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California Hazardous Nerials Inventory Form - Chemical Des Ption <br /> PAGE(2) OF(3) <br /> BUSINESS NAME <br /> (4)UNIFIRST CORPORATION <br /> CHEMICAL LOCATION(S)(5)EOUBLE WALL TANK/WASHROOM <br /> MAP#(6)/ GRID#(7) J ,AP-1— g 2 N —.J NA N A <br /> CHEMICAL NAME. (8) SILICIC, SODIUM SALT TRADE SECRET(11) ❑YES ®NO <br /> COMMON NAME ' (9) (HORIZON) SODIUM SILICATE *EHS(12) 10 YES ®NO� <br /> *IF EHS BOX IS"Y" <br /> CAS # (10) N A ALL AMOUNTS MUST BE IN LBS <br /> I <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ®YES ®NO (16) 0 <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18) ®FIRE ❑REACTIVE ®PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ®LBS <br /> CODE N A ❑CU FT ❑TONS MAX DAILY AMT(23)8 0 0 <br /> ON SITE <br /> -)AYS ON (20)365 *If EHS,amounts must be in lbs AVG DAILY AMT(24) 200 <br /> ON SITE <br /> LARGEST (21 ANNUAL WASTE AMT(25) <br /> CONTAINER 1000 LA <br /> STORAGE (26)[E3 <br /> ABOVE GROUND TANK []CAN ❑BOX [I TANK WAGON <br /> CONTAINER UNDER GROUND TANK []CARBOY [ICYLINDER [I RAIL CAR <br /> TANK INSIDE BUILDING Q SILO El GLASS BOTTLE []OTHER <br /> STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other... <br /> PLASTIC/NONMETALLIC DRUM []BAG ❑TOTE BIN <br /> STORAGE (27)IN AMBIENT ®ABOVE AMBIENT ®BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28)-- <br /> 15a AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)% 30 HAZARDOUS COMPONENT (31.)_EHS . _ 3AS# <br /> 10-30 NONIONIC SURFACTANT ❑YES HN 6E213-23-0 <br /> 5-15 SODIUM METASILICATE ❑YES ®N 6834-92-0 <br /> <5% PRECIPITATED SILICA YES ®N 112926-00-8 <br /> ❑ <br /> NA NA ❑YES NNI NA <br /> NA NA OYES BaNa NA <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) UN3262 <br /> (34)WHAT IS MATERIAL LAUNDRY BUILDER/PROCESSING SOILED GARMENTS <br /> USED FOR? . <br /> DATE REC'D: 1/8/04 For Official Use Only: ®C 0 R ❑S SJC 12/99 <br />