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California Hazardouslterials Inventory Form - Chemical Wription <br /> PAGE(2) =OF(3) <br /> BUSINESS NAME (4) IAGARA BOTTLING LLC <br /> CHEMICAL LOCATION(S)(5) <br /> " MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) CENTAC TECHTROL GOLD III TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) /p <br /> *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 03-13-5,67762.53-2 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD <br /> CATEGORIES LEAVEBLANK <br /> TYPE (14) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES ®NO (16) <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE ❑REACTIVE [IPRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH ❑ <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS <br /> CODE N/A ❑CU FT ❑TONSMAX DAILY AMT(23)10 <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS,amounts mus[be in lbs AV G DAILY AMT(24) <br /> 65 ON SITE <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER 5 <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 rl CYLINDER rl OTHER <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 (3 1)EHS (32)CAS# <br /> 0 I 1POLYPROPYLENE GLYCOL ❑YES ®NO 003-13-8 <br /> 0 IETHYLENEDIAMINE TETRAACETIC ACID ❑YES ®NO 7762-53-2 <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) /p <br /> (34)WHAT IS MATERIAL COMPRESSOR MAINTENANCE <br /> USED FOR? <br /> DATE REC'D: 12/8/08 or Official Use Only: ®C ❑R 0S SJC 12/99 <br />