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0 0 <br />California Hazardous Materials Inventory Form - Chemical Description <br />(I) ❑ADD ❑DELETE ❑REVISE 2001 PAGE (2) =OF(3)� <br />BUSINESS NAME (4) I� <br />�C1'�5 /tUtD jcvv�ce� <br />CHEMICAL LOCATION(S) (5) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />(18; <br />STATE WASTE <br />09; <br />CODE <br />ON-SITE <br />DAYS ON SITE <br />(20 <br />CHEMICAL NAME (8) <br />❑ UNDER GROUND TANK ❑ CARBOY ❑ CYLINDER [:]RAIL CAR <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑-------------------- <br />TRADE SECRET (I I) <br />❑Y SIN <br />L <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE <br />(13) <br />HAZARD CLASS <br />TYPE <br />(14) <br />PHYSICAL STATE (17) <br />FED HAZARD <br />CATEGORIES <br />(18; <br />STATE WASTE <br />09; <br />CODE <br />ON-SITE <br />DAYS ON SITE <br />(20 <br />LARGEST (21 <br />CONTAINER <br />STORAGE (26 <br />CONTAINER <br />STORAGE (27 <br />PRESSURE <br />STORAGE (28 <br />TEMPERATURE <br />(29) %WT <br />sm v A 7 An nnrc rnnnonnrvrT 1411 FN¢ (32)CAS# <br />Motor �{ a�-F .1 C-►ca� pl l *EHS (12) DOY N <br />*IF EHS BOX IS "Y" <br />MIK ` v Y� ALL AMOUNTS MUST BE IN LBS <br />LEAVE BLANK <br />RADIOACTIVE(15) ❑Y N (16)�� <br />CURIES <br />❑PUREWIXTURE <br />❑WASTE <br />❑ Y ❑ N—� <br />❑YE] N <br />10 SOLID LIQUID [:]GA=S <br />FIRE ❑ REACTIVE []PRESSURE RELEASE ❑ ACUTE HEALTH [:]CHRONIC HEALTH <br />UNITS* (22) GAL ❑ CU FT MAX DAILY AMT (23) <br />ON-SITE <br />❑LBS ❑TONS <br />AVG DAILY AMT (24) 15D <br />�S *If EHS, amounts must be in lbs ON-SITE J <br />7 ANNUAL WASTE AMT (25) <br />® ABOVEGROUNDTANK ❑ CAN ❑ BOX ❑TANK WAGON <br />❑ 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 />dJ AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBIENT <br />11MAMBIENT ❑ABOVEAMBIENT ❑BELOWAMBIENT ❑CRYOGENIC <br />sm v A 7 An nnrc rnnnonnrvrT 1411 FN¢ (32)CAS# <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) 1270 <br />(34) WHAT IS MATERIAL 0h,LA-emarlr. <br />USED FOR? <br />For Official Use Only: C [ R ❑ S SJC I2/00 <br />❑Y ❑N <br />❑Y ❑N <br />❑ Y ❑ N—� <br />❑YE] N <br />❑Y ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID # (DOT) 1270 <br />(34) WHAT IS MATERIAL 0h,LA-emarlr. <br />USED FOR? <br />For Official Use Only: C [ R ❑ S SJC I2/00 <br />