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California Hazardous MatFials Inventory Form <br />(1) 1 ® ADD ❑ DELETE ❑ REVISE <br />BUSINESS NAME <br />CHEMICAL LOCATION(S) <br />FARM SERVICE <br />5) <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />BACILLUS THURINGIENSIS <br />DIPEL DF <br />68038-71-1 <br />FIRE CODE (13) <br />HAZARD LEAVE BLANK <br />CATEGORIES <br />Chemical Deiption <br />PAGE (2) � OF (3) F116 <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 ®MIXTURE ❑WASTE RADIOACTIVE (15) ❑ YES H NO (16) N/A <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 (19) UNITS* (22) ❑GAL ®LBS <br />CODE N/ ❑ CU FT ❑ TONS MAX DAILY AMT (23) 2,000 <br />ON STTE <br />DAYS ON SITE (20) 365 *If EHS, amounts must be in Ibs AVG DAILY AMT (24) 1,000 <br />ON SITE <br />LARGEST (21 5 LBS ANNUAL WASTE AMT (25) N/A <br />CONTAINER <br />STORAGE <br />(26) <br />❑ ABOVE GROUND TANK <br />[]CAN <br />❑ BOX <br />[]TAN <br />CONTAINER <br />❑YES ❑N <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ RAI <br />❑YES ❑N <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ Othe <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM <br />®BAG <br />❑ TOTE BIN <br />STORAGE <br />(27) ® AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBI <br />PRESSURE <br />STORAGE <br />(28) IN AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(79) %WT <br />(30) T7A7ARPOfiR C(1MPONFNT <br />(3 1) EHS <br />(32) CAS# <br />10.30 BACILLUS THURINGIENSIS <br />❑YES ®N <br />68038-71-1 <br />❑YES 11 <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 RETArL SALE <br />USED FOR? <br />DATE REC'D: 12/14/01 Fur Official Use Onh': Mc ❑ R 0 S SIC 12/99 <br />