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California Hazardous M W ials Inventory Form - Chemical Descoption <br /> PAGE(2) OF(3) <br /> BUSINESS NAME <br /> (4)UNIFIRST CORPORATION <br /> CHEMICAL LOCATIONS)(5)FINISHING DEPARTMENT <br /> MAP#(6)/ GRID#(7) LI/D1 INA INA INA EA: <br /> CHEMICAL NAME. (8) UNICAL #15 LUBRICANT TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) UNICAL #15 LUBRICANT *EHS(12) 10YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) N/A 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) <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID []GAS '' CURIES <br /> FED HAZARD <br /> CATEGORIES (18)IN FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS <br /> CODE N/A ❑CU FT ❑TONS MAX DAILY AMT(23)5 5 <br /> ON SITE <br /> 1AYS ON SITE (20) *If EHS,amounts must be in lbs AVG DAILY AMT(24) <br /> 365 ON SITE 25 <br /> LARGEST (215 5 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 /> ❑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)CAS# <br /> ❑YES ❑N <br /> OYES 0 <br /> ❑YES ❑N <br /> ❑YES 0 <br /> ❑YES El NJ <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 11270 <br /> (34)WHAT IS MATERIAL COATING DUST MOP <br /> USED FOR? <br /> DATE REC'D: 1/8/04 For Official Use Only: HC 0 R ❑S SJC 12/99 <br />