOX IS `Y" <br />CAS # (10) -, 6 �-� _ _ I ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE <br />(13) <br />HAZARD CLASS <br />❑SOLID ®LIQUID ❑GAS <br />TYPE <br />(14, <br />PHYSICAL STATE (17) <br />FED HAZARD <br />©LBS [:]TONS <br />CATEGORIES <br />(1 8)) <br />STATE WASTE <br />(19) <br />CODE <br />® ABOVE GROUND TANK ❑ CAN <br />DAYS ON SITE <br />(20; <br />LARGEST <br />(21 <br />CONTAINER <br />EI STEEL DRUM ❑ FIBER DRUM <br />STORAGE <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(29) "/0W l <br />3v -3z <br />(26; <br />(27) <br />LEAVE BLANK <br />❑ Y ❑ N <br />1 ❑ PURE MIXTURE ❑WAST'E RADIOACTIVE (15) ❑ y ❑ N (16) <br />❑SOLID ®LIQUID ❑GAS <br />CURIES <br />❑ FlRE ® REACTIVE [:]PRESS UR E RELEASE ®ACUtT-: HEALTH ❑ CHRONIC HEALTH <br />UNITS* (22) ❑GAL ❑ CU F1' <br />MAX DAILY AMT (23) <br />ON-SITE <br />©LBS [:]TONS <br />El ❑N <br />365 *If EHS, amounts must be in lbs <br />AVG DAILY AMT (24) <br />ON-SITE (v0� OHO <br />ANNUAL <br />Sfocal&T°`n ft <br />WASTE AMT (25) <br />® ABOVE GROUND TANK ❑ CAN <br />❑ BOX .®TANK WAGON <br />❑ UNDER GROUND TANK ® CARBOY <br />❑ CYLINDER []RAIL CAR <br />❑ TANK INSIDE BUILDING ❑ SILO <br />❑ GLASS BOTTLE R --------------------- <br />EI STEEL DRUM ❑ FIBER DRUM <br />PLASTIC BOTTLE <br />L.® PLASTIC/NONMETALLIC DRUM ❑ BAG <br />TOTE BIN <br />J AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT <br />(28) AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br />(30) HAZARDOUS COMPONENT (31) EHS r'A?I rACtt <br />I 6,8 --?v I <br />t* GQfoG�►� c9�� c �F �'GP <br />❑ Y ❑ N <br />CV e� <br />[F] Y_ ❑N <br />❑Y ❑N <br />10 ❑N <br />El ❑N <br />1 ?& (7-61-1 1 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) (7 C7- <br />(34) <br />(34) WHAT IS MATERIAL <br />USED FOR'? <br />For Official Use Only: C ❑ R S SIC 12/00 <br />