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California Hazardous Oerials Inventory Form - Chemical vcription DEC t 9 2004 <br />PAGE (2) = OF (3) <br />BUSINESS NAME <br />(4) RIPON FARM SERVICE <br />CHEMICAL LOCATION(S) (5) <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TRADE SECRET (11) ❑YES ®NO Tra <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) <br />PHYSICAL STATE (17) ❑ SOLID ®LIQUID ❑GAS CURIES <br />FED HAZARD <br />CATEGORIES (18) INFIRE []REACTIVE ElPRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />LARGEST (21� <br />CONTAINER <br />N/A <br />❑ YES ON 2921.88.2 <br />210 <br />2.5 GAL <br />UNITS* (22) ® GAL ❑ LBSMAX DAILY AMT (23)1,080 <br />❑ CU FT [ITONS ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) 180 <br />ON SITE <br />ANNUAL WASTE AMT (25) N/A <br />STORAGE (26) ❑ ABOVE GROUND TANK <br />CONTAINER ❑ UNDER GROUND TANK <br />❑ TANK INSIDE BUILDING <br />❑STEEL DRUM <br />❑ CAN <br />❑ CARBOY <br />❑ SILO <br />❑ FIBER DRUM <br />❑ BOX ❑ TAN <br />❑ CYLINDER ❑ RAII <br />❑ GLASS BOTTLE ❑ OTH <br />® PLASTIC BOTTLE ❑ Othe <br />STORAGE (27) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />PRESSURE <br />STORAGE (28) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT (30) HAZARDOUS COMPONENT (3 1) EHS (32) CAS# <br />41.7 <br />CHLORPYRIFOS <br />❑ YES ON 2921.88.2 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />OYES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 2783 <br />(34) WHAT IS MATERIAL AGRICULTURAL INSECTICIDE <br />USED FOR? <br />DATE REC'D: 12/29/04 For Official Use Only: H C ❑ R ❑ S SIC 12/99 <br />