1.877.CSI.TANK

CHEMICAL TANK QUESTIONNAIRE

Note:  Failure to answer questions or supply complete information about the chemical(s) or mixture to be stored in the tank may cause delays in the approval process.

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3. What is the name of the chemical to be stored? If the chemical will be a mixture of chemicals, list each component and the percent concentration (sum of concentrations should total 100%). Include trace chemicals and reaction gases or liquids.

 

Note: If only "trade names" are known, list the trade name, the name of the manufacturer, and a list of the individual components if known. Copies of MSDS(s) may be requested by CSI.

 

(1) Accounts for the possibility that a single component of a mixture could be dumped into the tank or basin.

(2) If the chemical is water (other than potable water or rain water) such as de-ionized, pure, ultra-pure, etc., show the concentration in ohm/cm.

(3) If chemical is listed in Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), the tank must be double wall.

 

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Chemical Name:

Normal Concentration (Sum = 100%):

Maximum Concentration (1)(2):

Maximum Residence Time @ Max. Concentration

Product Listed in CERCLA as Hazardous (yes/no)(3)

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For access to the Chemical Tank Questionnaire please view this web page on a device with a larger display or call 1.877.CSI.TANK