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California Hazardous Materials Inventory Form - Chemical Description <br /> (1) ; ADD [:]DELETE ==REVISE PAGE(2) � OF(3) /O <br /> BUSINESS NAME (4) tUMVE <br /> CHEMICAL LOCATIONS)(5) r6uI <br /> SANJOAUUIN COUNTY <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) TRADE SECRET(l 1) ❑Y N <br /> COMMON NAME (9) <br /> *EHS(12) ❑Y N <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) F <br /> ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) PURE ❑MIXTURE []WASTE RADIOACTIVE(15) ❑Y [—:]--NJ <br /> N (16) <br /> PHYSICAL STATE(17)1 ❑SOLID ❑LIQUID ETGA= CURIES <br /> FED HAZARD CATEGORIES (18A FIRE [-IREACHvE ❑PRESSURE RELEASE ❑ ACLFM HEALTH E] CHRONIC HEALTH <br /> STATE WASTE (l9) UNITS*(22) ❑GAL V Q CU FT MAX DAILY AMT(23) <br /> CODE 1[:]LBS ❑TONS ON-SITE v <br /> DAYS ON SITE (20) AVG DAILY��� AMT(24)�*If EHS, amounts must be in lbs ON-SITE �02 <br /> CONTAINERS (21 S� ANNUAL WASTE AMT(25) <br /> STORAGE (26) ABOVE GROUND TANK CAN ❑ BOX ❑TANK WAGON <br /> CONTAINER UNDER GROUND TANK ❑CARBOY ❑ CYLINDER [:]RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE❑-------------------- <br /> ❑STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ❑ AMBIENT WABOVEAMBIENT ❑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 /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑ Y ❑N I — I <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL <br /> USED FOR? <br /> For Official Use Only: Cl C ❑ R 0 S SIC 12/00 <br />