Laserfiche WebLink
C21ifornia Hazardotl&aterials Inventory Form - Cheltal Description <br /> (1) ADD ❑DELETEREVISE 2002 PAGE(2) OF(3)� <br /> BUSINESS NAME (4) C o LLG_&G V l LL C M,,'l kk E 7 <br /> CHEMICAL LOCATION(S)( <br /> = <br /> CHEMICAL NAME (8) �/�3 TRADE SECRET (11) ❑-YM N <br /> COMMON NAME (9) D/.2,S0 I/ *EHS (12) ❑Y ®N <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) []PURE EIMIXTURE ❑WASTE RADIOACTIVE(15) ❑Y I—` (16) <br /> PHYSICAL STATE(17)1 ❑SOLID [�qLIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18)19 FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONICIiEALTH <br /> STATE WASTE (19) UNITS*(22) RGAL ❑CU FT MAX DAILY AMT(23)0 <br /> CODE [:]LBS ❑ TONS ON-SITE 4�aa <br /> DAYS ON SITE (20) AVG DAILY AMT(24)� <br /> *If EHS, amounts must be in lbs ON-SITE <br /> LARGEST (21� ANNUAL WASTE AMT(25)D <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX [—]TANK WAGON <br /> CONTAINERUNDER GROUND TANK ❑CARBOY ❑ CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑-------------------- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAC, ❑ TOTE BIN <br /> STORAGE (27) ® AMBIENT ❑ <br /> PRESSURE ABOVE AMBIENT [:]BELOW AMBIENT <br /> STORAGE (28) YLAMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) /g9� <br /> (34)WHAT IS MATERIAL Oy s <br /> USED FOR? t2� <br /> For Official Use Only: C ❑ R [] S SIC 12/01 <br />