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ornia Hazardous Mate Inventory Reporting Forst - � Description Page <br /> E 1998 AGE(2) OF(3) <br /> ADD =DELETE Q <br /> SINESS NAME (4) <br /> CHEbIICALLOCATION(S)(5) � <br /> <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) 6'� 2rG�ECYI TRADE SECRET(11) ❑Y N <br /> t *EHS (12) ❑Z' �N <br /> COMMON NAME (9) Z <br /> *¢EHS BOX IS "Y" <br /> CAS # (10) ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) TFDVEBLANK <br /> HAZARD CLASS <br /> RADIOACTIVE(15) (16) <br /> TYPE (14) =PURE MIXTURE []WAS RAD ❑ �N <br /> CURIES <br /> PHYSICAL STATE(17) SOLID OLIQUID =GAS <br /> FED HAZARD []F[RE ❑REACTIVE ❑PRESSURE RELEASE ® ACUTE HEALTH CHRONICHEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) <br /> UNITS*(�) GAL []CU FT O�XI E ILY AMT(23) 591/ <br /> CODE []LBS []TONS <br /> �� AVG DAILY AMT(24) <br /> DAYS ON SITE (20) <br /> 3� *If EHS, amounts must be in lbs ON-SITE <br /> LARGEST (21 _ ANNUAL WASTE AMT(25)Q <br /> CONTAINER <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 /> 2fPLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) AMBIENT []ABOVE AMBIENT []BELOW AMBIENT <br /> PRESSURE <br /> R (28) ®AMBIENT �ABOVEAMBIEEN <br /> NT []BELOW AMBIENT CRYOGENIC <br /> STORAGETEMPERATURE32) CAS# <br /> (29) %WT (30)HAZARDOUS COMPONENT (31)EHS <br /> ��11/)0/1G/ni/1c []Y []N <br /> ❑Y []N <br /> / ofaium l�yd• ox�de ❑Y N � 3�� <br /> � - <br /> []Y QN <br /> []Y []N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITEDNATIONS ID#(DOT) L'C//eS✓e <br /> (34)WHAT IS MATERIAL I 4,f J' ;-u 4)b er <br /> USED FOR? Sic 12/97 <br /> For Official Use Only: C � R 7 S <br />