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California Hazardous P v erials Inventory Form - Chemical Vription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4)IVALLEY FORKLIFT <br /> CHEMICAL LOCATION(S)(5) <br /> N/A <br /> CHEMICAL NAME (8) LEAD-ACID BATTERY TRADE SECRET(11) [[]YES ®NO <br /> COMMON NAME (9) BATTERY *EHS(12) ❑YES ®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) H SOLID []LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE ❑REACTIVE [:]PRESSURE RELEASE ®ACUTE HEALTH ®CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ❑GAL ®LBS <br /> CODE N/A ❑CU FT ❑TONS MAX DAILY AMT(23)27,500 <br /> ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) <br /> ON SITE 10,000 <br /> LARGEST (21 4000 ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26)[]ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER []UNDER GROUND TANK []CARBOY ❑ CYLINDER 11RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ®OTH <br /> ❑STEEL DRUM ❑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 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> 60 LEAD ❑YES ❑N 7439-92-1 <br /> 2 ANTIMONY ❑YES ON 7440-36-0 <br /> 10-30 ELECTROLYTE ❑YES ❑N 7664-93-9 <br /> ❑YES 0 <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) N/A <br /> (34)WHAT IS MATERIAL FORKLIFTS <br /> USED FOR? <br /> DATE REC'D: 5/5/08 For Official Use Only: ®C ❑R ❑S SIC 12/99 <br />