Laserfiche WebLink
0 <br />California Hazardous Materials Inventory Form <br />(1) I ❑ ADD ❑ DELETE ® REVISE <br />BUSINESS NAME (4) IRIPON FARM SERVICE <br />CHEMICAL LOCATION(S) <br />5) <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />SULFUR <br />SUPER SIX <br />7704-34-9 <br />FIRE CODE (13) <br />HAZARD LEAVE BLANK <br />CATEGORIES <br />16 <br />Chemical Description <br />PAGE (2)106 OF (3) 116 <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 H LIQUID ❑ GAS CURIES <br />FED HAZARD CATEGORIES (,8)I® FIRE ❑ REACTIVE []PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) ® GAL ❑ LBS <br />CODE N/A ❑ CU FT ❑ TONS MAX DAILY AMT (23) 360 <br />ON SITE <br />DAYS ON SITE (20) *If EHS, amounts mus[ be in lbs AVG AMT (24)1 811 ON SITE 5 0 <br />LARGEST (21) 2 5 sal ANNUAL WASTE AMT (25) N/A <br />CONTAINER <br />STORAGE <br />(26) <br />❑ ABOVE GROUND TANK <br />❑ CAN ❑ BOX <br />[]TAN <br />CONTAINER <br />[]UNDER GROUND TANK <br />[]CARBOY ❑ CYLINDER <br />❑ RAI <br />❑ TANK INSIDE BUILDING <br />❑ SILO ❑ GLASS BOTTLE <br />❑ Othe <br />❑ STEEL DRUM <br />❑ FIBER DRUM ® PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM <br />❑ BAG ❑ TOTE BIN <br />STORAGE <br />(27) <br />❑ AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBI <br />PRESSURE <br />STORAGE <br />(28) <br />IN AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />29 %WT30 <br />HAZARDOUS COMPONENT <br />(3 1) EHS 32 CAS# <br />52 <br />SULFUR <br />❑YES ®N 7704-34-9 <br />YES <br />YES <br />YES <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL AGRICULTURAL FUNGICIDE <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: 0 C ❑ R ❑ S SIC 12/99 <br />