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California Hazardous Mal ials Inventory Form - <br />Chemical Deetription <br />❑ BOX <br />[]TAN <br />(1) <br />® ADD ❑ DELETE ❑ REVISE <br />[I CYLINDER <br />PAGE (2) <br />= <br />OF (3) <br />116 <br />❑ Othe <br />❑ STEEL DRUM <br />BUSINESS NAME (4)IRIPON FARM SERVICE <br />CHEMICAL LOCATION(S) <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />CALCIUM NITRATE <br />CALCIUM NITRATE <br />15245-12-2 <br />LEAVE BLANK <br />TRADE SECRET (11) ❑ yES ®NO <br />*EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />TYPE (14) ID PURE ®MIXTURE ❑WASTE RADIOACTIVE (15) ❑YES ❑NO (16) N/A <br />PHYSICAL STATE (17) ® SOLID ❑ LIQUID ❑GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)❑ F[RE [IREACTIVE [IPRESSURE RELEASE [IACUTE HEALTH El CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) ❑ GAL ®LBS <br />CODE N/A I[] CU FT ❑TONS MAX DAILYAMT(23)50,1100 <br />ON SITE <br />DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />L ONSITE 2,000 <br />LARGEST (21 ANNUAL ANNUAL WASTE AMT (25) N/A <br />CONTAINER <br />STORAGE (26) <br />CONTAINER <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />[]TAN <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />[I CYLINDER <br />❑ RAI] <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ Othe <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑PLASTIC/NONMETALLIC <br />DRUM ®BAG <br />❑TOTE BIN <br />STORAGE (27) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT (4111 HA7ART)OTTS COMPONRNT (3 1) EHS (32) CAS# <br />15.5 CALCIUM NITRATE <br />❑YES ®N <br />15245-12-2 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL RETAIL SALE <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: 0 C ❑ R ❑ S SIC 12/99 <br />