Laserfiche WebLink
California Hazardous Oerials Inventory Form - Chemical Ocription DEC 1'9 20D4 <br />PAGE (2) = OF (3) = <br />BUSINESS NAME <br />CHEMICAL LOCATIONS) <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 />L1L1I�u �y al :�Y [N 8 <br />5) <br /> <br />UREA -AMMONIUM NITRATE, 32-00 <br />UN -32 <br />6484-50.2 <br />LEAVE BLANK <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 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)20000 <br />❑ BELOW AMBIENT <br />57-13-6 <br />CONTAINER <br />❑YES ❑N <br />UNITS* (22) ® GAL ❑ LBS <br />❑ CU FT ❑ TONS MAX DAILY AMT (23) 90,000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ONSITE 20,000 <br />ANNUAL WASTE AMT (25) N/A <br />STORAGE (26) ® ABOVE GROUND TANK <br />CONTAINER ❑ UNDER GROUND TANK <br />❑ TANK INSIDE BUILDING <br />❑STEEL DRUM <br />❑ PLASTIC/NONMETALLIC <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(29) %WT <br />LJ CAN LJ BOX ❑TANI <br />❑ CARBOY ❑ CYLINDER ❑ RAIL <br />❑ SILO ❑ GLASS BOTTLE ❑ OTHI <br />❑ FIBER DRUM ❑ PLASTIC BOTTLE ❑ Other <br />❑ BAG ❑ TOTE BIN <br />(27) <br />IN AMBIENT <br />❑ ABOVE <br />AMBIENT <br />❑ BELOW AMBIENT <br />57-13-6 <br />(28) <br />❑YES ❑N <br />❑YES ❑N <br />® AMBIENT <br />❑ ABOVE <br />AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />(30) HAZARDOUS COMPONENT (31) EHS <br />(32) CAS# <br />45 AMMONIUM NITRATE <br />❑YES ®N <br />6484-52-2 <br />36 UREA <br />❑YES ®N <br />57-13-6 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) <br />(34) WHAT IS MATERIAL RETAIL SALE <br />USED FOR? <br />DATE REC'D:IMC 2 9 2DD4 IFor Official Use Only: ® C ❑ R ❑ S <br />SJC 12/99 <br />Tra <br />