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California Hazardous 0terials Inventory Form - Chemical 0cription <br /> PAGE(2) =OF(3) <br /> BUSINESS NAME (4) <br /> IAGARA BOTTLING LLC <br /> CHEMICAL LOCATION(S) (5) <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) LEEN MCT 511 TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) IMEMBRANE CLEANER *EHS (12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS# (10) 064-31-3,139-89-9,102-71-6,141-43-5,111-42-2 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD <br /> CATEGORIES LEAVE BLANK <br /> TYPE (14) ❑PURE H MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES ®NO 16) <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 /A ❑CU FT [I TOM MAX DAILY AMT(23) 5 <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS,amounts must be in lbs AVG DAILY AMT(24) <br /> 65 ON SITE 0 <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK []CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM []BAG ❑TANK WAGON <br /> ®PLASTIC/NONMETALLIC DRUM []BOX ❑RAIL CAR <br /> CAN CYLINDER DOTHER <br /> STORAGE (27) ® AMBIENT ❑BELOW AMBIENT <br /> PRESSURE ABOVE AMBIENT <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30) HAZARDOUS COMPONENT (31) EHS (32)CAS# <br /> 1 ITRILOTRIACETIC ACID ®YES ❑NO 064-31-3 <br /> 0 -HYDROXYETHYLENEDIAMINEIACFTIC ACID ❑YES ®NO 139-8-9 <br /> 0 RIETHANOLAMINE ❑YES ®NO 102-71-6 <br /> 0 IMONOTHANOLAMINE ®YES ❑NO 141-43-5 <br /> DIETHANOLAMINE ®YES ❑NO 11-42-2 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) /A <br /> (34)WHAT IS MATERIAL REVERSE OSMOSIS CLEANER <br /> USED FOR? <br /> DATE REC'D: 12/8/08 For Official Use Only: EIC ❑R ®S SJC 12/99 <br />