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0 <br />California Hazardous Materials Inventory Form - Chemical <br />® ADD ❑ DELETE ❑ REVISE <br />BUSINESS NAME <br />CHEMICAL LOCATION(S) <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />FARM SERVICE <br /> <br /> <br />NORFLURAZON <br />SOLICAM <br />27314-13-2 <br />LEAVE BLANK <br />Des'piption <br />PAGE (2) = <br />OF (3) F116 <br />TRADE SECRET (11) ❑YES ®NO <br />*EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />TYPE (14) ❑ PURE ®MIXTURE ❑ WASTE I RADIOACTIVE (15) ❑ yES ®NO (16) N/A <br />PHYSICAL STATE (17) ® SOLID []LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)10FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />(19) N/A <br />(20) 365 <br />(21 10 LBS <br />(26) ❑ ABOVE GRO <br />UNITS* (22) [1 GAL ®LBS <br />❑ CU FT ❑ TONS MAX DAILY AMT (23) 2,000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) 800 <br />ON SITE <br />ANNUAL WASTE AMT (25) N/A <br />TANK <br />UNDER GROUND TANK <br />TANK INSIDE BUILDING <br />STEEL DRUM <br />❑CAN ®BOX ❑ <br />[]CARBOY ❑ CYLINDER ❑ <br />❑ SILO ❑ GLASS BOTTLE ❑ <br />❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />STORAGE (27) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT (30) HAZARDOUS COMPONENT (31) EHS <br />(32) CAS# <br />75.6 <br />NORFLURAZON <br />❑YES ON 27314.13.2 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL RETAIL SALE <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: 0 C ❑ R ❑ S SIC 12/99 <br />