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California Hazardous *erials Inventory Form - Chemical Jecription <br /> (1) ADD ❑DELETE REVISE PAGE(2) OF(3) <br /> BUSINESS NAME (4) <br /> ALLIED MACHINE & WELDING RECEIVED <br /> CHEMICAL LOCATION(S)(5) CYLINDER ROOM JAN 182006 <br /> (Within facility,not street address <br /> MAP#(6)/ GRID#(7) OFFICE OF ERGENCY SERVICE <br /> 2—SF�G 2-1F <br /> CHEMICAL NAME (8) <br /> CARBON DIOXIDE TRADE SECRET(11) ❑Y ©N <br /> COMMON NAME (9) CO2 *EHS (12) ❑Y ®N <br /> CAS # (10) EHS BOX IS "Y" <br /> (10) 124-38-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD CLASS <br /> TYPE (14) UPUREEIMIXTURF ❑WASTE RADIOACTIVE(15) ❑y ❑N (16) <br /> PHYSICAL STATE(17)1 ❑SOLID ❑LIQUID E]GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FiRE ❑REACITVE ®PRESSURE RELEASE X❑ ACUTEHEALTH ❑ CHRONIC HEALTH <br /> STATE CODE WASTE (19)�� UNITS*(22) []GAL [:]CU FT MAX DAILY AMT(23) <br /> ON-SITE 500# <br /> DAYS ON SITE ALBS ❑ TONS <br /> (20)� AVG DAILY AMT(24) <br /> 365year *If EHS, amounts must be in lbs ON-SITE 250# <br /> LARGEST (21)1= <br /> 21) #� <br /> CONTAINER 5 0 ANNUAL WASTE AMT(25) <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑TINDER GROUND TANK ❑CARBOY © CYLINDER [:I 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) <br /> PRESSURE ❑ AMBIENT ®ABOVE AMBIENT. ❑BELOW AMBIENT <br /> GE <br /> STORARATTJRE (28) ®AMBIENT []ABOVE AMBIENT ❑BELOW AMBIENTrEMPE ❑CRYOGENIC <br /> 29 %WT 30 HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> ❑Y ❑N <br /> ❑1' ❑N <br /> ❑Y ❑N <br /> ❑Y E]NII <br /> \DDITTONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1 01 3 <br /> 34)WHAT IS MATERIAL For welding <br /> USED FOR? <br /> For Official Use Only: C R S SJC 12/03 <br />