Laserfiche WebLink
California Hazardous lokerials Inventory Reporting Form -Oemical Description Page <br /> (1) H ADD ❑DELETE ❑REVISE PAGE(2) = OF(3) <br /> BUSINESS NAME <br /> (4)TACO BELL #5792 <br /> CHEMICAL LOCATION(S)(5) <br /> MAP# (6)/ GRID#(7) E= <br /> CHEMICAL NAME (8) TRADE SECRET(11) ❑yES H NO <br /> COMMON NAME (9) CARBON DIOXIDE *EHS(12) ❑YES H 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) H PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑yES H NO (16) <br /> PHYSICAL STATE(17) ❑SOLID H LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE ❑REACTIVE H PRESSURE RELEASE H ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ❑GAL H LBS <br /> CODE ❑CU FT ❑TONS MAX DAILY AMT(23)400 <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) H ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <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 H ABOVE AMBIENT ❑BELOW AMBI <br /> PRESSURE <br /> STORAGE (28) ❑AMBIENT ❑ABOVE AMBIENT H BELOW AMBIENT H CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> ❑YES ❑N <br /> ❑YES ON <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> PTFT El NJ <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION(33):UNITED NATIONS ID#(DOT) 2187 <br /> (34)WHAT IS MATERIAL Dispensing soda for customers <br /> USED FOR? <br /> 1999 lFor Official Use Only: ❑C ❑R ❑S <br /> slC 12/99 <br />