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California Hazardou, - 1aterials Inventory Form - Chemica' �^gcription MAY $ G <br /> +� ..PAGE(2) = OF(3) <br /> BUSINESS NAME ( <br /> 4) CARL'S JR #7481 <br /> CHEMICAL LOCATION(S) (5) <br /> NA NA <br /> CHEMICAL NAME (8) CARBON DIOXIDE TRADE SECRET(11) ❑yES ®NO Tra <br /> COMMON NAME (9) CARBON DIOXIDE *EHS(12) ❑ YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 124-38-9 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 <br /> CATEGORIES (18) ❑FIRE ❑REACTIVE ®PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS* (22) ❑GAL ®LBS <br /> CODE MAX DAILY DAILY AMT(23)400 <br /> ❑ CU FT [I TON ON SITE <br /> DAYS ON SITE (20) *If EHS, amounts must be in lbs AVG DAILY AMT(24) <br /> 365 ON SITE 200 <br /> LARGEST (21)400 ANNUAL WASTE AMT(25) NA <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK []CAN ❑BOX ❑TN <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY [:1 CYLINDER [IRAAIL <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 N BELOW AMBIENT []CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT (30)HAZARDOUS COMPONENT (31)EHS 32)CAS# <br /> ❑YES 1INJI <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1013 <br /> (34)WHAT IS MATERIAL CARBONATING BEVERAGES AT THE BEVERAGE DISPENSERS <br /> USED FOR? <br /> DATE REC'D: 5/25/04 For Official Use Only: 9 C ❑R ❑S SIC 12/99 <br />