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AG. HAZARDOUS d TERIALS PESTICIDESC—TINUED:
<br /> WORKSHEET (Side Two) Mark Box if 55 gallons, 500 pounds (lbs),
<br /> 200 cubic ft. (co or more:
<br /> PESTICIDES: Mark Box if 55 gallon, 500 Q Pesticide poison & flammable n.o.s., ie) Round
<br /> pounds (lbs), 200 cubic ft. (cf) or more: Up, Glyphosate, Rodeo (2903)
<br /> Q 2,4- D,& 2, 4 - D salts (2765) O Phenoxy Pesticides n.o.s., ie) Tribute (2765)
<br /> Q Acrolein = Siimicide or Aqualin (1092) ❑ Phenyl Urea Pesticides n.o.s., ie) Diuron,
<br /> Q Aldrin (2762) Karmex, Krovar(2767)
<br /> ❑Aluminum Phosphide = Phostoxin & Gastoxin Q Propargite & Comite (2765)
<br /> (1397) C) Sodium Ch rate - Defol-6 (1495)
<br /> Q Amitrole = Amitrol, Cytrol (9092) ulfur (1350)
<br /> Q Arsenic Pesticide n.o.s. (2759) Q Surpass - Vernolate, Coal Oil (1223)
<br /> Q Atrazine or Amizine (1609) Q Vapam = Metam (1760)
<br /> Q Caplan (9099) 0
<br /> (2757) Zinc Phosphide - "ZP" (1714)
<br /> ❑Carbamate Pesticides n.o.s., ie) Sevin & Carbaryl Q Q ECEI y 1 ,EQ
<br /> ❑ Carbon Bisulfide & Purge (1131) Q
<br /> EICarbon Tetrachloride (1846) Q NOV 212o)' '
<br /> O Carbophenothion = Trithion (3021) Q
<br /> L3 Chlordane (2762) Q _
<br /> Q Chloropicrin (1580) ENVIRONMENTAL HEALTH
<br /> ❑ Copper Based Pesticide n.o.s., liquid; le) Q PERMIT1sFRigrFc
<br /> Bordeaux Mixture (2776) ❑
<br /> ❑ Copper Based Pesticide n.o.s., solid (2775) OTHER MATERIALS NnT LISTED WH R
<br /> Q Devrinol = Chlorobenzene (1134)
<br /> ❑ Dichloropropane = Telone (1279) NOTE: Include any potentially hazardous material
<br /> Q Diquat (2781) which would be of concern to you or the fire
<br /> ❑ Endrin = Endrex (2065) department.
<br /> Cl Ethrel & Ethephon (1760) Mark Box if 55 gallons, 500 lbs., 200 cubic
<br /> Q Ethylene Dibromide = EDB (1605) ft. or more of:
<br /> ❑ Ethylene Dichloride (1184) Q Aqua Ammonia = Ammonia Solution (2073)
<br /> Q Ethylene Oxide (1040) Q Anti-freeze (1142)
<br /> Q Ferrous Sulfate (2195) Q Bleach = Sodium Hypochlorite (1791)
<br /> Q Formaldehyde = Formalin (2209) Q Caustic Soda, dry flake or bead = NaOH or
<br /> Q Formetanate = Carzol (2588) Sodium Hydroxide (1823)
<br /> ❑ Insecticide gas n.o.s. (1968) Q Caustic Soda, liquid = NaOH or Sodium
<br /> Q Insecticide n.o.s., (1993) Hydroxide solution (1824)
<br /> Q Lannate = Nudrin, Methomyl (2752) ❑ Hydrochloric Acid = HCI or Muriatic Acid (1789)
<br /> ❑ Malathion (2215) ❑ Paint (1263)
<br /> Q Maneb = Manex (2210) Q Sulfuric Acid (1830)
<br /> Q Metaldehyde, Halizan or Metason (1332) Q
<br /> Q Methyl Bromide (1062) Q
<br /> Q Methyl Isocyanate - Vorlex (2447) Q
<br /> ❑ Organochlorine Pesticides n.o.s., ie) Dicofol, Q
<br /> Kelthane, Lindane = Isotox, ... (2761) ❑
<br /> ❑ Organophosphate Pesticide n.o.s., ie) Q
<br /> Chlorpyrifos, Dursban, Diazinon, Dibrom, Naled, ❑
<br /> Lorsban, Dichlorvos, Ethion, Disulfotun = Di- Q
<br /> Syston (2783) Q
<br /> Q Pentachlorophenol = "Penta" (2020) Q
<br /> Q Pesticide, poisonous n.o.s., ie) Goal, Bromacil, Q
<br /> Surflan, Hyvar, Warfarin, Mesurol, etc., (2902) Q
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