Laserfiche WebLink
California Hazardous Merials Inventory Form - Chemical Des tion <br /> PAGE(2) OF(3) <br /> BUSINESS NAME (4)1UNIFIRST CORPORATION <br /> CHEMICAL LOCATIONS)(5)BOILER ROOM <br /> MAP#(6)/ GRID#(7) MAP 1 I A l INA N A INA <br /> CHEMICAL NAME (8)LCYCLOHEXYLAMINE TRADE SECRET(11) ®YES ❑NO <br /> COMMON NAME (9) PROTECTION PLUS 2150 *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 1108-91-8 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES ®NO (16) 0 <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD ❑FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH F-1CHRONICHEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS*(22) ®GAL El <br /> CODE N A ❑CU FT [ITONS MAX DAILY AMT(23)5 <br /> ON SITE <br /> DAYS ON SITE .(20)r � *If EHS,amounts must be in lbs AVG DAILY AMT(24) <br /> 1365 ON SITE 110 <br /> LARGEST (215 GALLON ANNUAL WASTE AMT(25)INA <br /> CONTAINER <br /> STORAGE .(26) ❑ABOVE GROUND TANK []CAN ❑BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ❑CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTHER <br /> ❑STEEL DRUM ❑FIBER DRUM []PLASTIC BOTTLE ❑Other... <br /> ®PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)% 30 HAZARDOUS COMPONENT (3 1)EHS (32)CAS# <br /> 10 PPM FY—CLOHEXYLAMINE ❑YES ®N 108-91-8 <br /> 50MG/MG3 DIETHYLETHANOLAMINE ❑YES ®N 100-37-8 <br /> NE SODIUM MOLYBDATE ❑YES ®N �-9 s <br /> ❑YES ❑N F <br /> ❑YES ❑R�l <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#-(DOJT) JUN2735 <br /> (34)WHAT IS MATERIAL BOILER WATER TREATMENT <br /> USED FOR? <br /> DATE REC'D: 1/8/04 For Official Use Only: 0 C 0 R 0 S SJC 12/99 <br />