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California Hazardc7Ps Materials Inventory Form - ChTmical Description <br /> (U oADD ODELETE REVISE 2001 PAGE(2) OF(3) <br /> BUSINESS NAME (4) <br /> Aur <br /> CHEMICAL LOCATION(S)(5) JAN 16 2001 <br /> MAP# (6)/ GRID#(7) E= E= <br /> CHEMICAL NAME (8) TRADE SECRFT(I I) ❑Y JC N <br /> �jLVCrIC'OL t 2 3 - f�C)P�hl�'/C� <br /> COMMONNAME (9) ���Ye� ,NC *EHS (12) ❑Y N <br /> *IF EHS BOX IS"Y" <br /> CAS # 1 Ill) GJ ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) ❑PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y N (16) <br /> PHYSICAL STATE(17)1 []SOLID LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE ❑RFACTIVE [:]PRESSURE RELEASE ❑ ACU'IT HEALTH ❑ CHRONIC HEALTIi <br /> STATE WASTE (19)D UNIT'S*(22) [AGAL ❑CU Ff MAX DAILY AMT(23)� <br /> CODEON-SITE Z C�t1lLCaJS <br /> ❑LBS []TONS <br /> DAYS ON SITE (20) 3��J DAILY AM f(24) <br /> *If EHS, amounts must be in Ibs ON-SITE ' ACLCh) <br /> LARGEST (21 ANNUAL WASTE AMT(25) <br /> CONTAINER 5J SAL . <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 0-------------------- <br /> OSTEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) 19 AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28)IMAMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> �Y ❑N <br /> ❑Y ❑N <br /> FEY ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL <br /> USED FOR? `x,t+7-,— -w rr <br /> For Official Use Only: [—] C L7 R I J S SIC 12/IX0 <br />