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• California Hazardous Materials Inventory Form RWd1 qp iption <br /> (1) DADD DDELETE REVISE 2002 FEB 25 MGE(2) DOF(3)� <br /> BUSINESS NAME (4) l,00� Ta' cry yT-e)RIrREMERGENCYSERNCE; RECEIVE <br /> CHEMICAL LOCATION(S)(5) F E 6 1 3 2002 <br /> (Within facility,not street address) <br /> EMERGENCYSE WE <br /> CHEMICAL NAME (8) TRADE SECRET(11) ❑Y N <br /> �MUTUQZ- 01L. <br /> COMMON NAME (9) Ox *EHS(12) ❑Y MN] <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) �a 7 L4 Z _S _, ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVEBLANK <br /> HAZARD CLASS <br /> TYPE (14)1 []PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) 1[:]y <br /> Y CTI N (16) <br /> PHYSICAL STATE(17) [:]SOLID LIQUID [:]GAS <br /> LSI CURIES <br /> FED HAZARD ®FIRE ❑REACTIVE ❑ PRESSURE RELEASE ❑ ACUTE HEALTH [:] CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19)D UNITS* (22) NGAL ❑CU FT MAX DAILY AMT(23)� <br /> CODE ❑LBS ❑ TONS ON-SITE (� <br /> DAYS ON SITE (20)� AVG DAILY AMT(24)� <br /> 3Cs� *If EHS, amounts must be in lbs ON-BYTE SO <br /> LARGEST (21� ANNUAL WASTE AMT(25)D <br /> CONTABVE\y� <br /> STORAGE (26) El 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 AMBIE <br /> PRESSURE <br /> STORAGE (28) ❑AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT 31❑YEH❑S N F— C_AS# <br /> FETY —E]N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) Z?O <br /> (34)WHAT IS MATERIAL <br /> USED FOR. <br /> For Official Use Only: N C ❑ R ❑ S SIC 12/01 <br />