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California Hazardous Materials Inventory Form - Chemical Deription <br />(1) ❑ ADD ❑ DELETE ® REVISE PAGE (2) EL] OF (3) EE <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICALLOCATION(S)(5) <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />AZINPHOS METHYL <br />GUTHION, AZINPHOS METHYL <br />86-50-0 <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 <br />(14) <br />® PURE ❑ MIXTURE <br />❑ WASTE <br />RADIOACTIVE (15) ❑ YES ®NO (16) N/A <br />PHYSICAL STATE (17) <br />CURIES <br />IN SOLID ❑ LIQUID <br />❑ GAS <br />FED HAZARD <br />CATEGORIES <br />(18)10 <br />FIRE ❑ REACTIVE <br />❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />N/A <br />UNITS* <br />(22) ❑ GAL ®LBS MAX DAILY AMT (23) 2,500 <br />[ICU FT ❑ TONS <br />ON SITE <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />120 <br />1,000 <br />ON SITE <br />LARGEST <br />CONTAINER <br />(21) <br />ANNUAL WASTE AMT (25) N/A <br />5 lb <br />STORAGE <br />(26) <br />❑ ABOVE GROUND <br />TANK []CAN ❑ BOX ❑ TAN <br />CONTAINER <br />❑ UNDER GROUND <br />TANK []CARBOY ❑ CYLINDER ❑ RAI <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑ Othe <br />❑ STEEL DRUM <br />❑ FIBER DRUM []PLASTIC BOTTLE <br />STORAGE (27) ❑ AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <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 />50 AZINPHOSMETHYL 110YES ❑N 86-50-0 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) <br />(34) WHAT IS MATERIAL AGRICULTURAL INSECTICIDE <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: 0 C ❑ R ❑ S SJC 12/99 <br />