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(9--dlvoly <br /> California Hazardous Oerials Inventory Form - Chemical Ioription <br /> PAGE(2) =OF(3) <br /> BUSINESS NAME (4) D SUPPLY DISTRIBUTION SERVICES CB0005 <br /> CHEMICAL LOCATION(S)(5) N BATTERIES LOCATED ON POWERED EQUIPMENT <br /> MAP#(6)/ GRID#(7) /63 C2 /F2 � NA <br /> CHEMICAL NAME (8) FORKLIFT BATTERIES,SULFURIC ACID TRADE SECRET(11) ❑ YLS ®NO <br /> COMMON NAME (9) IFORKLIFT BATTERIES,SULFURIC ACID *EHS(12) ®YES ❑NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) NA ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD <br /> CATEGORIES LEAVE BLANK <br /> TYPE (14) 10 PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES ®NO (16) � <br /> PHYSICAL STATE(17) ❑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 <br /> CODE NA El CU FT ❑TONS MAX DAILY AMT(23) 7,545 <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS,amounts must be in lbs AVG DAILY AMT(2`1) <br /> 65 ON SITE 7,545 <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER 850 A <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> CAN 171 CYLINDER R OTHER <br /> STORAGE (27) ® AMBIENT [3 BELOW AMBIENT <br /> PRESSURE 10 ABOVE AMBIENT <br /> STORAGE (28) ®AMBIENT ❑ABOVEAMBIENT ❑BELOWAMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29) %WT (30) HAZARDOUS COMPONENT (31) EHS (32) CAS# <br /> 15-40 ULFURIC ACID ®YES ❑NO 664-93-9 <br /> 4-80 LEAD ❑YES ®NO 439-92-1 <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 796 <br /> (34)WHAT IS MATERIAL FORKLIFT OPERATIONS <br /> USED FOR? <br /> DATE REC'D: 1/28/08 For Official Use Only: ®C ❑R 0 S SIC 12/99 <br />