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wtle 5 a-007 <br /> California Hazardous M*ials Inventory Form - Chemical Dption <br /> AGE(2) = OF(3) <br /> BUSINESS NAME <br /> (4)TRACY, CITY OF WATER TR - LEWIS MANOR <br /> OEMICAL LOCATION(S)(5) PUMP HOUSE <br /> MAP#(6)/ GRID#(7) 5 E 3 <br /> CHEMICAL NAME (8) CHLORINE TRADE SECRET (11) ❑YES ®NO <br /> COMMON NAME (9) <br /> *EHS (12) ®YES ❑NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 7782-50-5 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ®PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑yF.S ® NO (16) <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)150 <br /> CODE ❑CU FT ❑TONS ON SITE <br /> S ON SITE (20) 365 *If EHS,amounts must be in lbs AVG DAILY AMT(24) 100 <br /> ON SITE <br /> LARGEST (21 150 ANNUAL WASTE AMT(25)D <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 (31)EHS 32 CAS# <br /> ❑YES ❑N <br /> _JI <br /> ❑YES ❑N <br /> ❑YES I <br /> ❑YES ❑ N <br /> ❑YES ❑N <br /> IFDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1017 <br /> )WHAT IS MATERIAL <br /> USED FOR? <br /> DATE REC'D: 5/19/05 For Official Use Only: ❑C ®R ❑S SJC 12/99 <br />