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California Hazardous Materials Inventory Form - Chemical Description <br /> (1) DADD DELETE REVISE 2001 PAGE(2) = OF(3) <br /> BUSINESS NAME (4) <br /> h and b to*i\�Iiq T.nc,. t)�5k vwin DrMinj Co• <br /> CHEMICAL LOCATION(S)(5) <br /> MAP#(6)/ GRID#(7) � <br /> CHEMICAL NAME (8) 1 I Ona I 1roFD1 TRADE SECRET(11) ❑Y ffN <br /> COMMONNAME (9) Un�PQded (SgSQ1iy� V *EHS(12) ❑Y ON <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) gpo IQ_ (�1-9 0 Ms S S NONt✓ L AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) LEAVEBLANK <br /> HAZARD CLASS <br /> TYPE (14)10 PURE [SMixTURE ❑WASTE RADIOACTIVE(15) ❑Y N (16)� <br /> PHYSICAL STATE(17) ❑SOLIDLIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18)10 FIRE ❑REACTIVE []PRESSURE RELEASE ACUTE HEALTH CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ❑LBS [—]TONS Xf GAL [:]CU FT MAX DAILY AMT(23) •JIJIJ I <br /> CODE ON-SITE <br /> DAYS ON SITE (20) �! AVG DAILY AMT(24) 3� <br /> Vj *If EHS, amounts must be in lbs ON-SITE W <br /> LARGEST (21I�O ANNUAL WASTE AMT(25) <br /> CONTAINER <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❑-- <br /> ❑STEEL DRUM ❑FIBER DRUM ❑ PLASTIC BOTTLE <br /> ❑PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br /> STORAGE (27) AMBIENT F]ABOVE AMBIENT []BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)%WT (30)HAZARDOUS COMPONENT 3I EHS (32)CAS# <br /> ❑Y N I?J?J — <br /> G1 ❑Y N _?J <br /> ❑Y MN <br /> 1 ❑Y N , ?J_ <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1 <br /> (34)WHAT IS MATERIALHn <br /> USED FOR? U <br /> For Official Use Only: C L] R L] S SIC 12/00 <br />