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BUSINESS NAME: <br />CONTACT NAME: <br />SITEADARESS: <br />Chemical Name: <br />Trade Name:_ Trade Secret Ye's <br />EHS Mate <br />Waste Classification: _ �& oxlc &Ignitable �Corrosive a:—Reactive Hazardous nal Yeti <br />DO T# `]Q_ CASit III PLL Number of Days on She/Year: S <br />Daily Amount Stored: t� Max, 2-5—Ave. <br />Physical State: _Solid Units of Measure: X®at. _Lbs. _Cu,Ft, <br />Liquid •_, Gas Mixture Y (must complete components of miMrobolow) <br />Physical Hazards: X,Fire _Pressure Reactivity <br />Health Hazards: Acute (immediate) _,_• Chronic (dolayod) Xlrrttant <br />Incompatible Materials: Tyr) K3 r— <br />Storage Type: ,,,,_Aboveground Tank Underground TankDrum ® Cylinder <br />Other: Secondary Containment <br />Storage Pressure: Storage Storage Temperature ('F): <br />Storage Location: <br />How ismaterialused:_PIlLrjoMrr'tty= celc0,�r._.. <br />I Mixture: (List the three most hazardous components (by weight): <br />1, L tc,4 ��G CASIt_ MUc'7o c <br />2. I..I TWIINKw ixhAyt...,r-� $rJAp �._._ /oWt$Q <br />3. F?x`IR�nrtt; D��t • vc RcADt•-t1VCAS#_..f�R.�ti;`TA�RY %wt�p- ZO <br />CAS# p 0- wt <br />Chemical Name: APPt �rr,a s c <br />Trade Name: Atm r t -. t=R _ Trade Secret Yee <br />Waste Clat3sification XToxlc IgnitableEHS ®Corrosive ._ _Reactive —Extremely Hazardous Material .....Yes <br />DOT#,jL.q_?_ CAS# -2.1 l' <br />Number of Days on Site/Year: <br />Daily Amount Stored: ---8L--M ax. _ 4 — <br />Physical State: Solid Ave. Units of Measure: XGal, _Lbs. _Cu.Ft. <br />Physical Hazards: -i4uid _Gas _Mixture "1 (must complete campononts of mixtum Wow) <br />XFire ,Pressure Reactivity <br />Health Hazards: ,Acute (Immediate) _Chronic (delayed) XIrrhant <br />Incompatible Materials: <br />Storage Type: Aboveground Tank ®Underground Tank <br />Other: .�Orum „Cylinder Secondary Containment <br />1 GA1�Wt`o,�-Y t [; CA <br />1 Pt.r�rt ®t.,J <br />Storage Pressure: :� Storage <br />Storage Local Ion: t _ g Temperature ( F): o <br />How is material used: AL" ®Mei""" t r_ . . <br />s Mixture: (List the three most hazardous components (by weight): <br />1.� T)�Y.S..����a Lit r.Ci <br />2 GAS# - %wt_84-d"A '.. <br />3. t CAS#__ tit -Alb %wt D <br />CASt!M�Y^lt1R-�__..._ %wt_7..-11 <br />FOR OES USE ONLY: L _ —�"—•- <br />S ® TOTAL# EHS REVIEWED BY INSP ; <br />9 (b) <br />