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BUSINESS NAME: <br />CONTACT NAME: <br />3ITEADDRESS: <br />HEM19AL iNVENTORN <br />Page --L of _7 <br />Chemical Name: <br />p <br />Trade Name: t - <br />Trade Secret Yes <br />5 <br />Waste Classification: <br />EHS Material etas <br />,&Toxic XIgnitable „_Corrosive Reactive ®Extremely Hazardous <br />©OT#�Z <br />CAS# BUa,Q -p�.. {e Number of Days on Site/Year: �' _ <br />.� <br />Daily Amount Stored: <br />Physical State: <br />�Q^ Max, 1 b Ave. Units of Measure: <br />gond �,®aL Lbs. ®Cu.Ft. <br />?$,Liquid Gas <br />Physical Hazards: <br />_.Mixturei°t (must complete components of mixture below) <br />ire ®Pressure <br />Health Hazards: <br />Incompatible Materials: <br />_„-Reactivity <br />_Acute (immedlate) ® Chronic (delayed) S.Qrrjtjnt <br />Storage Type: _ ® Aboveground Tank _Underground Tank XDrum —Cylinder Seco <br />Other: ndary Containment <br />Storage Pressure: A'TMbgpMC-;r{IC <br />Storage Location: <br />S <br />Storage Temperature ('F): ;4OOM <br />► <br />► <br />How iSmaterial used: WASXAIi-V ....a,, e- <br />s Mixture: (List the three most hazardous components (by weight): <br />1. ,,,�t --- CAS#2. <br />3' GAS# <br />Chemical Name: r. n s E <br />Trade Name; v Trade Secret Yes <br />Waste Classification: EHS Material ®Yes <br />�C Toxic �lgnttabl® Corrosive Reactive Extremely Hazardous <br />DOT# CAS# MIX`fUf�t^ Number of pays on Site/Year: _ <br />Daily Amount Stored: 2 Max. _( Ave. Units of M _ <br />Physical State: !Solid ®Liquid _Gas Mixture °r (must complete components of mtixtu wSow) Cu.Ft. <br />Physical Hazards: -Solid <br />_Pressure _ Reactivity <br />Health Hazards: ®Acute (Immediate) Chronic (delayed) ,Irritant <br />Incompatible Materials: <br />Slorage Type: _Aboveground Tank —Underground Tank ®Drum <br />Other: Ifo 0Z S ®Cylinder _Secondary Containment <br />Storage Pressure: Storage Tem <br />Storage Location: 8 perature (F�: g <br />How is material used:-CLV.-'AK)ttJA- AL— (� ^�iZct f3TreMtt'1► r� a.o®vF p <br />i Mixture: (List the three most hazardous components (by weight): <br />1 . Rnr®Qac. oc <br />2• -. { <br />wt <br />� <br />3. CAS# <br />wt <br />FOR OES USE ONLY: L _ S _ TOTAL#_ EHS REVIEWED BY INSP <br />9 (b) <br />