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Fform omb no 2050 0072-2026

The document is a Tier Two Emergency and Hazardous Chemical Inventory form, which requires facility identification details, chemical descriptions, storage information, and hazard classifications. It is used for reporting hazardous chemicals present at a facility during a specified reporting period, ensuring compliance with safety regulations. The form includes sections for emergency contact information, certification of accuracy by the owner/operator, and optional attachments related to site safety measures.

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Click ‘Get Form’ to open the fform omb no 2050 0072 in the editor.
Begin by filling out the Facility Identification section. Enter the Owner/Operator Name, Street Address, City, County, State, Phone Number, and Zip Code.
Provide Emergency Contact details including Name, Title, and both regular and 24-hour Phone Numbers.
Indicate the Reporting Period by entering the year for which you are reporting. Check if any information is identical to last year's submission.
In the Specific Information by Chemical section, list each chemical's CAS number and description. Check applicable boxes for physical states (Solid, Liquid, Gas) and hazards.
Complete the certification section at the end of the form. Ensure you sign and date it after reviewing all entries for accuracy.

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