Laserfiche WebLink
0 0 <br />California Hazardous Materials Inventory Form - Chemical Description <br />(I) ADD DELETE REVISE 2001 PAGE (2) =OF(3)� <br />BUSINESS NAME (4) <br />On's Aur0 OraV Icy, <br />CHEMICAL LOCATION(S) <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) <br />rreeZ�- TRADE SECRET (I I) ❑Y : <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD CLASS <br />TYPE (14; <br />PHYSICAL STATE (17) <br />i FED HAZARD <br />-/'tY1i"11YC�Ze- <br />CATEGORIES <br />(I8; <br />STATE WASTE <br />(19, <br />CODE <br />❑PURE (MIXTURE ❑WASTE <br />DAYS ON SITE <br />(20 <br />LARGEST (21 <br />CONTAINER <br />STORAGE (26 <br />CONTAINER <br />STORAGE (27 <br />PRESSURE <br />STORAGE (28 <br />TEMPERATURE <br />j�1'I I <br />l�yy{N <br />*EHS (12) ❑Y LCy N <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />-/'tY1i"11YC�Ze- <br />LEAVE BLANK <br />RADIOACTIVE(15) ❑Y N (16)� <br />CURIES <br />❑PURE (MIXTURE ❑WASTE <br />❑SOLIDWLIQUID ❑GAS <br />❑ FIRE ❑REACTIVE ❑ PRESSURE RELEASE <br />ACUTE HEALTH ❑ CHRONIC HEALTH <br />UNITS* (22)GAL ❑ CU FT MAX DAILY AMT (23) <br />00:11-13S[:]TONS TONS ON-SITE <br />AVG DAILY AMT (24) <br />*If EHS, amounts must be in lbs ON-SITE <br />55 ANNUAL WASTE AMT (25) <br />❑ ABOVE GROUND TANK ❑ CAN <br />❑ UNDER GROUND TANK ❑ CARBOY <br />❑ TANK INSIDE BUILDING SILO <br />❑ STEEL DRUM ❑ FIBER DRUM <br />PLASTIC/NONMETALLIC DRUM ❑ BAG <br />❑ BOX ❑TANK WAGON <br />❑ CYLINDER ❑ RAIL CAR <br />GLASS BOTTLE ❑-------------------- <br />❑ PLASTIC BOTTLE <br />❑ TOTE BIN <br />I AMBIENT ❑ ABOVE AMBIENT [:]BELOW AMBIENT <br />1 AMBIENT ABOVE AMBIENT []BELOW AMBIENT ❑ CRYOGENIC <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: <br />(34) WHAT IS MATERIAL(-( r Ulna-- , <br />USED FOR? �J� <br />For Official Use Only: C ❑ R ❑ S <br />NT (31)EHS <br />❑Y ❑N C <br />FF] Y ❑N C <br />❑Y _E] N <br />❑Y ❑N C <br />(33) UNITED NATIONS ID # (DOT) <br />SIC 12/00 <br />