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California HazardoYs Materials <br />Inventory Form - <br />ChOmla d Description <br />(I) <br />[EADDEjDELETE REVISE <br />2002 <br />PAGE (2) = <br />OF (3) <br />BUSINESS NAME (4) <br />VPL Transport, Inc. Iti,F`i.-L._ I <br />CHEMICAL LOCATION(S) (5) SEP - ��02 <br />(Within facility, not street address <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) <br />TRADE SECRET (11) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD CLASS <br />TYPE (14 <br />PHYSICAL STATE (17) <br />FED HAZARD <br />CATEGORIES (18 <br />STATE WASTE (19 <br />CODE <br />DAYS ON SITE (20 <br />LARGEST (21 <br />CONTAINER <br />STORAGE (26 <br />CONTAINER <br />STORAGE (27 <br />PRESSURE <br />STORAGE (2E <br />TEMPERATURE <br />Y UN <br />Y ❑N <br />Y ❑N <br />Y ❑N <br />Y FIN <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) <br />(34) WHAT IS MATERIAL <br />USED FOR? t r i r <br />For Official Use Only: M C [] R ❑ S <br />SIC 12/01 <br />❑ Y ISN <br />Ethanediol <br />Antifreeze <br />*EHS (12) ❑Y [!IN <br />*IF EHS BOX IS "Y" <br />107-21-1 <br />ALL AMOUNTS MUST BE IN LBS <br />LEAVE BLANK <br />RADIOACTIVE (15) ❑ Y [aN (16) <br />l� CURIES <br />®PURE ❑MIXTURE ❑WASTE <br />❑SOLID ®LIQUID ❑GAS <br />AFIRE ❑ REACTNE ❑ PRESSURE RELEASE Q ACUTEHEALTH CHRONIC HEALTH <br />UNITS* (22) ®GAL ❑ CU FT <br />MAX DAILY AMT (23) 55 <br />❑LBS ❑ TONS <br />*If EHS, amounts mus[ be in lbs <br />ON-SITE <br />AVG DAILY AMT (24) <br />ON-SITE <br />365 <br />ANNUAL <br />WASTE AMT (25) <br />E=55 <br />❑ ABOVE GROUND TANK ❑ CAN <br />❑ BOX ❑TANK WAGON <br />❑ UNDER GROUND TANK ❑ CARBOY <br />❑ CYLINDER ❑RAIL CAR <br />❑ <br />❑ TANK INSIDE BUILDING ❑ SILO <br />❑ GLASS BOTTLE ------ ----------- <br />® STEEL DRUM ❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM ❑ BAG <br />❑ TOTE BIN <br />® AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT <br />R AMBIENT r-1ABOVEAMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br />Y UN <br />Y ❑N <br />Y ❑N <br />Y ❑N <br />Y FIN <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) <br />(34) WHAT IS MATERIAL <br />USED FOR? t r i r <br />For Official Use Only: M C [] R ❑ S <br />SIC 12/01 <br />