Laserfiche WebLink
California Hazardous Materials Inventory Form - Chemical Deeription <br />(1) H ADD ❑ DELETE ❑ REVISE PAGE (2) = <br />OF (3) 116 <br />310-10ATYJ:"u II <br />FARM SERVICE <br />CHEMICAL LOCATION(S) (5) <br /> <br /> <br /> <br /> <br />❑YES ❑N <br />❑YES 0Nqj <br />CHEMICAL NAME <br />(8) <br />PENDIMETHALIN <br />TRADE SECRET (11) ❑YES ®NO <br />COMMON NAME <br />(9) <br />PROWL <br />*EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />CAS # <br />(10) <br />40487-42-1 <br />ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE <br />(13) <br />HAZARD <br />LEAVE BLANK <br />CATEGORIES <br />TYPE <br />(14) <br />❑ PURE ®MIXTURE ❑ WASTE <br />RADIOACTIVE (15) ❑ yES ® NO <br />PHYSICAL STATE <br />(17) <br />CURIES <br />❑ SOLID H LIQUID ❑ GAS <br />FED HAZARD <br />CATEGORIES <br />(18)10 <br />FIRE []REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE <br />(19) <br />UNITS* (22) ®GAL ❑LBS <br />GA <br />CODE <br />' ❑ <br />FT ❑ TONS MAX DAILY AMT (23) 260 <br />ON SITE <br />DAYS ON SITE <br />(20) <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />365 <br />ON SITE 100 <br />LARGEST <br />(21) <br />ANNUAL WASTE AMT (25) <br />CONTAINER <br />2 5 GALS <br />N/A <br />STORAGE <br />(26) ❑ ABOVE GROUND TANK <br />❑ CAN ❑ BOX []TAN <br />CONTAINER <br />[]UNDER GROUND TANK <br />❑ CARBOY ❑ CYLINDER ❑ RAI <br />❑ TANK INSIDE BUILDING <br />❑ SILO ❑ GLASS BOTTLE ❑ Othe <br />❑ STEEL DRUM <br />❑ FIBER DRUM ® PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM <br />❑ BAG ❑ TOTE BIN <br />STORAGE <br />(27) IN AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBI <br />PRESSURE <br />STORAGE <br />(28) ® AMBIENT []ABOVE AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT <br />('1(1) HA7ARnnTTR rnA,TPnMFNT <br />(711 AAS r CL <br />37.4 <br />PENDIMETHALIN <br />❑YES ®N <br />40487-42-1 <br />❑YES ❑N <br />❑YES 0Nqj <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) <br />(34) WHAT IS MATERIAL RETAIL SALES <br />USED FOR? — <br />DATE REC'D: 12/14/01 iFor Official Use Only: 19 C ❑ R ❑ S77 SIC 12/99 <br />