Laserfiche WebLink
California Hazardous 1Claterials Inventory Form - ChenuVc Description <br /> (I) ❑ADD [—]DELETE ®REVISE 2001 PAGMPIMEDM <br /> BUSINESS NAME (4) jAN 12 2U01 <br /> Gnu e Co. .9Aoo AJSTIZ,LLC <br /> CHEMICAL LOCATION(S)( <br /> <br /> <br /> CHEMICAL NAME (8) kefL05eA)`e I <br /> TRADE SECRET(11) M-9 N <br /> COMMON NAME (9) � *EHS(12) ❑Y ®NTe--r ���� <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) $ O � '1 Q , ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14)19 PURE [:]MIXTURE [:)WASTE RADIOACTIVE(15) ❑Y ®N (16)� <br /> PHYSICAL STATE(17)1 ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED <br /> RD <br /> CATEGORIES (1 R) ®FIRE ❑REACTIVE PRESSURERELEASE ACUTEHEALTH MCHRONICHEALTH <br /> STATE WASTE (19)�� UNITS* (22)P]LBS <br /> CAL [:]CU FT MAX DAILY AMT(23) <br /> CODE bDyO <br /> [:]TONS ON-SITE <br /> DAYS ON SITE (20)� AVG DAILY AMT(24) <br /> *If EHS, amounts must be in lbs ON-SITE SeDo q,� <br /> LARGEST (21 ANNUAL WASTE AMT(25)� <br /> CONTAINER Ia1DOU <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 ❑ABOVE AMBIENT [—]BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ❑AMBIENT ❑ABOVE AMBIENT BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT3( 1)EHS (32)CAS# <br /> ❑Y ❑N❑N <br /> ❑Y ❑N <br /> YE]NII T7 71 <br /> N <br /> 7'[:]N <br /> ❑Y 0 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL l4 1�CSL 11F T �L <br /> USED FOR? <br /> For Official Use Only: C R S SIC 12/00 <br />