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California Hazardous Matals Inventory Form - Chemical Dipription <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/SULPHUR <br />COCS15/25 DUST <br />7704-34-9 <br />LEAVE 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)I❑ PURE ® MIXTURE ❑ WASTE RADIOACTNE (15) ❑ yES ®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 H CHRONIC HEALTH <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />N/A <br />365 <br />LARGEST (21) <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />CONTAINER <br />50 LBS <br />UNITS* (22) ❑ GAL ® LBS <br />❑ CU FT ❑ TONS MAX DAILY AMT (23) 20,000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ONSITE 2,000 <br />ANNUAL WASTE AMT (25) N/A <br />STORAGE (26) [1 ABOVE GROUND TANK <br />CONTAINER ❑ UNDER GROUND TANK <br />❑ TANK INSIDE BUILDING <br />❑ STEEL DRUM <br />❑ CARBOY <br />❑ CYLINDER ❑ <br />[I SILO <br />❑ GLASS BOTTLE ❑ <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />® BAG <br />❑ TOTE BIN <br />STORAGE (27) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT (301 HAZARDOTIS COMPONRNT (31) EHS (ani rA.cu <br />25.00 <br />SULPHUR OYES ®N7707-34-9 <br />15 <br />COPPER ❑YES ®N <br />1332.40-7 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNTIED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL RETAIL SALE <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: ® C ❑ R ❑ S SIC 12/99 <br />