Laserfiche WebLink
California Hazardous r erials Inventory Form - Chemical T...,cription <br /> PAGE(2) = OF(3) <br /> BUSINESS NAME (4)IVALLEY FORKLIFT <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> E <br /> CHEMICAL NAME (8) OXYGEN TRADE SECRET (11) ❑YES ®NO <br /> COMMON NAME (9) OXYGEN *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) ❑ y E S ® N O (16) 0 <br /> PHYSICAL STATE(17) ❑SOLID ❑LIQUID H GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE []REACTIVE ®PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ❑GAL ❑LBSMAX DAILY AMT(23)1,100 <br /> CODE N/A IN CU FT ❑TONS ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 200 <br /> ON SITE <br /> LARGEST (21281 ANNUAL WASTE AMT(25) <br /> CONTAINER E= <br /> STORAGE (26)[:]ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER []UNDER GROUND TANK []CARBOY ®CYLINDER ❑RAIL <br /> El TANK INSIDE BUILDING [I SILO [I GLASS BOTTLE ❑OTH <br /> El STEEL DRUM [I FIBER DRUM [I PLASTIC BOTTLE ElOther <br /> ❑PLASTIC/NONMETALLIC DRUM []BAG ❑TOTBIN <br /> STORAGE (27) ❑AMBIENT H 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 /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> JPVTT 11N <br /> ❑YES ON <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1072 <br /> (34)WHAT IS MATERIAL CUTTING TORCH OXY./ACET. <br /> USED FOR? <br /> DATE REC'D: 4/28/08 For Official Use Only: ®C ❑R ❑S SJC 12/99 <br />