Laserfiche WebLink
California Hazardous Maials Inventory Form- Chemical Des tion <br /> PAGE(2) OF(3) <br /> BUSINESS NAME ; (4) UNIFIRST CORPORATION <br /> CHEMICAL LOCATION(S)(5)WASTE WATER ROOM <br /> MAP#(6)/ GRID#(7) 1/A 4N A _ N A N A —� INA <br /> CHEMICAL NAME. (8) ANIONIC POLYMER DWT672 TRADE SECRET(11) 10 YES ®NO <br /> COMMON NAME (9) POLYMER *EHS(12) IQ YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 1064742-47-8 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE ❑W—A-S-T—E-1 RADIOACTIVE(15) ®YES 19 (16)10 <br /> PHYSICAL STATE(17) ❑SOLID 5 LIQUID []GAS ' CURIES <br /> FED HAZARD <br /> CATEGORIES (18)10FIRE [:]REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTEGAL(19)�� UNITS*(22) ®❑GAL EILBS MAX DAILY AMT(23 6 0 <br /> CU FT ❑TONS ONSITE <br /> CODE <br /> DAYS ON SITE (20) *If EHS;amounts must be in lbs AVG DAILY AMT(24) <br /> 365 ON SITE 3 0 <br /> LARGEST (21 5 GAL ANNUAL WASTE AMT(25) N A <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 (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 (3 1)EHS (32)C.AS# <br /> <40 PETROLEUM DISTILLATE ❑YES ❑Nq 064742-47-8 <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> =113YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) N/A <br /> (34)WHAT IS MATERIAL WASTE WATER TREATMENT <br /> USED FOR? <br /> DATE REC'D: 1/8/04 For Official Use Only: 0 C ❑R ❑S SJC 12/99 <br />