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EPA Form No. 8700-30 OMB Control No.2050-0072 Page 2 of 3 <br /> Physical and Storage .. <br /> Chemical Description Health Inventory Type of ConditionsReporting <br /> Hazards <br /> (Optional) <br /> ❑� Check if information below is identical to the information submitted ❑ Fire Maximum Amount Battery Ambient Confidential: ❑ Below <br /> last year. Range Code: ®Yes El No <br /> ❑ <br /> pressure, Reporting sudden Thresholds Sit down forklift <br /> Release of 03 ambie <br /> <br /> 664-93-9 Average Daily 3ea , <br /> El Reactive Amount picker ( ) ❑ State or Local <br /> Range Code: swing reach <br /> EHS: Yes © No ® ❑ Immediate (lea) - battery Requirements <br /> (Acute) 02 <br /> charging area <br /> ❑Solid ElLiquid ❑Gas ❑Trade Secret El Delayed SW corner of <br /> (Chronic) No.of days on site: <br /> warehouse <br /> 365 <br /> ❑Check if information below is identical to the information submitted ❑ Fire Maximum Amount Confidential: ❑ Below <br /> last year. (Total Mixture) ©Yes ®No Reporting <br /> ❑ Sudden <br /> Range Code: Thresholds <br /> Mixture or Product Name: Release of (optional) <br /> Pressure Average Daily <br /> CAS No. El Not Available <br /> Amount(Total <br /> [:]Solid ❑ Li uid ❑Gas El Secret El Reactive Mixture) ❑State or Local <br /> q Range Code: Requirements <br /> EHS: Yes © No ® ❑ Immediate <br /> (Acute) <br /> EHS(s)Name(if applicable): ❑ Delayed No.of days on site: <br /> (Chronic) RECEIVED <br /> CAS No. <br /> Maximum Amount of FEB 9, 4 2016 <br /> Non-EHS(s)Name(optional): each EHS in the <br /> Mixture <br /> Range Code: ENVIRONMENTAL <br /> HEALTH DE ARTMENT <br /> Optional Attachments: ❑✓ I have attached a site plan ❑ I have attached a list of site coordinate abbreviations <br /> 13 1 have attached a description of dikes and other safeguard measures <br />