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California Hazardous Malials Inventory Form - Chemical Aription <br />(1) ® ADD ❑ DELETE ❑ REVISE PAGE (2) = <br />OF (3) 116 <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 />COPPER <br />COCS COPODUST <br />1332-40.7 <br />VE 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 (14) ❑PURE ®MIXTURE ❑WASTE RADIOACTIVE (15) ❑YES ®NO (16) N/A <br />PHYSICAL STATE (17) SOLID ❑ LIQUID ❑GAS CURIES <br />® <br />FED HAZARD ❑ FIIiE ❑REACTIVE ❑PRESSURE RELEASE ®ACUTE HEALTH ❑ CHRONIC HEALTH <br />CATEGORIES (18) <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(19) N/A <br />(20) 365 <br />(21) 50 LBS <br />(26) ❑ABOVE GRO <br />UNITS* (22) ❑ GAL H LBS MAX DAILY AMT (23 20,000 <br />[ICU FT ❑ TONS ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE 6,000 <br />ANNUAL WASTE AMT (25) N/A <br />UNDER GROUND TANK <br />TANK INSIDE BUILDING <br />STEEL DRUM <br />! J CAN <br />❑ CARBOY <br />❑ SILO <br />❑ FIBER DRUM <br />❑ CYLINDER ❑ <br />❑ GLASS BOTTLE ❑ <br />❑ PLASTIC BOTTLE <br />T <br />(27) <br />H AMBIENT <br />❑ ABOVE <br />AMBIENT <br />❑ BELOW AMBI <br />(28) <br />❑YES ❑N <br />® AMBIENT <br />❑ ABOVE <br />AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />rzm 14A7AunnTtc (`OMPONFNrr (3 1) EHS <br />(32) CAS# <br />6.00` COPPER OYES ®N <br />1332-40-7 <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 RETAH, SALE <br />USED FOR? <br />DATE RECD: 12/14/01 For Official Use Only: 0 C ❑ R ❑ S SJC 12/99 <br />