Laserfiche WebLink
NIFIED PROGRAM CONSOLIDATED FOR <br /> HAZARDOUS MATERIALS <br /> HAZARDOUS MATERIALS INVENTORY-CHEMICAL DESCRIPTION <br /> 04/07/2010-02:29:55 PM <br /> Page of <br /> I. FACILITY INFORMATION <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> CREATIVE RESEARCH MANAGEMENT <br /> CHEMICAL LOCATION 201 rHEMICAL LOCATION CONFIDENTIAL EPCRA 202 <br /> ❑X YES❑NO <br /> FACILITY ID# 1 MAP# /204 <br /> by <br /> 10411 Required by SJ <br /> 11. CHEMICAL INFORMATION <br /> CHEMICAL NAME 205 TRADE SECRET 01) ❑YES ®NO 206 <br /> PERACETIC ACID If Subject to EPCRA,refer w instructions <br /> COMMON NAME 207 208 <br /> PERASAN A EHS* ❑YES ONO <br /> CAS# 209 <br /> 79.21-0 *If EHS is "Yes",all amounts must be in lbs. <br /> FIRE CODE HAZARD CLASSES(Complete if required by CUPA) 210 <br /> LEAVEBLANK <br /> HAZARDOUS MATERIAL O a.PURE N b.MIXTURE O c.WABTE 211 RADIOACTIVE O YES N NO 212 CURIES 213 <br /> TYPE(Check one item only) <br /> PHYSICAL STATE 214 215 <br /> (Check one item only) ❑SOLID N LIQUID O GAS LARGEST CONTAINER 55 <br /> FED HAZARD CATEGORIES O FIRE ❑REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH ❑CHRONIC HEALTH 216 <br /> (Check all that apply) <br /> AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 <br /> 25 55 0 D002 <br /> UNITS* ®GAL O CU IT O LBS ❑TONS 221 1 DAYS ON SITE 222 <br /> (Check on item only *If EHS,amount must be in pounds. 365 <br /> STORAGE ❑ABOVE GROUND TANK E3 CARBOY O GLASS BOTTLE ❑Other... <br /> CONTAINER O UNDER GROUND TANK O SILO O PLASTIC BOTTLE <br /> ❑TANK INSIDE BUILDING O FIBER DRUM ❑TOTE BIN <br /> O STEEL DRUM O BAG O TANK WAGON <br /> ®PLASTIC/NONMETALLIC DRUM O BOX O RAIL CAR <br /> ❑CAN O CYLINDER ❑OTHER 223 <br /> STORAGE PRESSURE ®AMBIENT ❑ABOVE AMBIENT O BELOW AMBIENT 224 <br /> STORAGE TEMPERATURE N AMBIENT O ABOVE AMBIENT O BELOW AMBIENT O CRYOGENIC 225 <br /> %WT HAZARDOUS COMPONENT For mixture or waste on[ EHS CAS# <br /> 6 226 PEROXYACETIC ACID 227 ❑YES ®NO 228 79-21-0 229 <br /> 27 230 HYDROGEN PEROXIDE 241 ❑YES ONO 232 7722-84-1 233 <br /> 8 234 ACETIC ACID 235 ❑YES ®NO 236 6419-7 237 <br /> 238 239 ❑YES ❑NO 210 741 <br /> 242 243 []YES ❑NO 244 245 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 3149 246 <br /> (34)WHAT MATERIAL <br /> USED FOR? SANTfIZING FOOD CONTACT SURFACES T <br /> UPCF(Rev. 12/2007) If EPCRA,Please Sign Here <br /> or Official Use Only: OC ❑R ❑S Last Web Update: 02/23/2010 <br />