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California Hazardous &aerials Inventory Form - Chemical Ocription 9DEC l' $ AAA <br />PAGE (2) = OF (3) <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICAL LOCATION(S) (5) <br /> <br />CHEMICAL NAME (8) COPPER TRADE SECRET (11) ❑ yES ®NO Tra <br />COMMON NAME (9) NORDOX, BASIC COPPER *EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />CAS # (10) 1317-39-1 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD LEAVE BLANK <br />CATEGORIES <br />TYPE (14) ❑ PURE ®MIXTURE ❑WASTE RADIOACTIVE (15) ❑ y ES ®NO (16) <br />PHYSICAL STATE (17) IN SOLID ❑ LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />STORAGE <br />PRESSURE <br />UNITS* (22) ❑ GAL ® LBS <br />❑ CU FT ❑ TONS MAX DAILY AMT (23)16,000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ONSITE 2,000 <br />ANNUAL WASTE AMT (25) N/A <br />(26) ❑ ABOVE GROUND TANK <br />❑ UNDER GROUND TANK <br />❑ TANK INSIDE BUILDING <br />❑ STEEL DRUM <br />(27) I® AMBIENT <br />❑ CARBOY <br />❑ SILO <br />❑ FIBER DRUM <br />® BAG <br />LJ BOX ❑ TANI <br />❑ CYLINDER ❑ RAIL <br />❑ GLASS BOTTLE ❑ OTHI <br />❑ PLASTIC BOTTLE ❑ Other <br />STORAGE (28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT (30) HAZARDOUS COMPONENT (31) EHS <br />(32) CAS# <br />57.95 <br />COPPERYES <br />®N <br />1317-39-1 <br />❑YES ❑N <br />❑YES 0 <br />❑YES 11 <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL Fr n r_rrmn <br />USED FOR? <br />DATE REC'D: 12/29/04 For Official Use Only: 0 C ® R 0 S SIC 12/99 <br />