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INSTRUCTION OR COMPLETING THE ROARDOUS MATERIAL <br /> CHEMICAL INVENTORY SHEET <br /> BUSTNF,SS NAME• Legal name of company,corporation,or business. <br /> CONTACT NAME: Person completing inventory. <br /> PHONE,NUMBER: Telephone number of the location where hazardous materials are located or used. <br /> STTF,A DDRF.SS: Street address(not mailing),city and zip code of the location where hazardous materials are located or used <br /> INFORMATION ON CHEMICALS <br /> CHEMICALNAME: Enter the technical name. <br /> TRADE,SECRET: Check box for Yes if applicable. <br /> TRADF,NAME: Enter most common trade name(s)for material. <br /> AHK Chemicals listed on your Acutely Hazardous Materials Registration Form. <br /> WASTE CLASSIFICATION• Enter the appropriate waste classification criteria. <br /> 12F,PARTMENTOFTRANSPORTATION(DOT)- United Nations/NorthAmerica Number Enter the 4-digit number code. <br /> CHEMICAL ABSTRACT NUMBER ( AS#)• Enter the Chemical Abstract Service Number used. <br /> NUMBER OF DAYS ONSITE- Estimate the total number of days per year material is on site. <br /> MAXIMUM DAILY AMOUNT• The maximum amount handled or in inventory at any given time. <br /> AVERAGE DAILY AMOUNT, Estimate thcaveragcamoumof material in daily inventory. <br /> UNITS OF MF.ASIIRF• Chemical measured by either gallons,pounds or cubic feet. <br /> PHYSTCAL STATF• Chemical stored as a solid, liquid,gas and is the chemical a mixture of other chemicals. <br /> PHYSICAL HAZARDS: From manufacturerordistributorinformation(MSDS,Labels... choose applicable hazard(s). <br /> HF.ALTHHAZARDS: From manufacturerordistributorinformation (MSDS,Labels... choose applicable hazard(s). <br /> INCOMPATIBLE M ATFRIA I S• From manufacturer or distributor information(M SDS,Labels...)choose applicable <br /> hazard(s). <br /> .STORAGE TYPE: State what type of containers arc used to store the materials. <br /> STORAGE,PRESSURE, Enter a pressure if the material is stored under pressure. <br /> STORAGE TEMPERATURE, Enter thoapproximate storage tcmperature. <br /> STORAGE LOCATION, Enter location of where the material is stored or used at your facility. (i.e. Building 89). <br /> HOW IS MATERIAL USED• Describe how the material is used. (i.e. Diesel=vehicle fuel,Anhydrous Ammon ia=for refrig- <br /> cration, Propanc=storcd for distribution to customers...). <br /> I MIXTURE: List the three most hazardous components(by weight), if applicable. From manufacturer or distributor informa- <br /> tion(MSDS,Labels...)choose applicable hazard(s). <br />