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California Hazardous Materials Inventory Form - Chemical De3Cription <br />(1) ® ADD ❑ DELETE ❑ REVISE PAGE (2) E]OF (3) 116 <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICAL LOCATION(S) (5) <br /> <br />CHEMICAL NAME (8) DIAZINON TRADE SECRET (11) ❑YES ®NO <br />COMMON NAME (9) <br />DIAZINON *EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />CAS# (10) 333-41-5 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD LEAVE BLANK <br />CATEGORIES <br />TYPE (14) ®PURE ❑MIXTURE []WASTE RADIOACTIVE (15) ❑yE5 ®NO (16) N/A <br />PHYSICAL STATE (17) ❑ SOLID ®LIQUID ❑GAS CURIES <br />FED HAZARD <br />CATEGORIES (18) IN FIRE [IREACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH [I CHR HEALTH <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />(19) N/A <br />(20) 150 <br />(21) 2.5 gal <br />(26) fl ABS GRO <br />UNITS* (22) ® GAL ❑ LBS <br />I[] CU FT ❑NSITE TONS ON <br />YAMT (23)1S0 <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) 2 0 <br />ON SITE <br />ANNUAL WASTE AMT (25) N/A <br />UNDER GROUND TANK <br />TANK INSIDE BUILDING <br />STEEL DRUM <br />❑CAN LJ BOX ❑T <br />❑ CARBOY ❑ CYLINDER ❑ R <br />❑ SILO ❑ GLASS BOTTLE H O <br />❑ FIBER DRUM ® PLASTIC BOTTLE <br />STORAGE (27) ❑ AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT (30) HAZARDOUS COMPONENT (31) EHS <br />(32) CAS# <br />50 DIAZINON <br />❑YES ®N 333-41-5 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 2783 <br />(34) WHAT IS MATERIAL AGRICULTURAL INSECTICIDE <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only Mc ❑ R ❑ S SJC 12/99 <br />