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California HazardollbMaterials Inventory Form - Ch`ical Description <br /> (1) E]ADD DELETE EREVISE 2001 PAGE(2) OF(3) <br /> BUSINESS NAME (4) 00 77>. ,L <br /> CTTY F RIPON <br /> CHEMICAL LOCATION(S)(5) W 4c,�- alf 0n QG <br /> 1 f75TA1PL `-R WELL #7 <br /> MAP#(6) / GRID#(7) 117 DS = o <br /> CHEMICAL NAME (8) TRADE SECRET(1 1) Ely ❑N <br /> SODIUM HYPOCHORITE <br /> COMMON NAME (9) *EHS (12) ❑Y Q N <br /> CHLORINE BLEACH <br /> *IF EHS BOX IS "Y" <br /> CAS # (10) 9681-52-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVE BLANK <br /> HAZARD CLASS <br /> TYPE (14) ❑PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑Y ®N (16)� <br /> PHYSICAL STATE (17) [:]SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ❑FIRE ❑X REACTIVE ❑PRESSURE RELEASE © ACUTE HEALTH ❑ CHRONIC HEALTH <br /> STATE WASTE (19)O UNITS* (22)F]LBS [—] TONS GAL [jCU FT MAX DAILY AMT(23)� <br /> CODE ON-SITE 60 <br /> DAYS ON SITE (2 )1 AVG DAILY AM"f(24)� <br /> 365 *If EHS, amounts must be in lbs ON-SITE 30 <br /> •LARGEST (21 ANNUAL WASTE AMT(25)� <br /> CONTAINER 5P 0 <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 11--------------------- <br /> El STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑ PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) ❑X 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 /> 10-16 SODIUM HYPOCHORITE ❑Y ©N 7681-52-9 <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID#(DOT) <br /> (34)WHAT IS MATERIAL <br /> USED FOR'? WATER TREATMENT (DISINFECTION) <br /> For Official Use Only: ElCR S SIC 12/00 <br />