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California Hazardous Oerials Inventory Form - Chemical locription DEC $ 9 W <br />PAGE (2) = OF (3) = <br />BUSINESS NAME <br />FARM SERVICE <br />CHEMICAL LOCATION(S) <br />MAP # (6) / GRID #(7) <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />COPPER HYDROXIDE <br />KOCIDE, NU COP <br />20427-59-2 <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) J❑ PURE ®MIXTURE ❑ WASTE RADIOACTIVE (15) ❑ TFS ®NO (16) � <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 <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />STORAGE (27) <br />PRESSURE <br />STORAGE (28) <br />aI71SIQ21"Mytui 1� <br />UNITS* (22) ❑ GAL H LBS <br />❑ CU FT ❑ TONS MAX DAILY AMT (23)10,000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ONSITE 1,000 <br />ANNUAL WASTE AMT (25) N/A <br />LJ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ TANIH <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ RAIL <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTH <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Other <br />❑ PLASTIC/NONMETALLIC DRUM <br />® BAG <br />❑ TOTE BIN <br />® AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT <br />INAMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />(30) HAZARDOUS COMPONENT (3 1) EHS <br />!'ill CA Rik <br />COPPER HYDROXIDE <br />❑YES ®N <br />20427-59-2 <br />❑YES ❑N <br />❑YES EINJI <br />❑YES ❑N <br />qj <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL RETAIL SALES <br />USED FO? <br />DATE REC'D: 91EC. 2 9 2004 iFor Official Use Only: ®C ❑ R ❑ S SIC 12/99 <br />