Laserfiche WebLink
California Hazardous Wrials Inventory Form - Chemical Wription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4) TED'S WELDING & REPAIR <br /> CHEMICALLOCATION(S) (5) <br /> <br /> CHEMICAL NAME (8) WASTE OIL TRADE SECRET(11) ❑ YES ®NO <br /> COMMON NAME (9) WASTE OIL *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) MIXTURE ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ❑MIXTURE ®WASTE RADIOACTIVE(15) ❑YES ®NO (16) N/A <br /> PHYSICAL STATE(17) ❑SOLID H 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 /> 221 ❑GA FT [ITONS MAX DAILY AMT(23) <br /> CODE 5 5 <br /> ONSITE <br /> DAYS ON SITE (20)3 6 5 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 4 0 <br /> ON SITE <br /> LARGEST (21)S S ANNUAL WASTE AMT(25) 3 0 <br /> CONTAINER <br /> STORAGE (26)❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ❑CYLINDER 13RAIL <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 /> ❑YES [:]Nql <br /> ❑YES ❑N �� <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 9189 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? <br /> DATE REC'D: 9/22/06 For Official Use Only: HC ❑ R ❑S SIC 12/99 <br />