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California Hazardous N 'rials Inventory Form - Chemical D ription <br /> -10AGE(2) OF (3) <br /> BUSINESS NAME (4) AUTO-CHLOR SYSTEM <br /> CHEMICALLOCATION(S)(5) REAR OF WHSE <br /> MAP#(6)/ GRID#(7) H2 N/A N/A N/A N/A <br /> CHEMICAL NAME (8) CHEMICAL MIXTURE TRADE SECRET(11) ❑YES ®NO Tra <br /> *EHS(12) ❑YES ®NO <br /> COMMON NAME (9) SUPER 8 SANITIZER <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 7681-52-9 ALL AMOUNTS MUST BEINLBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE N MIXTURE []WASTE RADIOACTIVE(15) ❑YES N NO (16) <br /> PHYSICAL STATE(17) ❑SOLID N LIQUID [:]GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑ ❑R [:]FIRE EACTIVE PRESSURE RELEASE N ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) N GAL ❑LBSMAX DAILY AMT(23)1,300 <br /> CODE 0 ❑CU FT E]TONS ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 600 <br /> ON SITE <br /> LARGEST (21 L_ J ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26)❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER []UNDER GROUND TANK ❑CARBOY ElCYLINDER ElRAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM N PLASTIC BOTTLE ❑Other <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) N AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) N AMBIENT []ABOVE AMBIENT []BELOW AMBIENT []CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> 8 SODIUM HYPOCHLORITE 110YES NN 7681-52-9 <br /> ❑ YES <br /> N . <br /> ❑ YES ❑N <br /> ❑YES ❑N <br /> ❑YES I <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1791 <br /> (34)WHAT IS MATERIAL COMMERCIAL DISHWASHER <br /> USED FOR? <br /> DATE REC'D: 1/16/06 iFor Official Use Only: HC ❑R ❑S SIC 12/99 <br />