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California Hazardous Wrials Inventory Form - Chemical lecription <br />PAGE (2) <br />BUSINESS NAME <br />CHEMICAL LOCATION(S) <br />FARM SERVICE <br />`5) <br /> <br /> <br /> <br />CHEMICAL NAME (8) MAGNESIUM PHOSPHIDE TRADE SECRET (11) ❑ YES ®NO <br />COMMON NAME (9) FUMI CELL *EHS (12) ®YES ❑ NO <br />*IF EHS BOX IS "Y" <br />CAS # (10) 12057-74-8 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TYPE (14)0PURE ®MIXTURE ❑WASTE RADIOACTIVE(15) ❑yES ®NO(16)� <br />PHYSICAL STATE (17) 10 ❑ LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18) II® FIRE ® REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ElCHRONIC HEALTH <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(29) %WT <br />(19) N/A UNITS* (22) ❑ GAL ® LBS MAX DAILY AMT (23)132 <br />❑ CU FT ❑ TONS ON SITE <br />(20) *If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />365 ONSITE 88 <br />(21) 4 4 ANNUAL WASTE AMT (25) N/A <br />(26) ❑ ABOVE GROUND TANK ® CAN ❑ BOX ❑ TANI <br />[]UNDER GROUND TANK []CARBOY ❑ CYLINDER ❑ RAIL <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑ OTHI <br />❑ STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE ❑ Othec <br />(27) ®AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br />(28) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />(30) HAZARDOUS COMPONENT (3 1) EHS <br />(32) CAS# <br />56 <br />MAGNESIUM PHOSPHIDE 110YES <br />❑N 12057-74.8 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL <br />USED FOIA; <br />DATE REC'D: EC -2+ <br />SALES <br />Official Use Only: EIC ❑ R CIS <br />SIC 12/99 <br />Tra <br />