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California Hazardous Anals Inventory Form - Chemical De tion <br /> PAGE(2) OF(3) <br /> p_ i <br /> BUSINESS NAME <br /> (4)UNIFIRST CORPORATION <br /> CHEMICAL LOCATIONS)(5)DOUBLE WALL STORAGE TANK <br /> MAP#(6)/ GRID#(7) MAP 1 B-1 N/A N/A - N/A <br /> CHEMICAL NAME (8) NONYLPHENOXY POLYETHYLENEOXY TRADE SECRET(11) [0 YES— <br /> ETHANOL ®N� <br /> COMMON NAME (9) ALPHA NONIONIC SURFACTANT *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) ❑FIRE ❑REACTIVE ElPRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBBS <br /> CODE N/A ❑CU FT <br /> TONS MAX DAILY AMT(23)220 <br /> ON SITE <br /> 7AYS ON SITE (20) 14 *If EHS,amounts must be in'lbs AVG DAILY AMT(24) 220 <br /> ON SITE <br /> LARGEST (21 2000 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 (2 ) ®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 /> []YES ❑N (� <br /> OYES 0 <br /> _ ❑YES ❑N EE:SS _IN I <br /> 10 YES ❑N (-- <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1100 <br /> (34)WHAT IS MA'T'ERIAL LIQUID LAUNDRY DETERGENT <br /> USED FOR? <br /> OATE REC'D: 1/8/04 For Official Use Only: 19 C ❑R ❑S SJC 12/99 <br />