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California Hazardous erials Inventory Form - Chemical lecription <br /> �I) ADD ❑DELETE REVISE PAGE(2) OF(3) <br /> BUSINESS NAME (4) <br /> ALLIED MACHINE & WELDING RECEIVED <br /> CHEMICAL LOCATION(S)(5) CYLINDER ROOM JAN 18 2006 <br /> (Within facility,not street address <br /> MAP#(6)/ GRID#(7) E GENGY SERVICE <br /> 2-5A B �] C� <br /> CHEMICAL NAME (8) TRADE SECRET(11) ❑Y ®N <br /> OXYGEN <br /> COMMON NAME (9) OXYGEN *EHS (12) ❑Y ©N <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) 7282¢¢7 ALL AMOUNTS MUST BEINLBS <br /> FIRE CODE (13) <br /> HAZARD CLASS <br /> TYPE (14) X❑PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑1 ON (16)�� <br /> PHYSICAL STATE(17)1 ED]SOLID ❑LIQUID ❑X GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (I 8) ❑FIRE ®REACTIVE ©PRESSURE REI-EASE ❑ ACUTE HEALTH ❑ CHROMC HEALTH <br /> STATE WASTE (19) UNITS*(22) ❑GAL ©CU FT MAX DAILY AMT(23)�� <br /> CODE ON-SITE 1 0 4 0 0 <br /> DAYS ON SITE (20)( � 1[]LBS ❑TONS <br /> II--- AVG DAILY AMT(24)�� <br /> EHE <br /> *If EHS, amounts must be in lbs ON-SITE 7000 <br /> CONTAINER (21 250 tuft ANNUAL WASTE AMT(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 /> STORAGE (27) ❑ AMBIENT E]ABOVE AMBIENT. ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) D AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT. ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> El QN <br /> ❑Y N <br /> �Y ❑N <br /> ❑Y N <br /> ❑Y �N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) UN 1 072 <br /> 34)WHAT IS MATERIAL IN COMBINATION WITH ACETYLENE FOR WELDING CUTTING HEATING <br /> USED FOR? <br /> For Official Use Only: [] C R S SJC 12/03 <br />