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r - <br /> 1 Give a brief descnpnon of the way(s) in which the carcinogen or carcinogen containing product(s) <br /> are processed, handled, used, or transported <br /> See attached. <br /> 2 Give the in-plant locanon(s) where carcinogen(s) are used <br /> 3 Give the address of each area where carcinogen(s)are used if different from address given below <br /> Refer to letter. <br /> 4 Other identifying information of each carcinogen in use or present.such as trade names or synonyms, <br /> if known <br />' Refer to letter. <br /> 5 The number of employees in areas where carcinogens are used or present during any operation <br /> including maintenance activities <br /> See Attachment 2. <br /> 6 The total number of employees including office personnel at this establishment <br /> Refer to letter. <br /> 7 The mariner in which a carcinogen is present in a place of employment; e.g., whether it is man- <br /> ufactured. processed. used.repackaged,released,stored,or otherwise handled. <br /> Refer to letter. <br /> 8 The name and address of the union bargaining representative(s), if any, of the employees who may <br /> be exposed to the carcinogens. <br /> Refer to letter. <br /> 9 Nature of business Indicate the industry and the principal product(s), line of trade, service or <br /> other activity (Examples General Contractors. Single Family Houses; Chemical Manufacturing, <br /> Paints and Varnishes.etc.) <br /> Refer to letter. <br /> I0 For any of the carcinogens listed under Sections 5209 5210.5212. 5213 5214 5215, 5219 and 5220 <br /> (see front page)include the quantity of the carcinogen used(or the quantity of the product for which the <br /> content of the carcinogen is unknown)and an estimate of the frequency of employee exposure. <br /> Refer to letter. <br /> Please type or pnnt: <br /> Name and Title of Registrant (PI ase Pnrit) Date <br /> _ n <br /> fl_ <br /> ompany Ca�pO-caS3A ����� _.�� _� Check <br /> spa ary�obsaes involve <br /> 2_3456 Hawthorne Blvd. #220Torrance,ace, CA 90505 <br /> Address - Zip Code <br /> _--_ode -- __-_ _-- (213 378-9933 <br /> Signature Telephone Number <br /> This registration or any change in the registration information shall be reported in writing within 15 <br /> (10 for EDB) calendar days of such changes to- Chief. Division of Occupational Safety and Health. <br /> 525 Golden Gate Avenue.Third Floor. San Francisco. CA 94102.as referenced in the Title 8.California <br /> Administrative Code Sections cited above <br /> POST <br /> ( A COPY OF THIS REPORT 1N A CONSPICUOUS PLACE WHERE CARCINOGEN IS USED SEE SEC. 24231 <br /> ' OF THE HEALTH AND SAFETY CODE.) <br /> ten+ ne►+8 �c-r <br />