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California Hazardous Materials Inventory <br />(1) ® 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 />5) <br /> <br />Form - Chemical De1ription <br />DIMETHYL TETRACHLOROTEREPHTHALATE <br />DACTHAL 75 W <br />1861-32-1 <br />LEAVE BLANK <br />PAGE (2) = <br />OF (3) EL <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 <br />(14) <br />❑ PURE ®MIXTURE ❑ WASTE <br />RADIOACTIVE (15) ❑ yES ®NO (16) N/A <br />PHYSICAL STATE (17) <br />CURIES <br />IN SOLID ❑ LIQUID ❑ GAS <br />FED HAZARD <br />CATEGORIES <br />(18)❑ <br />❑YES ON <br />FD2E ❑ REACTIVE ❑ PRESSURE RELEASE ❑ ACUTE HEALTH ®CHRONIC HEALTH <br />STATE WASTE <br />CODE <br />(19) <br />N/A <br />UNITS* (22) ❑ GAL H LBS <br />❑ CU FT ElTONS MAX DAILY AMT (23)1,000 <br />ON SITE <br />DAYS ON SITE (20) <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />96 <br />30 <br />ONSITE <br />LARGEST <br />CONTAINER <br />(21 <br />ANNUAL WASTE AMT (25) N /A <br />24 LBS <br />STORAGE <br />(26) <br />❑ABOVE GROUND TANK <br />❑CAN ❑BOX ❑TAN <br />CONTAINER <br />❑ UNDER GROUND TANK <br />❑ CARBOY ❑ CYLINDER ❑ RAI <br />❑ TANK INSIDE BUILDING <br />❑ SILO ❑ GLASS BOTTLE ❑ Othe <br />❑ STEEL DRUM <br />❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM ® BAG ❑ TOTE BIN <br />® AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBI <br />STORAGE (27) <br />PRESSURE <br />STORAGE <br />(28) 19 AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT <br />(30) HAZARDOUS COMPONENT <br />(31) EHS (32) CAS# <br />79 <br />1 IDIMETHYL IJOYES ®N <br />1861-32-1 <br />❑YES ❑N <br />OYES ON <br />❑YES ON <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 lFor Omcial Use Only: 0 C 0 R 0 S SIC 12199 <br />