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California Hazardous Ma .gals Inventory Form - Chemical DeSi�ription <br />(1) ® ADD ❑ DELETE ❑ REVISE PAGE (2) = <br />OF (3) 116 <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICAL LOCATION(S) (5) <br /> <br />CHEMICAL NAME (8) CARBARYL TRADE SECRET (11) ❑YES ®NO <br />COMMON NAME (9) SE V IN *EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />CAS # (10) 63-25-2 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD LEAVE BLANK <br />CATEGORIES <br />TYPE (14)IMPURE []MIXTURE ❑WASTE RADIOACTIVE (15) ❑ YES ®NO <br />PHYSICAL STATE (17) ® SOLID ❑ LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE H ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) N/A <br />CODE <br />DAYS ON SITE (20) 120 <br />LARGEST (21� <br />CONTAINER 50 LBS <br />UNITS* (22) ❑ GAL H LBS <br />❑ CU FT [I TONS MAX DAILY AMT (23)1,400 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE 150 <br />ANNUAL WASTE AMT (25) N/A <br />STORAGE (26) [1 ABOVE GROUND TANK ❑ CAN <br />CONTAINER ❑UNDER GROUND TANK ❑CARBOY <br />❑ TANK INSIDE BUILDING ❑ SILO <br />❑ STEEL DRUM ❑ FIBER DRUM <br />❑PLASTIC/NONMETALLIC DRUM ®BAG <br />STORAGE (27) ❑ AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />❑ CYLINDER ❑ <br />❑ GLASS BOTTLE ❑ <br />❑ PLASTIC BOTTLE <br />(28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />30 HAZARDOUS COMPONENT (31)EHS 32 CAS# <br />] CARBARYL ❑YES ON 63-25-2 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED <br />(34) WHAT IS MATERIAL AGRICULT <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: 0 C 0 R 0 S SIC 12/99 <br />