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APPENDIX H <br />2015 MINNESOTA STATE FIRE CODE 495 <br />FIGURE 5 <br />SECTION II — HAZARDOUS MATERIALS INVENTORY STATEMENT (HMIS) HMIS INVENTORY REPORT <br />(Sort Products Alphabetically by Location of Product and then Alphabetically by Product Name) <br />a. Identify the control area or, if it is a Group H occupancy, provide the classification, such as H-2, H-3, etc. <br />b. If the product container, vessel or tank could exceed 55 gallons, indicate yes in the column. <br />c. Specify percentages of main components if available. <br />d. In cubic feet, gallons or pounds. <br />(This is an example; add additional hazard classes as needed.) <br />Product Name <br />(Components)c CAS Number Locationa Container <br />> 55 galb <br />Haz <br />Class <br />1 <br />Haz <br />Class <br />2 <br />Haz <br />Class <br />3 <br />Stored <br />(Ibs) <br />Stored <br />(gal) <br />Stored <br />(gas)d <br />Closed <br />(bls) <br />Closed <br />(gal) <br />Closed <br />gasd <br />Open <br />(Ibs) <br />Open <br />(gal) <br />ACETYLENE <br />(Acetylene gas) 74-86-2 Control <br />Area 1 FLG UR2 150 <br />BLACK AEROSOL <br />SPRAY PAINT <br />(Mixture) <br />Mixture Control <br />Area 1 A-L3 24 <br />GASOLINE, <br />UNLEADED <br />(Gasoline-Mixture) <br />Methyl-t-Butyl-Ether-15% <br />Diisopropyl Ether-7% <br />Ethanol-11% <br />Toluene-12% <br />Xylene-11% <br /> <br /> 8006-61-9 <br />1634-04-4 <br />108-20-3 <br />64-17-5 <br />108-88-3 <br />1330-20-7 <br />Control <br />Area 1 F1B 5 <br /> <br />MOTOR OIL-10W40 <br />(Hydrotreated Heavy <br />Paraffinic Distillate-85%; <br />Additives-20%) <br />64742-54-7 <br />Mixture <br />Control <br />Area 1 C3B 3 <br /> <br />DIESEL <br />(Diesel-99-100%; <br />Additives) <br />68476-34-6 <br />Proprietary <br />Control <br />Area 2 Yes C2 225 <br /> <br />TRANSMISSION FLUID <br />(Oil-Solvent-Neutral; <br />Performance Additives) <br />64742-65-0 Control <br />Area 2 C3B 3 <br /> <br />OXYGEN, GAS <br />(Oxygen) 7782-44-7 H-3 OXG 5,000 <br />Copyright © 2016 ICC. ALL RIGHTS RESERVED. Accessed by James Lee on Dec 14, 2016 8:21:27 AM pursuant to License Agreement with ICC. No further reproduction or <br />distribution authorized. ANY UNAUTHORIZED REPRODUCTION OR DISTRIBUTION IS A VIOLATION OF THE FEDERAL COPYRIGHT ACT AND THE LICENSE <br />AGREEMENT, AND SUBJECT TO CIVIL AND CRIMINAL PENALTIES THEREUNDER.