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California Hazardousaterials Inventory Reporting F� •Chemical Description Page <br /> (�) ❑ADD [::]DELETE ❑REVISE 1997 NOV ,991 PAGE(2) = OF(3) <br /> BUSINESS NAME (4) <br /> &A <br /> /� <br /> CHEMICAL LOCATION(S)(5) J7J <br /> <br /> <br /> CHEMICAL NAME (8) F, / TRADE SECRET(11) ❑Y ❑N <br /> CJ _!V *EHS(12) ❑Y ❑N <br /> COMMON NAME (9) <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) F <br /> ALL AMOUNTS MUST BE IN LAS <br /> FIRE CODE ()3) <br /> HAZARD <br /> CATEGORIES <br /> TYPE (14) PURE []MIXTURE ❑WASTE RADIOACTIVE(15) ❑1 ❑ N (16) <br /> PHYSICAL STATE(17) ❑SOLID ❑LIQUID N G=AS CURIES <br /> FED RD <br /> CATEGORIES <br /> ❑ FIRE ❑REACITVE ®PRESSURE RELEASE E]ACUTE HEAL-M ❑CHROMCHEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19)�� UNITS* (22) ❑GAL g CU FT MAX DAILY AMT(23) <br /> CODE 1[:]LBS ❑ TONS <br /> DAYS ON SITE (20) AVG DAILY AMT(24)� <br /> *If EHS, amounts must be in lbs <br /> LARGEST (21 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX [—]TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY R CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE 0-------------------- <br /> El 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 ❑ABOVEAMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT 31 EHS (32)CAS# <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> YEJ❑N <br /> I ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(33): DOT# <br /> For Oft;cial Use Only: C 0 R ❑ S SIC 12/96 <br />