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California Hazardous Arials Invento Form- Chemical Desc" tion <br /> �' P <br /> PAGE(2) OF(3) <br /> BUSINESS NAME <br /> --I (4)UNIFIRST CORPORATION <br /> CHEMICAL LOCATIONS)(5)WASHROOM <br /> MAP#(6)/ GRID#; (7) MAP 1/Cl NA INA NA NA <br /> CHEMICAL NAME (8) HYPOCHLORITE SOLUTION TRADE SECRET(11) ❑yFS ®NO� <br /> COMMON NAME : (9) LIQUID BLEACH *EHS(12) 10 YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # ;(10) 7681-52-9 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) NA <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) 19 GAL ❑LBS <br /> CODE ILA ❑CU FT ❑TONS ON SIDE ILY AMT(23)5 5 <br /> -)AYS ON SITE (20)365 *If EHS,amounts(20) m <br /> 365 <br /> in lbs AVG DAILY AMT(24) 110 <br /> ON SITE <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 IN 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 °SWT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> 5-15 SODIUM HYPOCHLORITE ❑YES ®N7681-52-9 <br /> 5-11 SODIUM CHLORIDE OYES ®N117647-14-5 -� <br /> .5-2.0 SODIUM HYDROXIDE ❑YES ®91310-73-2 <br /> BALANCE WATER ❑YES ON 7732-18-5 <br /> F- <br /> 0 YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) IUN1791 <br /> (34)WHAT IS MATERIAL LAUNDRY PROCESSING <br /> USED FOR? <br /> GATE RECD: 1/8/04 For Official Use Only: 0 C ❑R ❑S SJC 12/99 <br />