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California Hazardous rials Inventory Form - Chemical Acription <br /> (1) ADD []DELETE REVISE PAGE(2) � OP(3)E= <br /> BUSINESS NAME (4) <br /> ALLIED MACHINE & WELDING RECEIVED <br /> CHEMICALLOCATION(S)(5) CYLINDER ROOM JAN 18 20(16 <br /> (Within facility,not street address I-- <br /> MAP#(6)/ GRID#(7) 2 SB t�.J I OFFICE F ErERGENCYSERNC S <br /> CHEMICAL NAME (8) NITROGEN COMPRESSED GAS L— TRADE SECRET(11) ❑Y X❑N <br /> COMMON NAME (9) NITROGEN *EHS(12) ❑Y ®N <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) <br /> 7727379 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD CLASS <br /> TYPE (14) ©PURE ❑MIXTURE ❑WASTE RADIOACTIVE(IS) ❑1-E]N (16) <br /> PHYSICAL STATE(17)1 [-]SOLID ❑LIQUID ©GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) [3 FIRE ❑REACTIVE ®PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTH <br /> STATE WASTE (19)� UNITS* (22) <br /> [-]GAL CU FT MAX TE AMT(23)(�—� <br /> CODE ON-SITE <br /> DAYS ON SITE (20)�� [] TONS <br /> AVG DAILY AMT(24)�� <br /> 365 year *If EHS, amounts must be in IN ON-BYTE <br /> LARGEST (21)EE TE AMT(ANNUAL WAS25) <br /> CONTAINER 304 cuft <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER <br /> El GROUND TANK ❑CARBOY E] CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO E] GLASS BOTTLE ❑-------------------- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ❑ AMBIENT ©ABOVE AMBIENT. ❑BELOW AMBIENT <br /> PRESSURE <br /> TEMPERATURE (28) EIAMBEENT [:]ABOVE AMBIENT [:]BELOW AMBIENT ❑CRYOGENIC <br /> 29 %WT 30 HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> JE]YE]NII <br /> VDDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) UN 10 6 6 <br /> 34)WHAT IS MATERIAL <br /> USED FOR? FOR SALE ONLY <br /> For Official Use Only: ❑ C ❑ R ❑ S SJC 12/03 <br />