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California Hazardous Met als Inventory Form - Chemical De cription <br />(1) ® ADD ❑ DELETE ❑ REVISE PAGE (2) = <br />OF (3) 116 <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICAL LOCATION(S) ( <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) CALCIUM POLYSULFIDE <br />COMMON NAME (9) SULFORIX <br />CAS # (10) 1344-51-6 <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />LEAVE BLANK <br />TRADE SECRET (I1) ❑YES ®NO <br />*EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />TYPE (14) <br />PHYSICAL STATE (17) <br />FED HAZARD <br />❑ PURE ®MIXTURE ❑WASTE <br />RADIOACTIVE (15) ❑ yES ®NO (16) N/A <br />CURIES <br />❑ SOLID ®LIQUID ❑ GAS <br />OYES ON <br />CATEGORIES (18) <br />❑ FIRE ❑ REACTIVE ElPRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />LARGEST (21) <br />CONTAINER <br />N/A <br />UNITS* (22) ® GAL ❑ LBS <br />❑ CU FT ❑ TONS MAX DAILY AMT (23) <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE <br />ANNUAL WASTE AMT (25) <br />❑YES ❑N <br />g00 <br />❑YES ❑N <br />365 <br />100 <br />2 5 GAL <br />N/A <br />STORAGE (26) <br />CONTAINER <br />STORAGE (27) <br />PRESSURE <br />❑ ABOVE GROUND TANK []CAN ❑ BOX ❑ TAN <br />[]UNDER GROUND TANK []CARBOY ❑ CYLINDER ❑ RAI <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑ Othe <br />❑ STEEL DRUM ❑ FIBER DRUM ® PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM ❑ BAG ❑ TOTE BIN <br />® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />STORAGE (28) <br />TEMPERATURE <br />® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />(29) %WT (30) HAZARDOUS COMPONENT (3 1) EHS (32) CAS# <br />27.50 CALCIUM POLYSULFIDE <br />❑YES ON <br />1344-81-6 <br />OYES ON <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) <br />(34) WHAT IS MATERIAL NAIL SALE <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: 9 C ❑ R ❑ S SJC 12/99 <br />