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California Hazardous Mo gals Inventory Form - Chemical Descript" <br /> PAGF`rlr =OF(3) <br /> 1311SINFSS NAME (4) <br /> LACK IN THE BOX#534 <br /> CHEMICAL LOCATIONS) <br /> <br /> <br /> CHEMICAL NAME (8) ARBON DIOXIDE (RADE SECRET(11) ❑yES ®NO <br /> COMMON NAME (9) ARBON DIOXIDE <br /> *EHS(12) YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS# (10) 124-38-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD <br /> CAI F-GORIES LEAVE BLANK <br /> TYPE (14) ❑a.PURE ❑b.MIXTURE ❑c.WAS RADIOACTIVE(15) ❑ygS ®NO (16) <br /> /A <br /> PHYSICAL STATE(17) ❑SOLID ❑LIQUID ®GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑ FIRE ❑REACTIVE ®PRESSURE RELEASE ❑ACUTEHEALTH ❑CHRONICHEALTH ❑ <br /> STATE WASTE (19) UNITS*(22) ❑GAL ❑LBS MAX DAILY AMT(23)� <br /> CODE /A ®CU FT ❑TONS ,496 <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS,amounts mus[be in lbs AVG DAILY AMT(24) <br /> fi5 ON SITE 000 <br /> LARGEST (21) � ANNUAL WASTE AMT(25) /A� <br /> CONTAINER 110 <br /> S IORAGE (26) ❑ABOVE GROUND TANK ❑CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ®TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> CAN CYLINDER M OTHER <br /> STORAGE (27) p AMBIENT [IBELOW AMBIENT <br /> PRESSURE ABOVF,AMBIENT <br /> STORAGE (28) INAMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT []CRYOGENIC <br /> TEMPERATURE <br /> (29) %WT (30) HAZARDOUS COMPONENT (31)EHS (32)CAS# <br /> 100 1CARBON DIOXIDE I ❑Y17S ®NO 224-38-9 <br /> ❑YES ❑NO <br /> L- J ❑Y175 ❑NO <br /> D ❑YES El NO <br /> D ❑YES ❑NO <br /> A DDITIONA I.LOCAI.I.Y COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DO'r) 1013 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? Soft drink dispenser <br /> DAT'F REC'D: 11/8/06 or Official Use Only: ®C ❑R [IS SJC 12199 <br />