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California Hazardous 9terials 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) IANODIC DN310 TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) CORROSION INHIBITOR/DEPOSIT *EHS (12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS# (10) H-53-2,1310-58-3,202420-04-0 ALL AMOUNTS MUST BE IN LBS <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) ® FIRE ❑REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH ❑ <br /> STATE WASTE (19) UNITS* (22) ❑GAL ®LBS <br /> CODE /A ❑CU FT ❑TONSMAX DAILY AMT(23)168 <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS,amounts mus[be in lbs AVG DAILY AMT(24) <br /> 65 ON SITE 6 <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 /> CAN Q CYLINDER MOTHER <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 /> /A HOSPHORIC ACID ❑YES ®NO 778-53-2 <br /> /A POTASSUIM HYDROXIDE ❑YES ®NO 1310-58-3 <br /> /A HLOROTOLYLTRIAZOLE ❑YES ®NO 02420-040 <br /> ❑YES ❑NO <br /> ❑YES ❑NO <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) /A <br /> (34)WHAT IS MATERIAL CORROSION INHIBITOR <br /> USED FOR? <br /> .DATE REC'D: 12/8/08 or Official Use Only: ❑C ❑R HS SJC 12/99 <br />