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BUSINESS NAME: <br />CONTACT NAME: <br />SITE ADDRESS: <br />LIST <br />—Carr:tuM INVENTORY <br />Page Of --7 _ <br />Chemical Name: _,JZl <br />Trade Name: <br />Classification:�Toxic <br />raAPt_t cA tkc - <br />t Trade Secret Yos <br />ENS Material ­YesWaste <br />4ignitable _Corrosive —Reactive ,,,,_Extremely Hazardous <br />DQT# ! <br />CAS Number of Days on Site/Year: 1% <br />Daily Amount Stored: <br />Physical State: <br />2 Q Max, t2.Q Ave. Units of Measure: Xgat. Lbs.._Cu.Ft. <br />61 <br />Physical Hazards: <br />—Solid ,Liquid _Gas _Mixture (must complete components of mixture below) <br />Fire Pressure <br />—PressureReactivity <br />Health Hazards: <br />lncompatibleMatertals: <br />r <br />_,,,Acute � Chronic (delayed) )! rrltant <br />E <br />Storage Type: XAboveground Tank _Underground Tank _Drum — Cylinder _,Secondary Containment <br />Other: <br />Storage Pressure:A'7M�pN�Rt <br />Storage Location: <br />Storage Temperature ( F): _Egpbd <br />How is material used: _ALn r) m rrt t v r- ®....►� � � .- .-. ... _ - _ _ __ <br />9 Mixture: (List the three most hazardous components (by weight): <br />1. <br />2. <br />CAS#tv�t�t`r��aF o <br />/® wt Lb0o <br />3. <br />CAS# prnpR,cc-•-rP,R.y °/®wt_ -to <br />OAS# PRIC-`fAfL`_y®_ <br />{t <br />Chemical Name: <br />Trade Name: 2®W - <br />S4_ MtTI0 - .. Trade Secret -yes <br />Waste Classification: <br />&Toxlc Xignitable Corrosive Reactive `Extremely Hazardous EHS Matenal Yes <br />DOT# JgaQ_ <br />CAS#��,yt-�V(Z _ Number of Days on Site/Year: 3� <br />Daily Amount Stored: <br />Physical State: <br />l20 Max. Cap Ave. Units 4f Measure: <br />!Solid ►Gal• —Lbs. ____Cu.Ft. <br />2S.Liquid <br />Physical Hazards: <br />_Gas _Mixture *1 (must complete components of mixture wow) <br />�Flre ,_„Pressure Reactivity <br />Health Hazards: <br />incompatible Materials: <br />®Acute (immediate) _Chronic (delayed) XIrritant <br />6t3S <br />Storage Type: X Aboveground <br />Other: <br />Tank _Underground Tank ®,Drum ®Cylindor _Secondary Containment <br />Storage Pressure: <br />Storage Location: <br />Storage Temperature ( F�: _RppM <br />How is material used: <br />1 <br />J <br />1 Mixture: (List the three mast hazardous components (by weight): <br />1. <br />t CAS#_ %wt <br />%wt <br />3. l <br />_ CAS# PRO t?R.�t t = i AR `f % wt <br />CAStt�Pt'�o <br />-- ----- -- % wt _ 1 Do <br />FOR OES USE ONLY: `� g _... TOTAL#_ EHS REVIEWED BY INSP.� . <br />9 (b) <br />