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California Hazardous Oerials Inventory Form - Chemical �cription <br /> P <br /> BUSINESS NAME (4) LPC PACKAGING INC (1395 REPORT) AGE(2) = OF(3) <br /> CHEMICAL LOCATION(S)(5)1MIDDLE OF WAREHOUSE <br /> MAP#(6)/ GRID#(7) D-4 NIA NIA NIA NIA <br /> CHEMICAL NAME (8) 21-7-14 TRADE SECRET(11) ❑YES ®N-0--j 1'ra <br /> COMMON NAME (9) TURF ROYALE *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) 5 SEPERATE NUMBERS(SEE BELOW) ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE [--]WASTE RADIOACTIVE(15) ❑YES ®NO (16) N/A <br /> PHYSICAL STATE{17} ®SOLID [--]LIQUID ❑GAS CURIES <br /> FED HAZARD ❑FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> CATEGORIES (18) <br /> STATE WASTE {19} UNITS*(22) C1GAL [:1LBS <br /> CODE N/A UNITS* <br /> CU FT ®TONS MAX DAILY AMT(23)500 <br /> ON SITE <br /> DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT(24) 250 <br /> ON SITE <br /> LARGEST (21)150# BAG ANNUAL WASTE AMT(25) NIA <br /> CONTAINER <br /> STORAGE (26)❑ABOVE GROUND TANK ❑CAN ❑BOX ❑TAN <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ❑CYLINDER ❑RAIL <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTH <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other <br /> ❑PLASTIC/NONMETALLIC DRUM ®BAG ❑TOTE BIN <br /> STORAGE (27) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) ®AMBIENT ❑ABOVE AMBIENT []BELOW AMBIENT []CRYOGENIC <br /> TEMPERATURE <br /> 29 %WT 30 HAZARDOUS COMPONENT (31)EHS 32 CAS# <br /> AMMONIUM NITRATE ❑YES ®N 6484-52-2 <br /> CALCIUM PHOSPHATE ❑YES ®N 7757-93-9 <br /> MONOAMMONIUM PHOSPHATE ❑YES ®N 7722-76-1 <br /> DIAMMONIUM PHOSHATE ❑YES ®N [77783-28-0 <br /> POTASSIUM SULFATE ❑YES HN 7778-80-5 <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) N/A <br /> (34)WHAT IS MATERIAL Fertilizer <br /> USED FOR? <br /> DATE REC'D: 12/22/05 For Official Use Only: ❑C ❑R ❑S SJC 12/99 <br />