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California Hazardous Matals Inventory Form - Chemical Di•'ription <br />(1) I ® ADD ❑ DELETE ❑ REVISE <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICAL LOCATION(S) <br />`5) <br /> <br /> <br /> <br /> <br />LARGEST (21)� <br />CONTAINER <br />50 OZ. <br />F- <br />❑YES ❑N <br />CHEMICAL NAME <br />(8) <br />CYPRODINIL <br />TRADE SECRET (11) ❑YES ®NO <br />❑YES ❑N <br />*EHS (12) ❑YES ®NO <br />COMMON NAME <br />(9) <br />VANGARD <br />*EF EHS BOX IS "Y" <br />CAS # <br />(10) <br />121552-51-2 <br />ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE <br />(13) <br />HAZARD <br />LEAVE BLANK <br />CATEGORIES <br />TYPE (14) ❑ PURE ® MIXTURE ❑WASTE RADIOACTIVE (15) ❑ yES ®NO (16) N/A <br />PHYSICAL STATE (17) ® SOLID ❑ LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ® CHRONIC HEALTH <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />N/A <br />365 <br />LARGEST (21)� <br />CONTAINER <br />50 OZ. <br />UNITS* (22) GAL ®LBS <br />CU FT ❑ TONS MAX DAILY AMT (23) <br />1,0000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) 300 <br />ON SITE <br />ANNUAL WASTE AMT (25) N/A <br />STORAGE (26) ❑ ABOVE GROUND TANK <br />CONTAINER ❑ UNDER GROUND TANK <br />❑ TANK INSIDE BUILDING <br />❑STEEL DRUM <br />❑ CARBOY ❑ CYLINDER ❑ <br />❑ SILO ❑ GLASS BOTTLE ❑ <br />❑ FIBER DRUM ® 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 />75.00 <br />CYPRODINIL <br />❑ YES ON <br />121552-61-2 <br />❑YES ❑N <br />F- <br />❑YES ❑N <br />jpTTTF-1Nqj <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) N/A <br />(34) WHAT IS MATERIAL RETAIL SALE <br />USED FOR? <br />DATE REC'D: 12/14/01 f'or Official Use Only: ®C ❑ R ❑ S SIC 12/99 <br />