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California Hazardous M, -ials Inventory Form - Chemical Descrip' <br /> PAGETZ =01 (3) <br /> BUSINESS NAME (4) <br /> ACK IN THE BOX#3408 <br /> CHEMICAL LOCATION(S)(5) <br /> <br /> <br /> CHEMICAL NAME (8) ARBON DIOXIDE TRADE SECRET(11) ❑yES ®NO <br /> COMMON NAME (9) 'AARON DIOXIDE *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS# (10) 124-38-9 ALL AMOUNTS MUST BE IN LBS <br /> FIRECODE (13) <br /> HAZARD <br /> CATEGORIES .EAVE BLANK <br /> TYPE (14) ❑a.PURE ❑b.MIXTURE ❑c.WAS RADIOACTIVE(15) ❑yES ®NO 16) �A <br /> PHYSICAL STATE.(17) ❑SOLID ❑LIQUID ®GAS CURIES <br /> FFD HAZARD <br /> CATFGORII's (18) ❑FIRE []REACTIVE ®PRESSURE RELEASE ❑ACUTEHEALTH []CHRONIC HEALTH ❑ <br /> SCA fE WASTE, (19) UNITS*(22) ❑GAL [I LBS <br /> CODE /A ®CU FT [I TONS MAX DAILY AMT(23) ,496 <br /> ON SITE <br /> DAYS ON SITE (20) *If EHS,amounts must be in lbs AVG DAILY AMT(24) <br /> 365 ON SITE 000 <br /> LARGEST (21) ANNUAL WASTE AMT(25) <br /> CONTAINER 0D <br /> /A <br /> STORAGE (26) ❑ABOVE GROUND TANK []CARBOY ❑GLASS BOTTLE ❑Other... <br /> CONTAINER ❑UNDER GROUND TANK ❑SILO ❑PLASTIC BOTTLE <br /> ®TANK INSIDE BUILDING ❑FIBER DRUM ❑TOTE BIN <br /> ❑STEEL DRUM ❑BAG ❑TANK WAGON <br /> ❑PLASTIC/NONMETALLIC DRUM ❑BOX ❑RAIL CAR <br /> CAN 171 CYLINDER OTHER <br /> STORAGE (17) ❑AMBIENT ❑BELOW AMBIENT <br /> PRESSURE IM ABOVE AMBIENT <br /> STORAGE (28) ®AMBIENT ❑ABOVEAMBIENT ❑BELOWAMBIENT []CRYOGENIC <br /> TEMPERATURE <br /> (29) %Wr (30) HAZARDOUS COMPONENT Q 1)EHS (32)CAS# <br /> D ❑YF.S ❑M) <br /> 11 <br /> ❑YES ❑NO <br /> ❑YF,S ❑NO <br /> ❑YES ❑NO IF <br /> ❑YI?5 ❑NO <br /> ADD[IIONAI.LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) 1013 <br /> (34) WHAT IS MATERIAL Soft drink dis enser <br /> USED FOR? P <br /> DATE RECD: 11/8/06 or Official Use Only: ®C ❑R [IS SIC 12/99 <br />