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California Hazardous Matials Inventory Form - Chemical Deeription <br />(1) I HADD ❑ DELETE ❑ REVISE <br />BUSINESS NAME (4)RIPON 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 />OXYGEN <br />OXYGEN <br />7782-44-7 <br />LEAVE BLANK <br />PAGE (2) = <br />OF (3) F116 <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 <br />(14)19PURE <br />❑MIXTURE <br />❑WASTE <br />RADIOACTIVE (15) ❑yES ®NO(16) N/A <br />PHYSICAL STATE (17) <br />CURIES <br />❑ SOLID ❑ LIQUID <br />®GAS <br />FED HAZARD <br />CATEGORIES <br />(18)® <br />FIRE ❑ REACTIVE <br />❑ PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTH <br />UNITS* (22) ❑ GAL ❑ LBS <br />N/A ® CU FT ❑ TONS MAX DAILY AMT (23) 600 <br />ON SITE <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE <br />(20) <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />3 65 <br />ON SITE 600 <br />LARGEST <br />(21)154 <br />ANNUAL WASTE AMT (25) <br />CONTAINER <br />N/A <br />STORAGE <br />(26) <br />❑ ABOVE GROUND <br />TANK ❑CAN ❑ BOX ❑ TAN <br />CONTAINER <br />❑ UNDER GROUND <br />TANK ❑ CARBOY ® CYLINDER ❑RAI <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑ Othe <br />❑ STEEL DRUM <br />❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />STORAGE (27) ❑ AMBIENT H ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />29 %WT 30 HAZARDOUS COMPONENT (31) EHS <br />32 CAS# <br />99.8 OXYGEN <br />❑ YES ® N 77g2-44-7 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 1072 <br />(34) WHAT IS MATERIAL I SHOP USE <br />USED FOR? <br />DATE RECD: 12/14/01 For Official Use Only: 0 C 0 R 0 S SIC 12/99 <br />