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California Hazardous Materials Inventory Form - Chemical Deetription <br />(1) <br />HADD []DELETE ❑REVISE PAGE (2) = <br />OF (3) 116 <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICAL LOCATION(S)(5) <br /> <br />CHEMICAL NAME (8) ORYZALIN TRADE SECRET (11) ❑ YES ® NO <br />COMMON NAME (9) SURFLAN AS *EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />CAS # (10) 019044-88-3 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD LEAVE BLANK <br />CATEGORIES <br />TYPE (14) <br />PHYSICAL STATE (17) <br />FED HAZARD <br />CATEGORIES (18)❑ <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />LARGEST (21 <br />CONTAINER <br />STORAGE (26) <br />CONTAINER <br />❑ PURE H MIXTURE ❑WASTE <br />RADIOACTIVE (15) ❑ yES ®NO (16) N/A <br />CURIES <br />❑ SOLID ®LIQUID ❑GAS <br />FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />N/`�' <br />UNITS*(22) ®GAL ❑LBS <br />[ICU FT [I TON MAX DAILY AMT (23 2,000 <br />ON STYE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE 80 <br />ANNUAL WASTE AMT (25) N/A <br />365 <br />❑YES ❑N <br />2.5 GAL <br />❑ ABOVE GROUND TANK ❑ CAN ❑ BOX []TAN <br />[]UNDER GROUND TANK []CARBOY ❑ CYLINDER ❑RAI <br />❑ TANK INSIDE BUILDING [ISILO [IGLASS BOTTLE ❑ Othe <br />❑ STEEL DRUM ❑ FIBER DRUM ®PLASTIC BOTTLE <br />STORAGE (27) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) ® AMBIENT ❑ ABOVE AMBIENT []BELOW AMBIENT []CRYOGENIC <br />TEMPERATURE <br />(29) %WT (30) HA7ARDnli.S C()MPONFNT (31) FES (2,)%(,Ace <br />40.4 ORYZALIN <br />❑YES ®N 019044-88-3 <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 />