Laserfiche WebLink
California Hazardous Materials Inventory Reporting Form - Chemical Description Pa e <br /> (() C D❑ DELETE OREVISE 2004+ PAGE(2) OF (3) <br /> F-1 <br /> r•ISINESS NAME (4) 99 She* 7524-4180 <br /> CHEMICAL LOCATION u) a �' <br /> MAP#(6) / GRID#(7) <br /> CHEMICAL NAME (s) CARBO IOXIDE TRADE SECRET (li) ❑Y ON <br /> COMMON NAME ) CARBON DIOXIDE GAS EHS(12) ❑y ON <br /> IF EHS BOX IS"Y" <br /> CAS;; (io) 124-38-9 <br /> ALL AMOUNTS MUST BE M LBS <br /> FIRE CODE LEAVE BLANK <br /> HAZARD CLASSES (13) <br /> TYPE (14) PURE ❑ MIXTURE ❑ WASTE RADIOACTIVE(o) ❑Y ON F(l <br /> PHYSICAL S'I'A'rE (17) Cl SOLID ❑ LIQUID Iq GAS CURIES <br /> FED HAZARD ❑ FIRE ❑ REACTIVE tdPR.ESSUR.E RELEASE X ACUTE HEALTH ❑CHRONIC HEALTH <br /> CATEGORIES ((8) <br /> STATE WASTE (19) UNITS(22) ❑ GAL KCU FT MAX DAILY AMT(23) 150 <br /> CODE ❑ LBS ❑TONS <br /> DAYS ON SITE (2o) 365 It EHS,amounts must be in Ib. AVG DAILY A.MT(24) 150 <br /> 1OEST (21 <br /> ) 75 ANNUAL WASTE AMT(25) <br /> CuNTAINSTORAGE (26) ❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY WYLINDER ❑RAIL CAR <br /> 12 ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑BATTERY CELL <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> S ORALE (27) ❑ AMBIENT ABOVE AMBIENT 11 BELOW AMBIENT <br /> STORAGE ('-s) px AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (3o)HAZARDOUS COMPONENTS (31)EHS (32)CAS# <br /> 100% CARBON DIOXIDE ❑Y ON 124-38-9 <br /> ❑Y ON <br /> ❑Y ON <br /> ❑Y ON <br /> ❑Y ON <br /> ADD AL LOCALLY COLLECTED INFORMATION (33)UNITED NATIONS ID#(DOT) 1013 <br /> (34)WHAT IS THE MATERIAL PROPELLENT <br /> USED FOR <br />