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California Hazardous P�erials Inventory Form - Chemical f eription <br /> PAGE (2) = OF (3) <br /> BUSINESS NAME (4) VALLEY FORKLIFT <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (S) LIQUEFIED PETROLEUM TRADE SECRET(11) ❑YES M NO <br /> COMMON NAME (9) LPG FUEL <br /> *EHS(12) ❑YES M NO <br /> IF EHS BOX IS"Y" <br /> CAS # (10) 74-95-6 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14)IMPURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES MNO (16) N/A <br /> PHYSICAL STATE(17) ❑SOLID M LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE ❑REACTIVE M PRESSURE RELEASE ❑ACUTE HEALTH M CHRONIC HEALTH <br /> STATE WASTE (19) UNITS* (22) M GAL ❑LBS <br /> CODE N/A ❑CU FT [I TONS MAX DAILY AMT(23)500 <br /> ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 250 <br /> ON SITE <br /> LARGEST (21 500 ANNUAL WASTE AMT(25)D <br /> CONTAINER <br /> STORAGE (26)M ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER []UNDER GROUND TANK []CARBOY [ICYLINDER ❑RAIL <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 M ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) M AMBIENT []ABOVE AMBIENT []BELOW AMBIENT []CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> ❑YES E]Nql <br /> []YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1075 <br /> (34)WHAT IS MATERIAL Forklifts <br /> USED FOR? <br /> DATE REC'D: 10/27/06 For Official Use Only: M C ❑R ❑S SIC 12/99 <br />