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REG$.V�D <br /> r California Hazardoustalerials Inventory Form - Chemical �ll1Lel�s'criplion <br /> 414 HADD ❑DFLE'I'E [:]REVISEI 2001 ocT 15 RUE(2) a] <br /> j OF(3) <br /> n <br /> BUSINESS NAME (4) — 5 CEIVE6 <br /> Y <br /> CHEMICAL LOCATION(S)(5) FEB 21 20Ui <br /> _ + <br /> 0 HOFEMER 1E1 CvSERVICES <br /> CHEMICAL NAME (8)I / TRADE SECRET(I 1) ❑Y R N <br /> COMMON NAME (9) �o_ *BHS( , ❑Y N <br /> 1 <br /> *lP EI{S BOX IS "Y" ' <br /> CAS # (IU) n (' ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVIEBLANK <br /> HAZARD CLASS <br /> TYPE (14) ®PURE ❑MIXTURE ❑WASTE RADIOACTIVE(- ❑ Y N (16)� <br /> ❑ ❑ <br /> PHYSICAL STATE(17) SOLID LIQLRD.®GAS A CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑ [:]REACTIVE ® ❑ ❑ <br /> FIRE PRESSURE RELEASE ACU'IBIIGAL:I'll CIIRUNICIIEAI aII <br /> STATE WASTE (19) UNITS* (22) ❑GAL ©CU F'IMAX DAILY AMT(23)� <br /> CODE ❑LBS ❑TONS ON-SITE <br /> DAYS ON SITE (20) � AVG DAILY AMT(24)� <br /> *If EHS, amounts must be in lbs, ON-SITE 7 <br /> LARGEST (21 ANNUAL.WASTEAMT(25)� <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX []TANK WAGON <br /> CONTAINER ❑ UNER GROUND TANK [:]CARBOY La CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑GLASS BO'l-I'LE ❑-------------------- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TO'I'L' BIN <br /> STORAGE (27)r] AMBIENT ❑ABOVEAMBIEN'T ❑BELOW AMBIENT <br /> PRESSURE LL11 <br /> STORAGE (28)� AMBIENT [:]ABOVE AMBIENT [:]BELOW AMBIENT ❑CRYO(;FN C <br /> "TEMPERATURE <br /> (29)%wT (30)1 1AZARDOUS COMPONENT (31 EHS (32)CAS# <br /> ❑ Y ❑ N <br /> ❑ Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMA'T'ION: )UNITED NATIONS ID#(DO—I j � i 0- U-JVS <br /> (34)WHAT IS MATERIAL <br /> USED FOR? _ <br /> For Official Use OtAy: lk C R L-1 S SJC 12/00 <br />