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Aug 07 O1 10: 46p Older Lockeford Winery <br /> 209 727 9773 P• 1 <br /> - y � <br /> California Hazardous Materials Inventory Form - Chemical Description <br /> 2001 PAGE(2) OF(3 <br /> (I) ®ADD aUC;LETE REVISE LVED <br /> 3USINL^SS NAME (4) n . ISC.S �_�� l V G' <br /> CHEMICAL LOCATIONS)(5) (p �- � aIINMUNTY <br /> MAP#(6)I GRID#(7) �_� <br /> CHEMICAL NAME (8) TRADE SECRET(H) ❑Y ❑N <br /> �1T *EHS(12) ❑Y E]N7 <br /> COMMON NAME (9) �Yo CO ' <br /> *II'E115 BOX IS"Y" <br /> CAS # (IU) S�7- 5.5-- ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) URE ❑roux-rURE ❑WAS'CE RADIOACTIVE(15) ❑l. (16)� <br /> PHYSICAL STATE(17)1 []SOLID &IQUID [:]GAS CURIES <br /> FED HAZARD �—I <br /> CATEGORIES (IS) L :DIRE C1.RFAcnyE [1PRESSURERI!ix E ®ACUTE HPAL711 CHRONIC IIEALT(1 <br /> STATE WASTE (19) UNITS* (22) ®GAL ❑CU PC MAX DAILY AMT(23)1 <br /> CODE - ❑LBS ❑ ON-SITE-SITE <br /> 'PONS AVG DAILYAMT(24) <br /> 1AYS ON SHE (20) s� <br /> �� *1f EIiS, amounts must be in Iln ON-SITE <br /> LARGEST (21 ANNUAL WASTE AMT(25) �I <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER UNDER GROUND TANK ❑CARBOY [:] CYLINDER ❑RAIL CAR <br /> [JTANK INSIDE BUILDING E]SILO ❑GLASS BOTTLE ❑-------------------- <br /> ®STEEL DRUM [-]FIBER DRUM ❑ PLASTIC BOTTLE <br /> PLASTIC/NONMETALLIC DRUM 0 BAG ❑ TOTE BIN <br /> STORAGE (27) ZLAMBIEN7' ❑ABOVE AMBIENT [:]BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT' BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> 6 ra <br /> FITY-2-NIF .S7- to <br /> ❑YQN <br /> E]Y ❑N <br /> - ❑Y ❑r� <br /> ❑Y ❑N <br /> .DDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL ( " a? <br /> USED FOR'! w-1 <br /> For Official Use Only: C [-j R [� S SJC 12/00 <br />