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California Hazardous Materials Inventory Form - Chemical Deetription <br />(1) ® ADD [I DELETE [I REVISE PAGE (2) S 1 OF (3) 116 <br />I;lull Ilk 4*10r,,16 i y, <br />CHEMICAL LOCATION(S) (5) <br />FARM SERVICE <br /> <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />NONYLPHENOL POLETYLENE <br />ACTIVATOR 85 <br />127087-87-0 <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) ❑PURE ®MIXTURE ❑WASTE I RADIOACTIVE (15) ❑yES ®NO (16) N/A <br />PHYSICAL STATE (17) ❑ SOLID H LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)0 FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ® CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) ® GAL ❑ LBS <br />CODE ❑ CU FT ❑ TONS MAX DAILY AMT (23 380 <br />ON SITE <br />DAYS ON SITE (20)AVG DAILY AMT (24) 365 *If EHS, amounts must be in lbs 190 <br />O ON SITE <br />LARGEST (21)� ANNUAL WASTE AMT (25) D <br />CONTAINER gal <br />STORAGE <br />(26) <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TAN <br />CONTAINER <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ RAI <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ Othe <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />H PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM <br />❑ BAG <br />❑ TOTE BIN <br />STORAGE <br />(27) <br />® AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBI <br />PRESSURE <br />STORAGE <br />(28) <br />® AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT <br />(30) HAZARDOUS COMPONENT <br />(31) EHS <br />(32) CAS# <br />80 <br />NONYLPHENOL <br />❑YES ®N 127087-87-0 <br />❑YES ❑N <br />❑YES [:]Nql <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 918 8 <br />(34) WHAT IS MATERIAL <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: H C ❑ R ❑ S SIC 12/99 <br />