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California Hai 10 Materials Inventory Form �h ical De cc'VCD <br />r >tpt>lon <br />(I) ❑ADD ❑DELETE ❑REVISE 2001 A� �G>`�(2�)� OF (3) �y <br />BUSINESS NAME (4)MWL Ur <br />Sierra Chemical Co., Stockton VICES <br />CHEMICAL LOCA'I'ION(S) (5) <br />GVufe�OUS� <br />SAIV.IC%�i�� L y SERVICES <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) O <br />xygen, (GoX) <br />TRADE SECRET (1 1) =YE] <br />COMMON NAME <br />(9) <br />*EHS (12) =YFI] <br />CAS # <br />(10) -7-l9;L .. 44 _ 7 <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE, <br />HAZARD CLASS <br />(l3) [LEAVE BLANK <br />TYPE <br />(14) R]PURE []MIXTURE [:]WASTE RADIOACTIVE (15) ❑ Y 0 N (16) <br />PHYSICAL STATE (17) [E]SOLID ❑LIQUID NGAS <br />CURIES <br />FED HAZARD <br />CATEGORIES <br />(18) <br />❑ FIRE EIREACTIVE PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE <br />CODE <br />(19) <br />UNITS* (22) ❑GAL NCU FT' MAX DAILY AMT (23) <br />ON-SITE `7[0� <br />LBS <br />� ❑TONS <br />DAYS ON SITE <br />(20)F-3-65 <br />AVG DAILY AMT (24) <br />If EHS, amounts must be in lbs ON-SITE <br />LARGEST <br />CONT'AINE:R <br />(21) <br />ANNUAL WASTE AMT (25) <br />STORAGE (26) <br />CONTAINER <br />❑ ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br />❑ UNDER GROUND TANK [—]CARBOY Dj CYLINDER ❑ RAIL CAR <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑-------------------- <br />❑ 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 />(30) HAZARDOUS COMPONENT (31) EHS <br />❑YR N <br />❑Y ❑N <br />❑Y ❑N <br />❑Y ❑N <br />❑Y ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) <br />(34) WHAT IS MATERIAL _17^ 4,ern a ( Use - <br />USED FOR'? <br />For Official Use Only: C ❑ R ❑ S SJC 12/00 <br />