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FROM : DR ARCHER EXCAVATING . FAX NO. •Feb. 07 2008 12:11PM P4 <br /> California Hazardous Materials Inventory Form - Chemical Description (5/22/2007 ) <br /> PAGE(2) =OF(3)Q <br /> BUSINESS NAME (4)D.A. ARCHER EXCAVATING <br /> CHEMICAL LOCATION(S)(5) <br /> MAP#(6)/ GRID#(7) <br /> CHEMICAL NAME (8) N/A TRADE SECRET(11) ❑YES 1131 NO <br /> COMMON NAME (9) N/A *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS-Y" <br /> CAS # (10) N/A ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) PURE ❑MIXTURE ❑WASTE RADIOAC.TIVF(15) ❑YES (-N0 (16)� <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑ H <br /> CRONIC HEALTH <br /> STATE <br /> ODE WASTE (19) N!A UMTS'(22) ❑CU FT ❑TONS OMAXN SITE ILY AMT(23� <br /> DAYS ON SITE (20) *I1'EHS.amounLi mast be in Ibs AVG DAILY AMT(2A) <br /> ON SITE <br /> LARGEST (21 N!A ANNUAL WASTE AMT(25) N!A <br /> CONTAINER <br /> STORAGE (26)1®ABOVE GROUND TANK ❑CAN [3BOX O TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY El CYLINDER C3 RAIL CAR <br /> 1]TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTHER <br /> ❑STEEL DRUM El FIBER DRUM ❑PLASTIC BOTTLE ❑Other... <br /> ❑PLASTICINONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27) ®AMBIENT ❑ABOVE AMBIENT ❑FELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28) AMBIENT AnOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMFERATURB <br /> 29 %WT 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> N!A N!A ❑YES N Nq N/A <br /> OYES ❑N <br /> YES ON <br /> I lI ❑YES ❑N <br /> ❑YES ❑N <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS IDM(DOT) N/A <br /> (34)WHAT IS MATERIAL NIA -- - _- <br /> USED FOR? --- - <br /> DATE RECO' IF., 0(1X1.1 Ux* 0n1y: ❑(' ❑R ❑R Sic 12/99 <br />