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HVSIRLC.TIQVS FCR COWLETITG 7NE LRZARDGUS 1MUZZAL DATA INVEMMY STMT <br /> SECTIaV 1 (top section) <br /> Business Name: Legal name of coq--any, corporation, or business <br /> Site Address: Street address (not mailing), city, and zip code of the location <br /> where hazardous materials are locate/ or used. <br /> SECTICIV 2 - IATUz'fATIQ'V aV C71F1KIC]1L.S <br /> C.haidca1 Name: Enter the technical name, i.e. , Methyl Brrmide <br /> 71ade Nave: Ehter i most metra: trade name(s) for material <br /> Trade Secret: Check YES or AV as appropriate <br /> DeParGment of Transpartation (LOT) <br /> - United Nations/North America Number: Ehter the 4-digit number code <br /> - Hazard Class: <br /> 1. E5vlosives <br /> 2. Gases (Ccnprrnssel, L guified or Dissolved tWer pressure) <br /> 3. Flammable Liquids <br /> 4. Flammable Solids or Substances <br /> 5. Oxidizing Substances <br /> 6. poisonous and Infectious Substances <br /> 7. Radioactive Substances <br /> S. Corrosives <br /> 9. Miscellaneous Dangerous Substances <br /> Chernical Abstract Nimzber(CAS #) baiter the O)emical Abstract Service number <br /> used <br /> How Stored: State what type of cmtainers arra used to stare the materials <br /> Location of Stared(Used Material: Enter location of where the material is <br /> stored or used at your facility, i.e. , Building #9. <br /> How is Material Used? Describe what the material is used for at you facility. <br /> Amount Handled: 7btal amount handled in a full year, and the total amount <br /> handled at any one tine, circle the unit the unit appcvpriate to the material <br /> handled; gallons, cubic feet or pounds. please make a notation if you handle <br /> materials which are measured in kilograms or curry. Tbtal amount handled in a <br /> year can be given as an appruxlimte range. <br />