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California Hazardous *erials Inventory Form - Chemical Wiption <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4) TED'S WELDING & REPAIR <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) ACETYLENE TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) ACETYLENE *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 74-86-2 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ®PURE [:]MIXTURE ❑WASTE RADIOACTIVE(15) ❑y ES ®NO (16) N/A <br /> PHYSICAL STATE(17) ❑SOLID ❑LIQUID H GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ❑GAL ❑LBSMAX DAILY AMT(23)500 <br /> CODE IN CU FT ❑TONS ON SITE <br /> DAYS ON SITE (20) *If EHS, amounts must be in lbs AVG DAILY AMT(24)L J <br /> 365 ONSITE 200,500 <br /> LARGEST (21)2911 ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26)❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ®CYLINDER ❑RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other <br /> ❑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 /> LO YES ❑N <br /> ❑YES ON <br /> OYES ❑N <br /> OYES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1001 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? <br /> DATE RECD: 9/22/06 For Official Use Only: H C ❑R [IS SIC 12/99 <br />