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California Hazardonwl, aterials Inventory Form - Chen cal Description <br /> (I) ❑ADD ❑DELETE ❑REVISE 2001 PAGE(2) = OF(3)or � <br /> USINESS NAME (4) <br /> CITY OF RIPON RECEI�f <br /> CHEMICAL LOCATION(S)(5) TF CIT 5 taq MAR 2 3 2001 <br /> MAP#(6)/ GRID#(7) Wl/E-5 MCEON' flGENCYSEA cf,' <br /> CHEMICAL NAME (8) ao TRADE SECRET (11) 1 [:]Y ®N <br /> COMMON NAME (9) GASOLINE *EHS(12) ❑Y F&]N] <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) MIX 8006619 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) []PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y FL] <br /> (16) <br /> ❑ QLIQUID ❑GAS CURIES <br /> PHYSICAL STATE(I7) SOLID <br /> FED HAZARD <br /> CATEGORIES (18)112 FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ ACUTE HEALTH [:] CHRONIC HEALTH <br /> STATE WASTE (19)D UNITS*(22)RLBS <br /> GAL [:]CU FT MAX DAILY AMT(23)� <br /> CODE ❑ TONS ON-SITE 285 <br /> DAYS ON SITE (20)� AVG DAILY AMT(24) <br /> •7 � <br /> 365 *If EHS, amounts must be in lbs ON-SITE 250 <br /> LARGEST (21� ANNUAL WASTE AMT(25)� <br /> CONTAINER 285 <br /> STORAGE (26) Q 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)1 [3 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 (32)CAS# <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N 1 <br /> ❑Y ❑N <br /> DDITIONAL LOCALLY COLLECTED INFORMATION: -(33)UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL <br /> USED FOR? <br /> For Official Use Only: ❑ CR O S SIC 12/00 <br />