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0 <br />California Hazardous Materials Inventory Form <br />(1) I ® ADD ❑ DELETE ❑ REVISE <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICALLOCATION(S)(5) <br />Chemical Detription <br />PAGE (2) = <br />OF (3) Eil <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME <br />COMMON NAME <br />lefi%iii <br />FIRE CODE <br />HAZARD <br />CATEGORIES <br />TYPE <br />PHYSICAL STATE <br />FED HAZARD <br />CATEGORIES <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(18) ❑ F E []REACTIVE ❑ PRESSURE RELEASE ❑ ACUTE HEALTH ❑ CHRONIC HEALTH <br />(19) N/A UNITS* (22) ❑ GAL ®LBS MAX DAILY AMT (23) 50,000 <br />❑ CU FT ❑ TONS ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />(20) 365 ON SITE 15,000 <br />(21) 50 LBS ANNUAL WASTE AMT (25) E=1 <br />(26) ❑ ABOVE GROUND TANK ❑ CAN U BOX LJ <br />❑ UNDER GROUND TANK ❑ CARBOY ❑ CYLINDER ❑ <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑ <br />❑ STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM H BAG ❑ TOTE BIN <br />(27) ® AMBIENT ❑ ABOVE AMBIENT ❑BELOW AMBI <br />(28)®AMBIENT ❑ABOVE <br />r.nrto nne.mnwrcwrr Cill FHS (721 CAS# <br />52.00 <br />POTASSIUM SULPHATE ❑YES ON <br />7778-80-5 <br />❑YES ❑N <br />]YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) <br />(34) WHAT IS MATERIAL RETAIL SALE <br />USED FOR? <br />DATE RECD: 12/14/01 For Official Use Only: 0 C 0 R ❑ S SJC 12/99 <br />