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California Hazardous&terials Inventory Form - Chemicaoscription <br /> (1) ® [:]DELETE ❑ PAGE(2) = OF(3)❑ <br /> ADD REVISE <br /> BUSINESS NAME (4) 1 <br /> ALLIED MACHINE & WELDING RECEIVED <br /> CHEMICAL LOCATION(S)(5) JAN 18 M <br /> (Within facility,not street address) CYLINDER R <br /> MAP#(6)/ GRID#(7) � [= [= I:KUENCY SERVICE <br /> CHEMICAL NAME (8) ACETYLENE TRADE SECRET(11) ❑Y ©N <br /> ❑Y ®N <br /> COMMON NAME (9) ACETYLENE *EHS(12) <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD CLASS <br /> TYPE (14) ©PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑1 ®N (16) <br /> PHYSICAL STATE(17) SOLID CURIES <br /> ❑ ❑LIQUID ❑GAS <br /> FED HAZARD ®FIRE JE REACTIVE E:]MESSURE RELEASE © ACUTEHEALTH ❑ <br /> CATEGORIES (18) 11C HEALTH <br /> STATE WASTE (19)O UNITS*(22) ❑GALX❑CU FT MAX DAILY AMT(23)� <br /> CODE ON-SITE 6 6 0 0 <br /> ❑LBS ❑TONS <br /> DAYS ON SITE (20)� AVG DAILY AMT(24)� <br /> 365 year *If EHS, amounts must be in lbs ON-BYTE 5000 <br /> LARGEST (21 3 0 0 c u f t ANNUAL WASTE AMT(25) <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑ CAN ❑ BOX [-]TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ® CYLINDER [-]RAIL CAR <br /> ❑TANK INSIDE BUII.DING ❑ 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 COMPONENT (3 1)EHS N <br /> ❑ ❑ 32 CAS#CAS# <br /> ❑Y ❑N <br /> ❑1' ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) UN 1 0 01 <br /> (34)WHAT IS MATERIAL <br /> USED FOR? In combination with oxygen for welding <br /> For Official Use Only: ❑ C El-RE-1--sl SIC 12/03 <br />