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RE90MV <br />California Hazardous Materials Inventory Form - emica escriptionffp <br />(1) EJADD ❑ISEDELETE ❑REV2001 AUG 2 % 2WPAGE (2) laiBUSINESS NAME (4) •l OFFICE OFEMERGENCYSEFMCES I 1 I <br />_-0 . I;:- C_ _ - rte : " SAN JOAs2UI J POINTY <br /> <br /> <br /> <br />CHEMICAL NAME (8) Z TRADE SECRET (It) ❑ Y t N <br />C� <br />*EHS (12) Y <br />COMMON NAME (9) � \\ ❑ <br />�'l� �KIdL <br />*IF EHS BOX IS "Y" <br />CAS # (10) q ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) LEAVE BLANK <br />HAZARD CLASS <br />TYPE (14) ❑ PURE IXTURE ❑WASTE RADIOACTIVE (15) ❑ Y 16) <br />PHYSICAL STATE (17) ❑SOLID []LIQUID ❑GAS CURIES <br />FED HAZARD <br />CATEGORIES (18) ❑ FIRE ❑ REACTIVE E31�RESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) ❑GAL [:]CU FT MAX DAILY AMT (23) <br />CODE ❑� ❑TONS ON-SITE goo <br />DAYS ON SITE (20) AVG DAILY AMT (24) <br />2,1 *If EHS, amounts must be in lbs ON-SITE f S� <br />LARGEST (21 ANNUAL WASTE AMT (25) <br />CONTAINER qa D <br />STORAGE ( <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />(27) ❑ AMBIENT [_ ABOVE AMBIENT ❑BELOW AMBIENT <br />(28) ❑ AMBIENT ❑ ABOVE AMBIENT OtELOW AMBIENT ❑ CRYOGENIC <br />(3(1) HAZARDOUS COMPONENT (3 1) EHS <br />(32) CAS# <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) i <br />(34) WHAT IS MATERIAL <br />USED FOR? <br />For Official Use Only: V I C I I R I I S <br />SJC 12/00 <br />❑ Y <br />--'�73 <br />YE]NIF <br />❑Y ❑N <br />❑Y ❑N <br />F <br />❑Y NJ <br />F <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) i <br />(34) WHAT IS MATERIAL <br />USED FOR? <br />For Official Use Only: V I C I I R I I S <br />SJC 12/00 <br />