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California Hazardous MSials Inventory Reporting Form - Chefal Description Page <br /> (1) ®ADD ❑DELETE ❑REVISE PAGE(2) [—�] OF(3) <br /> BUSINESS NAME (4)OCAT, INC. - DBA TACO BELL #5792 <br /> CHEMICAL LOCATION(S)(5) <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) TRADE SECRET(I l) ❑ YES ®NO <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)IN PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑yES ®NO (16) <br /> PHYSICAL STATE(17) ❑SOLID H LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE [IREACTIVE H PRESSURE RELEASE ®ACUTE HEALTH [ICHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ❑GAL ®LBS MAX DAILY AMT(23)400 <br /> CODE ❑CU FT ❑TONS <br /> DAYS ON SITE (20)365 *If EHS,amounts must be in lbs AVG DAILY AMT(24)240 <br /> LARGEST (21 400 ANNUAL WASTE AMT(25)� <br /> CONTAINER <br /> STORAGE (26) ®ABOVE GROUND TANK ❑CAN ❑BOX []TANK <br /> CONTAINER []UNDER GROUND TANK []CARBOY ❑CYLINDER ❑RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑Other <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) ❑AMBIENT ®ABOVE AMBIENT ❑BELOW AMBI <br /> PRESSURE <br /> STORAGE (28) ❑AMBIENT []ABOVE AMBIENT ®BELOW AMBIENT ®CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (31)EHS 32 CAS# <br /> ❑YES 0Nqj <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(33):UNITED NATIONS ID#(DOT) 2187 <br /> (34)WHAT IS MATERIAL IDispensing soda for customers <br /> USED FOR? <br /> 1999 117or Official Use Only: ❑C ❑R ❑S SIC 12/99 <br />