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California Hazardous Vaterials Inventory Form - Chemica�Destription <br /> (1} <br /> ADD 2001 PAGE(2) = OF(3)� <br /> -]DELETE �Ri:V[SE <br /> USINESS NAME (4) <br /> - ��—��cE. oar GtN�x�. �- � • U <br /> CHEMICAL LOCATION(S)( <br /> RECEI ED <br /> MAP#(6)/ GRID#(7) E <br /> .th7t'�(EDFE <br /> CHEMICAL NAME (8) TRA <br /> SECRET (I1) ❑Y �N <br /> E �.�iJJ� yL-`CCroL-Sc>wT aF >G`�TS <br /> *EHS (12) ❑Y ®N <br /> COMMON NAME (9) _� <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) � ALL AMOUNTS MUST BE <br /> 1N LBS <br /> FIRE CODE (13) LEAVEBLANK <br /> HAZARD CLASS �-p�' <br /> TYPE (14) ❑PURE ®!� ikTURE [:]WASTE RADIOACfIVE(15) ❑Y. 3, (16) <br /> [—]PHYSICAL ® _.QUID ❑GAS CURIES <br /> STATE(17) SOLID <br /> FED HAZARD [1 FIRE E: REACTIVE ❑ PRESSURERELEASE ® ACUILT <br /> EHEALTH ❑ CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE (19) UNITS* (22)F]LBS ❑ TONS GAL ❑CLI FTJ MAX DAILY ANIT(23) <br /> (20) ! O <br /> CODE ON-SITE S <br /> SAYS ON SITE AVG DAILY AMT(24) <br /> _ 2 �S" � *If EHS, amounts must be in lbs ON-SITE <br /> LARGEST (21 J ANNUAL WASTE AMT(25) �5-� <br /> CONTAINER �J �/ <br /> STORAGE (26) (KABOVEGI OUNDTANK ❑ CAN ❑ BOX El WAGON <br /> CONTAINER UNDER GI OUND TANK ❑CARBOY ❑ CYLINDER []RAIL CAR <br /> []TANK INS DE BUILDING ❑ SILO E] CLASS BOTTLE ❑-------------------- <br /> ❑STEEL DR JM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> [apLASTIC/I IONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ,AMBIENT []ABOVE AMBIENT [:)BELOW A71BIEN7T <br /> PRESSURE <br /> STORAGE (28) ABOVE AMBIENT []BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30) HA::ARDOUS COMPONENT (31)EHS (32)CAS# <br /> GC. g t•,c.. ❑ Y ❑N —� <br /> GZYs�+ru S° D arm %-F GC.YCO Y ❑N <br /> ❑Y ❑N <br /> _ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL �,/�J /f <br /> USED FOR? �d� 7 / �i <br /> F< r Official Use Only: 0 C u R ❑ S SIC 12100 <br />