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Chemical Description Choak If all of Iho Inronnallan lar Ihla chomlcal to ® Idanliool to Iha Inlonnallan submllled laatyaar - - - - - - - - - - - - - - - - - - - - - Trado Socrol• ® CAS Cham, Namo ❑ ❑ ' ElElChuck All ii ® Physical and Heath Hazards ❑ Fire ❑ • Suddon Raines of Pressure ❑ Roacllvlly ❑ Immodlalo (tondo) ❑ Dolayod (chronic) Inventory -• Max, Dolly Amount (coda) Avg. Dully Amount (code) No, of Days On•silo(days) ° a g~ e 1- . storage Codes and Locations (Non-Confidential) . That Apply Pura Mix Solid . Llauid Gas EHS . ❑ Chock ifall°Ilh°Infarmall°nfarlhlschomlealIs Idonllcol to Iho Infarrpalfan submllled last year - - - - - - - - - - - - - - - - - - - - CAS Trado Socrol ❑ • • Chom. Namo OhoelrAll E3 El El® Piro Max. Dolly Amount (coda) Avg. Dolly Amount (coda) No. of Days On•nllo (days) • •❑ • • II Suddon Roloaso of Prosauro ❑ Reactivity ❑ Immodlalo (aculo) ❑ Dolayad (chronic) 4. . Thal Apply pure Mix Solid liquid Gas EHS Chock If all or Iha Information for this chomlcal Is Idonlloal to lho Information aubmlllod lastyoar _ - - - - _ - - - _ _ _ _ - _ - _ - _ - - CAS • Trada Sacral .❑ Chom. Namo- Chock All I♦ 0 0 0 0 01 E3® Flra 0 Sudden Roloaso of Prosauro • Roactivlty Max. Dally Amount (Dodo) Alm. Daily Amount (coda) No, of Days Dn•ella (days) •. • 0 Immodlalo (aouto) ❑ 'Dolayod(chronic) Thal Apply pure Mix . Solid Llquld Goa EHS ®Chock If all of the Information for Pilo chomlcal Is Identical to [ha Information submitted lastyoar - - - - - - - - - - - - - - - - - - - - - - CAS Trada Sacral ❑ - Chom. Namo Chock All 0 • . 0 ❑ ❑ ® ElFlro ❑ Suddan Muse of Proseura 0 Roaollvity Immodlalo (acute) Max. Dally Amount (coda) Avg. Dally Amount (coda) No. or Days Oh•olle(days) • Dolayod (chronic) That Apply Pum Mix solid Liquid Gas EHS Iho Information far this is . ■� Chock If all of chemical Idonllcal to the Information submitted last year • Flre 0 Sudden RDlease of Pro°sura ❑ Reactivity • Immediate (acute) - - - - - - - - _ - _ -- - - - _ - - - -• CAS Trada Socrol Chom. Namo Check All 0 El ❑ El Thal Apply Pura • Mix Solld Liquid Goa EHS Mex. Daily Amount (code) Avg. Dally • Amount (code) 365 •Delayed (chronic) No. of Days On-slla(days) Certification (Read and sign after completing all sections) 1 codify under penatly of law Thal I have personally examined and am familiarwlih the information submitted In pages one Through 1, and that basad on my Inquiry of Those Individuals rosponaibia for obtaining this Information, I believe lhat the submitted Information is Purl, acourale, and camplolo. Dalo signed • Optional Attchments 0 I have attached a site plan ❑ 1 havo attached a list °raft° caardinalaobbrevlalions 0safeguardshmoasuras dasorlptlon of Mos and olhor ' Nemo and official till° of ownerlaparnlor Signature OR ownerioporator's euihorixad representative