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California Hazardous Materials Inventory Reporting Form - Chemical Description Page <br /> t1) ®ADD �DELETB REVISE . 1997 PAGE(2) ❑ OF(3) <br /> BUSINESS NAME (q) <br /> Cal-Sierra Pipe Inc . y-- <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> <br /> vUraCU -NTY <br /> CHEMICAL NAME (8) -1 <br /> Oxygen TRADE SECRET(11) ❑Y ❑X N <br /> COMMON NAME (9) Oxygen *EHS (12) ❑Y ❑X N <br /> CAS # (10) Physical Hazard : Cate or 2 *IF EHS BOX IS "Y" <br /> gory ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD <br /> CATEGORIES <br /> TYPE (14) ©PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) (16) <br /> PHYSICAL STATE(17) SOLID ❑Y ❑N <br /> ❑ ❑LIQUID X❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18)(�❑F1E ©REACI7VE X❑PRESSURE RELEASE E]ACUM HEALTH ❑CHRONIC HEALTH <br /> STATE CODE WASTE (19)I UNITS*(22) ❑GAL ®CU FT MAX DAILY AMT(23) 500 <br /> DAYS ON SITE (20) -- ❑LBS []TONS <br /> 365 *If EHS, amounts must be in 111 AVG DAILY AMT(24) <br /> LARGEST 30 <br /> CONTAINER (21 250 ANNUAL WASTE AMT(25)�� <br /> STORAGE (26) ❑ABOVE GROUND TANK <br /> CONTAINER UNDER GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> ❑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 <br /> TEMPERATURE (28) ®AMTENT ❑ABOVEAMBIEN'T []BELOW AMBIENT ❑CRYOGENIC <br /> 29 NOWT 30 HAZARDOUS COMPONENT <br /> Q 11 EHS 32 CAS# <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(33):; DOT# <br /> For Oft7cial Use Only: C ❑ R ❑ g <br /> SJC 12/96 <br />