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California Hazardous : erials Inventory Form - Chemical-Aption <br />PAGE (2) = OF (3) = <br />BUSINESS NAME (4) <br />1-HEMICAL LOCATION(S) (5) <br />SIERRA CHEMICAL CO (STKN) <br /> <br /> <br /> <br />CHEMICAL NAME (8) MAGNESIUM SULFATE TRADE SECRET (11) ❑ YES ® NO Tra <br />COMMON NAME (9) EPSOM SALT *EHS (12) 10 YES ® NO <br />*IF EHS BOX IS "Y" <br />CAS # (10) 10034-99-8 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TYPE (14) ® PURE []MIXTURE ❑WASTE RADIOACTIVE (15) ❑ YES ®NO (16) 0 <br />PHYSICAL STATE (17) IN SOLID [:]LIQUID ❑GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) ❑ GAL ® LBS MAX <br />-')DE NA ❑ CU FT ❑ TONS ON SIDE ILY AMT (23) 4,000 <br />-,,iYS ON SITE (20) *If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />365 ON SITE 500 <br />LARGEST (21) 50 <br />ANNUAL WASTE AMT (25) NA <br />CONTAINER <br />STORAGE (26) <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />%W1 <br />100 <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TANt <br />[:]UNDER GROUND TANK <br />[]CARBOY <br />❑ CYLINDER <br />❑ RAIL <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTHI <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Other <br />❑ PLASTIC/NONMETALLIC <br />DRUM ® BAG <br />❑ TOTE BIN <br />(27) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />(28) ® AMBIENT [--]ABOVE AMBIENT ❑ BELOW AMBIENT [--]CRYOGENIC <br />(IM NA7ARWIT TO, C 0MPC)NF.NT (3 1) EHS (i2) C'AS# <br />MAGNESIUM SULFATE <br />❑ YES ON <br />10034-99-8 <br />❑YES ❑N <br />❑YES EINJI <br />❑YES ❑N <br />❑YES El <br />DITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) INA <br />34) WHAT IS MATERIAL FOR SALE <br />USED FOR? <br />DATE REC'D: 1/18/05 For Official Use Only: %-C ❑ R ❑ S ISJC 12/99 <br />