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g - -a8 <br /> California Hazardous Oerials Inventory Form - Chemical I9ription <br /> PAGE(2) =OF(3) <br /> BUSINESS NAME (4) D SUPPLY DISTRIBUTION SERVICES CB0005 <br /> CHEMICAL LOCATION(S)(5) EAR OUTSIDE BUILDING/PROPANE CAGES/FORKLIFTS <br /> MAP#(6)/ GRID#(7) 1/D4 I/F3 � � NA <br /> CHEMICAL NAME (8) ROPANE,LIQUIFIED PETROLEUM GAS TRADE SECRET(I1) ❑YES ®NO <br /> COMMON NAME (9) ROPANE,LIQUIFIED PETROLEUM GAS *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS# (10) INA ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD <br /> CATEGORIES LEAVEBLANK <br /> TYPE (14) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑yES ®NO (l6) <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 MAX DAILY AMT(23)173 <br /> CODE A ❑CU FT ❑TONS ION SITE <br /> DAYS ON SITE (20) *If EHS,amounts mus[be in lbs AVG DAILY AMT(24) <br /> 65 ON SITE 173 <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER .6 GALLONS 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 0 CYLINDER OTHER <br /> STORAGE (27) ❑AMBIENT ❑BELOW AMBIENT <br /> PRESSURE IR ABOVE AMBIENT <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29) %WT (30)HAZARDOUS COMPONENT (31)EHS (32)CAS# <br /> 0 1PROPANE ❑yES ®NO 4-98-6 <br /> ROPYLENE ❑yES ®NO 115-07-1 <br /> IN-BUTAN ❑yES ®NO 106-97-8 <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) <br /> (34) WHAT IS MATERIAL FORK LIFT OPERATIONS <br /> USED FOR? <br /> DATE REC'D: 1/24/08 or Official Use Only: ®C ❑R ❑S SIC 12/99 <br />