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1 <br /> ��� <br /> iD�x - <br /> C M <br /> H�� <br /> K O <br /> H'a0 <br /> ���n 6"'� C : <br /> y�X� Adl-E•1 1991 UNIFORM FIRE CODE <br /> o� <br /> ,�,��g 2. Imrntory Slatement Instruc�lom � <br /> �` � Columo Informatton Requircd <br /> �y1 Provide hazard clazs for each material. <br /> �„�y 2 \onRute.Provide the common a uade nune of ihe iegulated material, <br /> �ta H Wute.in lieu of vade names,you ma�•provide thc was�e ca�egory. <br /> �p(p 3 Prc�ide the chemial name and major mnstituents and concentrations, if a <br /> � � miztwe. <br /> 4 Enter thc Chemical Abstract Service number(CAS numbcr) found in 29 C.F.R. <br /> �y For misturcs, emer �he CAS number of�he mixture u � whole, if it hu been <br /> usigned�number distina Gom iu comp«xn�s. For a mixturt thm has no CAS <br /> number,rcpon CAS numDers of tluee major constituen�s. <br /> S Emer�he following descriptive codes u they apply to each maierial.You may lis� <br /> morc than one code,if applicable. <br /> P = Pwe <br /> M= Miztwe <br /> S = Solid <br /> L = Liquid <br /> G = Gu <br /> 6 a. Provide the muimum aggrega�e quantiry of wch maierial handled at any one <br /> time by ihe business. For underground tanks, list the mazimum volume (in <br /> � gallons)of the unk. <br /> � b. Emer the estima�ed avmge daily amount on site during the past year. <br /> � 7 a. Enter the uni�s used in Column 6 u: <br /> '�t LB = Pounds <br /> ' ' � GA = Gallons <br /> � � CF = Cubic Ftet <br /> � 8 Emerthenumberofdaystha�thematerialuaspresentonsite(duringthelasiyear�. <br /> � � � 9 Enier the storage codes below for type,ICRIPt2t11R lIIC PRSSIIR. <br /> '_' F <br /> '[ype Temperaturc <br /> � � A = Aboveground Tank 4 = Ambienl <br /> � ' � B = Belowground Tank 5 = Greaier than Ambient <br /> ' ' C = '�ank inside Building 6 = Less than Ambient. <br /> � D = Steel Drum bu�noi Cryogenic <br /> ' E = Plastic or Nonmeul 7 = Cryogenic Drum <br /> F = Can <br /> ' G = Carboy <br /> N = Silo <br /> �' 1 = Fiberdrum Pressurc <br /> '� ] = Bag 1 = qmbient(Atmospheric) <br /> K = Boa 2 = Grwter�han Ambiem <br /> � L = Cylinder (Aunospheric) <br /> �' M = Glass Bottle or lug 3 = Less than Ambient <br /> �' N = Plastic (Avnospheric) <br /> � O = To�e Bin <br /> __ P = Tank Wagon <br /> Q = Rail Car <br /> � R = Other <br /> 10 For wch malerial listcrl,provide�he SARA hazard clus as listed below.You may <br /> list more than one class.Theu categories are defined in 40 C.F.R.3703. <br /> qg1 �. .r <br />