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California Hazardous Materials Inventory Reporting Form Chemical Description Page <br /> I) ®AbU ❑IaEI..r"IE ❑REVLSE <br /> 1997 PAGE(2) = OF <br /> (3)r, <br /> BUSINESS NAME (a) <br /> CHEMICAL LOCATION(S)15) <br /> MAP#(b)! GRID*(7) <br /> CHEMICAL NAME (8) ?M- ()\ <br /> () euOtj S TRADE SECRET(11) ❑Y �N <br /> pff" <br /> COMMON NAME (9) \ SC 1�N4S IEHS(12) ❑Y 2 N <br /> to 1 'SIF LHS BOX IS "Y" <br /> CAS # (10) l0000`p ALL AMOUNTS MUST 13E 1N LBS <br /> FIRE COUL ;I3) �hy�ti�� � �A II- �Pr�eC.0A� 3 <br /> HAZARD <br /> CATEGORIES t�sp hN j CprCec�o�tAt <br /> i'YYIs (12, ❑PURE ®MIaTURE ❑WASTE RADIOACTTVF{IS) ❑Y Ni <br /> PHYSICAL STATE(0)LLas-OLID LIQUID ❑C..A5 CURIES <br /> 1'E1)HAZARD <br /> CATEGORIES (1.3) ®FIRE ❑REACTIVE ❑MMSU E R&EASE [EACL-IE HFA-M 0CHR0N1C t.ALT1i <br /> STATES WASTE (19) UNITS`(22) ®GAL ❑CU FI MAX DAILY AMT(23) <br /> C01�!r I <br /> ❑ �TONS <br /> DAYS ON SITE (20) LBS AVG DAILY AMT(24; <br /> 1 3 *If E•HS, amounts must be,n lbs X p o <br /> LA ROLST (21 ANNUAL WASTE AMT(25) <br /> (:C)%-!AINL•R <br /> 5TOR 1( 1. (2b)r❑ABOVE GROUND TANK ❑CAN ❑ <br /> BOX []TANK WAGON <br /> CONTAINER �UNDER GRC)U,UU'IA_NK ❑CARBOY ❑ CYLINDER []RAIL CAR <br /> ❑-TANK INSIDE BUILDING ❑ SILO ❑GLASS BOTTLE ❑------------------- <br /> STEFL DRUN ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> J PLAS T IC,NONML'I'ALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STOkAOE ;27)J ® AMBM-NT EJABOVF.AMimiE,,r ❑BELOW AMBIENT <br /> Ili Et 'RE <br /> STOk-,GE 2R) $LE,rl' ❑APOVZAMrillVT BELOW AMBIENT ❑CRYOGENIC <br /> TFM}UKP.TURE <br /> (74)r''�\�7 (30)HAZAI(IX)(_'S COMPONENT (31 1 EHS (32)CAS# <br /> &ra *Lr. ❑Y ❑N Ib -oa-a <br /> F[]Y ❑N <br /> T e ❑Y ❑N 08-8 •3"7 <br /> 37art,, (tY9� ❑Y ©N Vb-1-cm-3 <br /> Ztta ❑Y ❑NZ- <br /> ADPITION'�L LOCALLY COLLECTED INFORNIA110N(33)- DOT# 12.0 <br /> For Official Use Only: J C It S SIC 12A6 <br />