Laserfiche WebLink
California Hazardous D Aals Inventory Form - Chemical I xiption <br /> ` AGE(2) = OF(3) <br /> BUSINESS NAME (4)APPLEBEE'S NEIGHBORHOOD GRILL/BAR <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> CHEMICAL NAME (8) CARBON DIOXIDE TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME (9) CO2 *EHS (12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 124.38-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14)F!7!77 IXTURE []WASTE RADIOACTIVE(15) ❑YES ®NO 06) N/A <br /> PHYSICAL STATE(17) ❑SOLID []LIQUID ®GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (,,)JOFIRE []REACTIVE ®PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ❑GAL ®LBS <br /> MAX DAILY AMT(23)400 <br /> CODE N/ ❑CU FT ❑TONS ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 240 <br /> ON SITE <br /> LARGEST (21 400 ANNUAL WASTE AMT(25) N/A <br /> CONTAINER <br /> STORAGE (26)®ABOVE GROUND TANK ❑CAN ❑BOX ']TAN TAN <br /> CONTAINER []UNDER GROUND TANK []CARBOY ®CYLINDER ❑RAIL <br /> ®TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Othe <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 %WT30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> OYES 0Nqj <br /> ❑YES ❑N <br /> ❑YES ❑N <br /> ❑ YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1013 <br /> (34)WHAT IS MATERIAL Dispensing soft drinks <br /> USED FOR? <br /> DATE REC'D: 12/13/06 For Official Use Only- ®C ❑R ❑S SIC 12/99 <br />