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California Hazardous M 'als Inventory Form - Chemical Des tion <br /> PAGE(2) OF(3) <br /> BUSINESS NAME . (4) <br /> UNIFIRST CORPORATION <br /> CHEMICAL LOCATION(S)(5)BOILER ROOM <br /> MAP#(6)/ GRID#(7) <br /> .11/A2 INA INA INA INA <br /> CHEMICAL NAME (8) BOILER WATER TREATMENT TRADE SECRET(11) YES 19— <br /> . I ®NO <br /> COMMON NAME ' (9) DWT 432 *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 1310-58-3 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE IMMIXTURE ❑WAST9 RADIOACTIVE(15) ❑YES ®NO (16)Fo I <br /> PHYSICAL STATE::(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS � <br /> N/A MAX DAILY AMT(23 10 <br /> CODE <br /> ❑CU FT El TONS ON SITE <br /> DAYS ON SITE (20) *If EHS,amounts must be in Ibs AVG DAILY AMT(24) <br /> 365 ON SITE 10 <br /> LARGEST : (21)5 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 /> ®PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27)110 AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE Ci <br /> STORAGE :(28)15a AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT (30)_HAZARDOUS COMPONENT (31)EHS 32 CAS# <br /> 2-3% POTASSIUM HYDROXIDE []YES ®N 1310-58-3 <br /> 8% CYCLOHEXYLAMINE ❑YES ®N 108-91-8 <br /> 8% DIETHYLETHANOLAMINE ::]I[:IYES ®N 100-37-8 —� <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) JUN2735 <br /> (34)WHAT IS MATERIAL BOILER WATER TREATMENT <br /> USED FOR? <br /> DATE REC'D: 1/8/04 For Official Use Only: ❑C ❑R ❑S SJC 12/99 <br />