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California Hazardous P�erials Inventory Form - Chemical T t ription <br /> 'PAGE(2) = <br /> OF(3) <br /> BUSINESS NAME (4) VALLEY FORKLIFT <br /> CHEMICAL LOCATION(S)(5) <br /> = E= E <br /> CHEMICAL NAME (8) C2H2 TRADE SECRET(11) InYES ®NO <br /> *EHS(12) <br /> COMMON NAME (9) <br /> ACETYLENE ❑YES ®NO <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) 74-86-2 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 H GAS CURIES <br /> FED HAZARD ®FIRE 0—IT—ACTIVE ®PRESSURE RELEASE [:]ACUTEHEALTH ❑CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS*(22) ❑GAL ❑LBSMAX DAILY AMT(23)1,100 <br /> CODE 0 ®CU FT ❑TONS ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 251 <br /> ON SITE <br /> LARGEST (21)251 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) "ABOVE GROUND TANK [ICAN [IBOX Ll TAN <br /> CONTAINER ❑UNDER GROUND TANK []CARBOY ❑CYLINDER [IRAIL <br /> ❑TANK INSIDE BUILDING [I SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM [I PLASTIC BOTTLE ❑Other <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG []TOT <br /> 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 (31)EHS 32 CAS# <br /> [:]YES ❑N <br /> JI <br /> ❑YES ❑N <br /> ❑ YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1001 <br /> (34)WHAT IS MATERIAL METAL CUTTING&WELDING WITH 02 <br /> USED FOR? <br /> DATE REC'D: 10/27/06 For Official Use Only: ®C ❑R ❑S SIC 12/99 <br />