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California Hazardous I*erials Inventory Form - Chemical Aription <br /> ,:1) ®ADD ❑DELETE REVISE PAGE(2) = OF(3) <br /> BUSINESS NAME (4) ALLIED MA=& WELDINC <br /> RECEIVE <br /> CHEMICAL LOCATION(S)(5) S17 <br /> AN <br /> F <br /> (Within facility,not street address=CYLINDER v <br /> MAP#(6)/ GRID#(7) SE CES <br /> CHEMICAL NAME (8) HELIUM TRADE SECRET(11) ❑Y ❑N <br /> COMMON NAME (9) HELIUM *EHS (12) ❑Y X❑N <br /> CAS # *IF EHS BOX IS"Y" <br /> (10) 7440-59-7 ALL AMOUNTS MUST BEINLBS <br /> FIRE CODE (13) <br /> HAZARD CLASS <br /> TYPE (14) PURE ❑MLYTURE ❑WASTE RADIOACTIVE(15) ❑1 ©N (16) <br /> PHYSICAL STATE(17) ❑SOLID ❑LIQUID ®GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE ❑REAMIVEX❑PRESSURE RELEASE ❑ ACUTEHEALTH ❑ CHRONIC HEALTH <br /> STATE CODE WASTE (19)�� UMTS*(22) ❑GAL ©CU FT MAX DAILY AMT(23) <br /> ON-SITE 2 5 0 <br /> DAYS ON SITE (20) ❑LBS ❑ TONS <br /> AVG DAILY AMT(24)� <br /> 365 year *If EHS, amounts must be in lbs ON-SITE 250 <br /> LARGEST (21)�� ANNUAL WASTE AMT <br /> CONTAINER 249 cuft (25)�� <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 ❑-------------------- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM [:] BAG TOTE BIN <br /> STORGE PRESSURE (27) ❑ AMBB?NT ®ABOVE AMBIENT ❑BELOW AMBIENT <br /> STORAGE (28) ❑AMg]ENT ❑ABOVE AMBIENT [:]BELOW AMBIENT ❑CRYOGENIC <br /> IBMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> ❑Y ❑N <br /> ❑Y N <br /> ❑Y ❑N <br /> Ely El <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT)FU—N1046 <br /> 34)WHAT IS MATERIAL <br /> USED FOR? ALUMINUM WELDING <br /> For Official Use Only: ElC R S SIC 12/03 <br />