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California Hazardo Materials Inventory Form - ChOcal Description <br /> (1) ADD DELETE REVISE 2001 PAGE(2)L`l il�t1 OF(3) <br /> Q [)� <br /> BUSINESS NAME (4) <br /> F RIPON MAR 2 32001 <br /> CHEMICAL LOCATION(S)(5) 1 n4 tdL YI t Xj armCE <br /> U rn� JOA(l IN UNP' <br /> ET _ + 7Fs( OFEMF.k6ENCVSEkVi()r5 <br /> MAP# (6)/ GRID#(7) <br /> CHEMICAL NAME (8) SODIUM HYPOCHORITE ❑TRADE SECRET (11) Y X N <br /> COMMON NAME (9) *EHS (12) ❑Y ©N <br /> CHLORINE / BLEACH <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) 9681-52-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) []PURE ❑MIXTURE ❑WASTE RADIOACTIVE 05) ❑Y ®N (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)HLBS <br /> [:]GAL CU FT MAX DAILY AMT(23)�� <br /> CODE ON-SITE 60 <br /> ❑ TONS <br /> DAYS ON SITE 20) AVG DAILY AMT(24) <br /> 365 *(f EHS, amounts must be in lbs ON-SITE 30 <br /> OARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER 52 0 <br /> STORAGE (26) ❑ ABOVE GROUND TANK ❑ CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER ❑ UNDER GROUND TANK ❑CARBOY ❑ CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑-------------------- <br /> ❑STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> Q PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ❑ AMBIENT ❑ABOVE AMBIENT []BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑ CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30) HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> 10-16 SODIUM HYPOCHORITE ❑ Y ®N r 7681-52-9 <br /> ❑Y ❑N <br /> ❑ Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> DDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1791 <br /> (34)WHAT IS MATERIAL <br /> USED FOR'? WATER TREATMENT (DISINFECTION) <br /> For Official Use Only: [:] C S R F S S]C 12/00 <br />