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California Hazardous-katerials Inventory Fol E(6 tpescription <br /> (1) ADD ❑DELETE ❑REVISE 2001 DEC 2 F ?nnn PAGE(2) = OF(3)� <br /> BUSINESS NAME (4) n SANJOAQUINCOUNW <br /> 0076d CE OF EMERGENCY SERVICES <br /> CHEMICAL LOCATION(S)(5) <br /> " <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) TRADE SECRET(I I) ❑Y N <br /> C� P ' <br /> /` N <br /> COMMON NAME (9) AMR C�IQS *EHS (12) ❑Y <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 ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y Lel�N (16)IR � <br /> PHYSICAL STATE(17)1 [:]SOLID [:]LIQUID 14 GAS CURIES <br /> FED RD <br /> CATEGORIES <br /> FIRE ❑REACTIVE PRESSURE RELEASE ❑ ACUTEHEALTH [:] CHRONIC HEALTH <br /> CATEGORIES (I8) <br /> STATE WASTE (19) UNITS* (22) ®GAL ❑CUFT MAX DAILY AMT(23) <br /> CODE N ON-SITE <br /> ❑LBS ❑TONS <br /> DAYS ON SITE (20) AVG DAILY AMT(24)� <br /> 3�S *If EHS, amounts must be in lbs ON-SITE <br /> LARGEST (21)I SD� ANNUAL WASTE AMT(25)� <br /> CONTAINER I �t <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 ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ❑AMBIENT ❑ABOVE AMBIENT ®BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT 31 EHS 32 CAS# <br /> LA ❑Y �N �f. <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> IE]YE]NII <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) '7 <br /> (34)WHAT IS MATERIAL ( v� 2or4 ! C4S <br /> USED FOR? <br /> For Official Use Only: C ❑ R ❑ S SJC 12/00 <br />