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FROM : CARDOZA ENTERPRISES FAX NO. : 209 823 3414 Jan. 22 1999 01:43PM P3 <br />California Hazardous Materials Inventory Reporting Form Chemical Description Page <br />LU ADD F_-IDELETE=VISE 1997 PACE (2) =OF(3)j <br />BUSINESS NAME (4) <br />CHEMICAL LOCATION(S) (5) <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) TRADE SECRET (l 1) ❑Y N <br />COMMON NAME (9) E -EHS (12) Y OYN <br />*IF EHS BOX IS "Y" <br />CAS # ( I0)1 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />TYPE <br />(14)1 <br />[:]PURE EIMIXTURE <br />[]WASTE RADIOACUVE (15) L[� y CDN(16) <br />PHYSICAL STATE (17)1 <br />[:]SOLID [DLIQUID,gGAS <br />CURIES <br />FED HAZARD® <br />CATEGORIES <br />(18) <br />REACT7VI-1 <br />[_ RELEASE ACUTE HEAITH E] C-HR4 <br />STATE WASTE <br />CODE <br />(19) <br />UNITS- (22) GAL ❑ CU FT MAX DAILY AMT (23) <br />Lie, epee, I <br />[:]LBS TONS <br />DAYS ON SITE <br />(20) <br />4 5- <br />AVG DAILY AMT (24) <br />-if EHS, amounts must be in abs L9 6=vvj <br />LARGEST <br />(21 <br />ANNUAL WASTE AMT (25) <br />1 <br />CONTAINER <br />STORAGE (26) <br />CONTAINER <br />0 ABOVE GROUND TANK [I CAN 0 Box OTANK WAGON <br />�K-NDER GROUND TANK 0 CARBOY [] CYLINDER 0 RAIL CAR <br />0 TANK iNsiDE BUILDING SILO L] GLASS BOTTLE 0 --------------------- <br />STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM E3BAG ❑ TOTE BIN <br />STORAGE (27)1 AMBIENT [-] ABOVE AMBIENT [-]BELOW AMBIENT <br />PRESSURE <br />STORAGE (28) [DABOVEAMBIENT C3BELOWAMBIENT C] CRYOGENIC <br />TEMPERATURE <br />(29)%WT (30) HAZARDOUS COMPONENT (3l EHS (32) CAS# <br />I 0Y []NJ <br />11:1y clN] <br />E I [—]Y [3N I <br />E I[C]Y []NJ <br />= <br />ADDITIONAL LOCALLY COLLECTED INFORMATION, (33): DOT # <br />For Official Use 0hip _7 C � R S SIC 12/96 <br />