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Rus 07 01 10: 45p Olde Lockeford Winery <br /> 209 727 9773 p• o <br /> California Hazardous Materials Inventory Form - Chemical Description <br /> (1) <br /> I [Z]ADD DDELETE D REVISE� 2001 PAGE(2) EK] OF(3)© <br /> // <br /> - 3USIN$SSNAME (4) /) r Cin-"72"-r• /.$GS �,.-A. E VED <br /> CHEMICAL LOCATION(S)(5) ( p / <br /> <br /> �,�1 TRADE SECRET(H) ❑Y ®7N <br /> *EHS 02) ❑Y ®N <br /> ­71 <br /> COMMON NAMEl9) <br /> vo G *IF EHS BOX IS"Y" <br /> CAS # (ID) ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZA <br /> TYPE RD CLASS (14) ❑PURE QM IXTUI2E ❑WAST'E RADIOACI'IVG(15) ❑Y �N (IG)� <br /> PHYSICAL STATE(I7) []SOLID LIQUID ❑GAS lh� CURIES <br /> FED HAZARD CATEGORIES 0,A]LIRE RF_ACfIVE PRPSSURE RL•LEASE ACUTE HCN..TTI CHRONIC IIEALT(! <br /> CATEGORIES (18) <br /> STATE WASTE (19)�� UNITS"(22) OPAL ❑CU FI' MAX DAILY AMT(23) <br /> CODGL "fONS ON-Srl'E ADD <br /> BS ❑ <br /> 1AYS ON SITE (20) rAVG DAILY AMT(24)�� <br /> 35 *If EHS, amounts must be in IM ON-SITE ^�O <br /> LARGEST (21 _ ANNUAL WASTE AMT(25)� <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK CARBOY ❑ CYLINDER [:]RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE®�--,_5444 <br /> ❑STEEL DRUM ❑FIBER DRUM E] PLASTIC BOTTLE pi "44<. <br /> ❑PLASTIC/NONME"1'ALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) Pq AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT (31)FHS <br /> ,^,'' (32)CAS# <br /> Li <br /> 00 ) �- ❑Y t` <br /> �Y QN <br /> ❑Y ❑N <br /> 0,71-:71N YE]NII <br /> ❑N <br /> .DDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL ( f -�/ / <br /> USED FOR? d _ <br /> For Official Use Only: 1 C j R FI S SIC I2/00 <br />