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California Hazardous 0 terials Inventory Form - Chemical ecription <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) PECTRUS OX1200 TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) IMICROBIAL CONTROL *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS# (10) 16079-88-2 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD <br /> CATEGORIES LEAVE BLANK <br /> TYPE (14) 0 PURE ❑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 /> is <br /> STATE WASTE (19) UNITS*(22) ❑GAL ®LBS MAX DAILY AMT(23) <br /> CODE /A [3CU FT ❑TONS 150 <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS,amounts must be in lbs AVG DAILY AMT(24) <br /> 65 ON SITE 100 <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 /> 171 CAN r7l CYLINDER MOTHER <br /> STORAGE (27) ®AMBIENT [I BELOW AMBIENT <br /> PRESSURE ABOVE AMBIENT <br /> TORAGE (28) ®AMBIENT ❑ABOVE AMBIENT [I BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29) %WT (30)HAZARDOUS COMPONENT (31) EHS (32)CAS# <br /> 1001-BROMO-3-CLORO-5 5 ❑YES M NO 16079-88-2 <br /> IDIMETHYLHYDANTOIN <br /> ❑YES ❑NO <br /> ❑YES 11—N 0 <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> .ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) /A <br /> (34)WHAT IS MATERIAL MICROBIAL CONTROL AGENT <br /> USED FOR? <br /> DATE REC'D: 12/8/08 or Official Use Oniv: ❑C ❑R ®S SIC 12/99 <br />