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California Hazardous Materials Inventory Form - Chemical <br />(I) l HADD ❑ DELETE ❑ REVISE <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 />CLETHODIM <br />PRISM <br />99129-21-2 <br />VE BLANK <br />De1cription <br />PAGE (2) = <br />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 ® NO (16) N/A <br />PHYSICAL STATE (17) ❑ SOLID H LIQUID ❑GAS CURIES <br />FED HAZARD <br />CATEGORIES (18) ❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />(19) N/A <br />(20) 365 <br />(21)1 GAL <br />(26) ❑ ABOVE GRO <br />UNITS* (22) ® GAL ❑ LBS MAX DAILY AMT (23)150 <br />[ICU FT ❑ TONS ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) 4 0 <br />ON SITE <br />ANNUAL WASTE AMT (25) <br />UNDER GROUND TANK <br />TANK INSIDE BUILDING <br />STEEL DRUM <br />PLASTIC/NONMETALLIC <br />❑CAN ❑BOX ❑ <br />❑ CARBOY ❑ CYLINDER ❑ <br />❑ SILO ❑ GLASS BOTTLE ❑ <br />❑ FIBER DRUM H 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 (31) EHS (32) CAS# <br />12.6CLETHODIM <br />110YES <br />®N <br />99129-21-2 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />OYES ON <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) <br />(34) WHAT IS MATERIAL RETAIL SALES <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: HC 0 R 0 S S7C 12/99 <br />