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California Hazardous eterials Inventory Form - Chemical Ocription <br />PAGE (2) <br />BUSINESS NAME <br />CHEMICAL LOCATION(S) <br />MAP # (6) / GRID # (7) <br />FARM SERVICE <br />5) <br />CHEMICAL NAME (8) SULFUR <br />COMMON NAME (9) DUSTING SULFUR,SPECIAL ELECTRIC <br />CAS # (10) 7704-34.9 <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />'DEC 2`9 2DD4 <br />= OF (3) = <br />TRADE SECRET (11) ❑ yES ®NO Tra <br />*EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />TYPE (14) ❑ PURE ®MIXTURE ❑ WASTE RADIOACTIVE (15) ❑ yES ®NO (16) <br />PHYSICAL STATE (17) ® SOLID ❑ LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)® FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />N/A <br />365 <br />LARGEST (21)50 <br />❑ BOX <br />❑ TANI <br />CONTAINER <br />LBS <br />UNITS* (22) []GAL ® LBS <br />❑CU FT ❑TONS MAX DAIIYAMT (23)55,000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ONSITE 55,000 <br />ANNUAL WASTE AMT (25) N/A <br />STORAGE <br />(26) <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TANI <br />CONTAINER <br />77FT ❑N <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ RAIL <br />❑YES ❑N <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTHI <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Other <br />❑ PLASTIC/NONMETALLIC DRUM <br />® BAG <br />❑ TOTE BIN <br />STORAGE <br />(27) <br />® AMBIENT []ABOVE AMBIENT <br />❑ BELOW AMBIENT <br />PRESSURE <br />STORAGE <br />(28) <br />® AMBIENT []ABOVE AMBIENT <br />[]BELOW AMBIENT []CRYOGENIC <br />TEMPERATURE <br />29 %WT 30 HAZARDOUS COMPONENT (3 1) EHS <br />32 CAS# <br />99 SULPHUR <br />110Y <br />7704-34-9 <br />❑YES ❑N <br />77FT ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) <br />(34) WHAT IS MATERIAL NAIL SALE <br />USED FQR? <br />DATE REC'D: jjf C bD 2DO4 For Official Use Only: ® C ❑ R ❑ S <br />SIC 12/99 <br />