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California Hazardous Materials Inventory Form - Chemical Description <br />® ADD ❑ DELETE ❑ REVISE <br />BUSINESS NAME (4)IRIPON FARM SERVICE <br />CHEMICALLOCATION(S)(5) <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />VE BLANK <br />PAGE (2) OF (3) 116 <br />109 <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) IN SOLID []LIQUID ❑GAS CURIES <br />FED HAZARD <br />CATEGORIES (,,)IOFIRE ❑ REACTIVE []PRESSURE RELEASE ® ACUTE HEALTH ❑ ICHE <br />CHRONALTH <br />STATE WASTE (19) N/A <br />CODE <br />DAYS ON SITE (20) 365 <br />LARGEST (21� <br />CONTAINER 10 LBS <br />UNITS* (22) [1 GAL ®LBS <br />❑ CU FT [ITONS MAX DAII Y AMT (23) 4,000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE 1,000 <br />ANNUAL WASTE AMT (25) N/A <br />STORAGE (26) [1 ABOVE GROUND TANK <br />CONTAINER ❑ UNDER GROUND TANK <br />❑ TANK INSIDE BUILDING <br />[I STEEL DRUM <br />❑ CARBOY <br />❑ SILO <br />❑ FIBER DRUM <br />❑ CYLINDER ❑ <br />❑ GLASS BOTTLE ❑ <br />❑ PLASTIC BOTTLE <br />❑ TOTE BIN <br />STORAGE (27) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />29 %WT 30 HAZARDOUS COMPONENT (3 1) EHS 32 CAS# <br />65.00 TETRAMETHYLTHIURAM DISULFIDE <br />❑YES ®N <br />137.26-8 <br />❑YES❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDTITONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL RETAIL, SALES <br />USED FOR? <br />DATE RECD: 12/14/01 iFor Official Use Only: 0 C ❑ R ❑ S SIC 12/99 <br />