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0 0 <br /> California Hazardous Materials Inventory Form - Chemical Description <br /> (I) E]ADD ❑DELETE ❑REVISE 2001 PAGE(2) OF(3) <br /> BUSINESS NAME (4) t te:_ _:_' <br /> r)C, <br /> CHEMICAL LOCATION(S)(5) (� b� Pli <br /> GV.TS i C ' c�E>+_T �� <br /> MAP#(6) / GRID#(7) e _5 = E= I 10 <br /> CHEMICAL NAME (8) TRAIDE SECRET(I t)t) ❑Y (AN] <br /> *EHS(12) ❑Y �N <br /> COMMON NAME (9) �� e5�� <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) rj ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) ❑PURE ©MIXTURE ❑WASTE RADIOACTIVE(15) FITN (16) <br /> PHYSICAL STATE(17) [:]SOLID ❑LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (I8) ®FIRE REACTIVE ❑ m PRESSURERELEASE ACUTEHEALTH CHRONICHEALTH <br /> � <br /> STATE WASTE (19) UNITS* (22) ©GAL ❑CUFT MAX DAILY AMT(23) <br /> CODE ON-SITE <br /> []LBS ❑TONS <br /> `]BOO <br /> DAYS ON SITE (20) AVG DAILY AMT(24) <br /> *If EHS, amounts must be in lbs ON-SITE IIIL�7_�Y� <br /> LARGEST (21 ANNUAL WASTE AMT(25) <br /> CONTAINER L O K <br /> STORAGE (26) 0 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 []BELOWAMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30) HAZARDOUS COMPONENT (3 (32)CAS# <br /> 11 ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N � <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) "r% I ci= <br /> (34)WHAT IS MATERIAL �UC l Fug OUX41- TTL <br /> USED FOR? <br /> For Official Use Only: C 0 R F-� S I SIC 12/00 <br />