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California Hazardous sterials Inventory Form - Chemical ecription <br /> PAGE(2) =OF (3) <br /> BUSINESS NAME (4) <br /> NIAGARA BOTTLING LLC <br /> ,CHEMICAL LOCATION(S)(5) <br /> /A E:=- <br /> ,CHEMICAL NAME (8) DEPOSITROL PY5200 TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) IDEPOSIT CONTROL AGENT *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS# (10) OT HAZARDOUS AS DEFINED BY OSHA ALL AMOUNTS MUST BE IN LBS <br /> WEGULATIONS <br /> FIRE CODE (13) <br /> HAZARD <br /> CATEGORIES LEAVE BLANK <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) O FIRE ❑REACPIVE ❑PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH ❑ <br /> STATE WASTE (19) UNITS*(22) ❑GAL ®LBS <br /> CODE N/A ❑CU FT ❑TONS MAX DAILY AMT(23) 6 <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS,amounts must be in lbs AVG DAILY AMT(24)IJ <br /> 65 ON SITE <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER 8 <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 171 CYLINDER rIOTHER <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 /> /A /A ❑YES ®NO /A <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) /A <br /> (34)WHAT IS MATERIAL DEPOSIT CONTROL <br /> USED FOR? <br /> DATE REC'D: 12/8/08 ur Official Use Only: 0 C 0 R ®S SIC 12/99 <br />