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California Hazardous Arials Inventory Form- Chemical Des tion <br /> PAGE(2) OF(3) <br /> w�wwu eww�w� w ®ws <br /> BUSINESS NAME (4)UNIFIRST CORPORATION <br /> CHEMICAL LOCATION(S)(5)BOILER ROOM <br /> MAP#(6)/ GRID#(7) A l 'INA NA N A N A <br /> CHEMICAL NAME (8)ETASSIUM HYDROXIDE TRADE SECRET(11) 10 YES ®NO <br /> COMMON NAME . (9) PERFORMANCE PLUS 1150 *EHS(12) 10 YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # .(10) 11310-58-3 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 <br /> STATE(17) ❑SOLID ®LIQUID []GAS CURIES <br /> FED HAZARD ®FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) A UNITS*(22) ®GAL ❑LBS <br /> CODE N A ❑CU FT ❑TONS MAX DAILY AMT(23 10 <br /> ON SITE _ <br /> DAYS ON SITE (20) *If EHS,amounts must be in lbs AVG DAILY AMT(24) <br /> 365 ON SITE 5 <br /> LARGEST (215 GAL 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 /> IN PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE 7(27) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT []ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3j)EHS 32 CAS# <br /> 6-8% POTASSIUM HYDROXIDE ❑YES 19 NJ 1310-58-3 <br /> 9% DIETHYLETHANOLANOLAMINE OYES ®N [COO-37-8 <br /> PROPRIETARY HYDROXYETHLIDENE ❑YES ®NJ 2809-21-4 —� <br /> PROPRIETARY SODIUM MOLYBDATE ❑YES 9 NJ 7631-95-0 <br /> ❑YES ❑N I <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 11760 <br /> (34)WHAT IS MATERIAL BOILER WATER TREATMENT <br /> USED FOR? <br /> DATE REC'D: 1/8/04 For Official Use Only: ❑C 0 R ❑S SJC 12/99 <br />