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California Hazardous Materials Inventory Form - Chemical Description <br />(1) DADD DDELETF REVISE 2001 PAGE (2) =OF(3)� <br />BUSINESS NAME (4) lf{ STyLc a I�pOi)S LUP <br />CHEMICAL LOCATION(S) (5) <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (l0) <br />FIRE CODE <br />(13) <br />HAZARD CLASS <br />MAX DAILY AMT (23) <br />ON-SITE '25V0 <br />AVG DAILY AMT (24) <br />ON-SITE <br />TYPE <br />(14) <br />PHYSICAL STATE (17) <br />FED HAZARD <br />❑ STEEL DRUM ❑ FIBER DRUM <br />CATEGORIES <br />(18) <br />STATE WASTE <br />(19) <br />CODE <br />DAYS ON SITE <br />(20; <br />LARGEST (21 <br />CONTAINER <br />STORAGE (26) <br />CONTAINER <br />STORAGE (27 <br />PRESSURE <br />STORAGE (28 <br />TEMPERATURE <br />INCUUNIY � <br />TRADE SECRET (1 1) ❑ Y <br />*EHS (12) ❑Y N <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />DK -Mc- <br />j VI I S S I SS i P P I L:T:— <br />� <br />LEAVE BLANK <br />URE F-1MIXTUREF- WASTEJ RADIOACTIVE (15) <br />IL40LID I ILIQUID I IGAS I <br />Y=�I (16)� <br />`� CURIES <br />❑ FIRE CTIVE []PRESSURE RELEASE <br />ACUTEHEALTH ❑ CHRONIC HEALTH <br />UNITS* (22) ❑GAL ❑ CU FT <br />bfBS ❑TONS <br />3%S *If EHS, amounts must be in lbs <br />MAX DAILY AMT (23) <br />ON-SITE '25V0 <br />AVG DAILY AMT (24) <br />ON-SITE <br />ANNUAL <br />WASTE AMT (25) <br />❑ ABOVE GROUND TANK ❑ CAN <br />❑ UNDER GROUND TANK ❑ CARBOY <br />❑ TANK INSIDE BUILDING ❑ SILO <br />❑ BOX ❑TANK WAGON <br />❑ CYLINDER [:]RAIL CAR <br />❑ GLASS BOTTLE ❑-------------------- <br />❑ STEEL DRUM ❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM ED- AG <br />❑ TOTE BIN <br />❑ Y ❑ N� <br />AMBIENT [:]ABOVE AMBIENT []BELOW AMBIENT <br />AMBIENT <br />❑ABOVEAMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br />r• nnn1 �XADnXTVKr [I I1[UIZ <br />(321 CAS# <br />JV <br />❑Y ❑N IF- <br />F[:]Y ❑N <br />❑Y ❑N <br />F <br />❑Y ❑N <br />❑ Y ❑ N� <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONSS ID # (DOT) J 0 <br />(34) WHAT IS MATERIAL C00 �p Y n uCY L Gri n�f t SAS �� K e al <br />USED FOR? <br />For Official Use Only: ® C ❑ R ❑ S SIC 12/00 <br />