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CaliforiIia Hazardous Arials Inventory Form - Chemical DescP tion <br /> PAGE(2) OF(3) <br /> Y: <br /> �Il�1.1 I��• <br /> BUSINESS NAME <br /> (4) UNIFIRST CORPORATION <br /> l <br /> CHEMICAL LOCATION(S)(5)LWASHROOM <br /> MAP#(6)/ GRID#(7) MAP 1/B 1N A N A N A N A <br /> _j I <br /> CHEMICAL NAME. (8) NONYLPHENOXY POLYETHYLENEOXY <br /> ETHANOL TRADE SECRET(11) ®yam ®Np <br /> COMMON NAME ; (9) (ALPHA) NON IONIC SURFACTANT *EHS(12) ❑YES H NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 916-45-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE H MIXTURE []WASTE RADIOACTIVE(15) ®YES OR-0](16) NA <br /> PHYSICAL STATE(17) ❑SOLID H LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18)P FIRE ❑REACTIVE '❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22)rEl <br /> GAL ❑LBS <br /> CODE 1 7NA CU FT ❑TONS MAX DAILY AMT(23 220 <br /> ONSITE <br /> -NAYS ON SITE (20)365 *If EHS,amounts must be in lbs AVG DAILY AMT(24) 220 <br /> ON SITE <br /> LARGEST (21 <br /> CONTAINER 2 0 00 ANNUAL WASTE AMT(25)INA <br /> STORAGE (26) H 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) H AMBIENT ❑ABOVE AMBIENT []BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) <br /> TEMPERATURE INAMBIENT ❑ABOVE AMBIENT [:]BELOW AMBIENT []CRYOGENIC <br /> (29)% COMPONENT,_. (3 1)EHS 32)CAS# <br /> NONIONIC SURFACTANT ❑YES ONJ 45-9 <br /> _ ETHYLENE GLYCOL ❑YES ❑N 1107-21-1 <br /> WATER ❑YES ❑N 7732-18-5 <br /> ❑YES ❑N I <br /> ❑YES p Na <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(--D—OOT) N A <br /> (34)WHAT IS MATERIAL LIQUID LAUNDRY DETERGENT <br /> USED FOR? <br /> DATE REC'D: 1/8/04 For Official Use Only: ❑C H R ❑S SJC 12/99 <br />