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California Hazardous Materials Inventory Form - Chemical De3'Lrription <br />® ADD El DELETE ❑REVISE PAGE (2) 9 8 OF (3) 116 <br />BUSINESS NAME (4) <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 />PROPANE <br />PROPANE <br />74-98-6 <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 RADIOACTIVE (15) ❑ yES ®NO (16) N/A <br />PHYSICAL STATE (17) ❑ SOLID ❑ LIQUID ®GAS CURIES <br />FED HAZARD <br />CATEGORIES (18) ®FIRE ❑ REACTIVE ® PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) ®GAL ❑LBS <br />CODE N/ ❑ CU FT ❑ TONS]MAX DAILY AMT (23 499 <br />ON SITE <br />DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT (24) 400 <br />ON SITE <br />LARGEST (21) 499 ANNUAL WASTE AMT (25) N/A <br />CONTAINER <br />STORAGE (26) <br />®ABOVE GROUND TANK <br />❑CAN <br />❑BOX <br />❑ <br />CONTAINER <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ <br />❑YES ❑N <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />ElPT. ARTTC/N/INMRTAT.T.TC <br />nRITM F1RAG <br />F1 TOTE BIN <br />STORAGE (27) ❑ AMBIENT ® ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) ❑ AMBIENT ❑ ABOVE AMBIENT 19 BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />1101 murr tim AA7APDOTTS (`OMPONPNT (3 1) EHS (32) CAS# <br />44 <br />PROPANE <br />OYES NNJ <br />74-98-6 <br />OYES ON <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 1075 <br />(34) WHAT IS MATERIAL FORK LIFTS AND HEATING <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: 9 C ❑ R 0 S SJC 12/99 <br />