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JUN - 2 2003 <br />California Hazardousrials Inventory Form - Chemical D iption <br />GE (2) = OF (3) <br />BUSINESS NAME <br />CHEMICAL LOCATION(S) <br />FARM SERVICE <br />5) <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 />ALUMINUM PHOSPHIDE <br />WEEVILCIDE OR PHOSTOXIN <br />20859-73-8 <br />LEAVE BLANK <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 N MIXTURE ❑ WASTE RADIOAC71VE (15) ❑ yES ®NO (16) <br />PHYSICAL STATE (17) N SOLID []LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18) IN FIRE H REACTIVE ElPRESSURE RELEASE N ACUTE HEALTH El CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) ❑ GAL 19 LBS <br />CODE N/ ❑ CU FT ❑ TONS MAX DAILY AMT (23 2,500 <br />ON SITE <br />DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT (24) 2,000 <br />ON SITE <br />LARGEST (21� ANNUAL WASTE AMT (25) N/A <br />CONTAINER 3.3# <br />STORAGE <br />(26) <br />❑ ABOVE GROUND TANK <br />N CAN <br />❑ BOX <br />❑ TANI <br />CONTAINER <br />❑YES ❑N <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ RAIL <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ OTHI <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ Other <br />❑ PLASTIC/NONMETALLIC DRUM <br />❑ BAG <br />❑ TOTE BIN <br />STORAGE <br />(27) <br />® AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT <br />PRESSURE <br />STORAGE <br />(28) <br />IN AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(291 %WT <br />(10) HARARII(1ii.S COMP(INRNT <br />(3 1) EHS <br />(32) CAS# <br />55% ALUMINUM PHOSPHIDE <br />®YES ❑N 20859-73-8 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 1397 <br />(34) WHAT IS MATERIAL RETAH. SALES <br />USED FOR? <br />DATE REC'D: 6/2/03 For Official Use Only: 10 C 0 R 0 S SJC 12/99 <br />