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California Hazardous Arials Inventory Form - Chemical Destption <br /> (1) ®ADD ❑DELETE ❑REVISE PAGE(2) = OF(3) <br /> BUSINESS NAME (4)PRISM TEAM SVCS OF THE VALLEY <br /> CHEMICAL LOCATION(S)(5)NW OUTSIDE LOT <br /> MAP#(6)/ GRID#(7) 1/C2 <br /> CHEMICAL NAME (8) PROPANE TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) PROPANE *EHS(12) ❑YES ®NO <br /> *IF ERS BOX IS"Y" <br /> CAS # (10) 74-98-6 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE []WASTE RADIOACTIVE(15) ❑YES ®NO (16) N/A <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE ❑REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS <br /> CODE N/A ❑CU FT [ITONS MAX DAILY AMT(23 499 <br /> ON SITE <br /> DAYS ON SITE (20)365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 250 <br /> ON SITE <br /> LARGEST (21 499 ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26) ®ABOVE GROUND TANK ❑CAN ❑BOX []TAN <br /> CONTAINER []UNDER GROUND TANK []CARBOY ❑CYLINDER ❑RAI <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑Othe <br /> []STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG [:]TOTE BIN <br /> STORAGE (27) ❑AMBIENT ®ABOVE AMBIENT ❑BELOW AMBI <br /> PRESSURE <br /> STORAGE (28)IN AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> 100 PROPANE ❑YES ®N74-98-6 <br /> ❑ YES ❑N <br /> I F- <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1978 <br /> (34)WHAT IS MATERIAL Forklifts <br /> USED FOR? <br /> DATE REC'D: 1/15/01 For Official Use Onlv: ®C ❑R ❑S SIC 12/99 <br />