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California Hazardous Matals Inventory Form <br />(1) 1 ® ADD ❑ DELETE ❑ REVISE <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICAL LOCATION(S) <br />5) <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />DIMETHOATE <br />DIMETHOATE 4EC <br />60-51-5 <br />LEAVE BLANK <br />Chemical Defription <br />PAGE (2) = <br />OF (3) 116 <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 (19) UNITS* (22) ❑ GAL H LBS <br />CODE N/A I0 CU FT ❑TONS MAX DAILYAMT(23)2,000 <br />ON SITE <br />DAYS ON SITE (20) *If EHS, amounts must be in lbs AVGY AMT (24)365 <br />ON SITE 600 <br />LARGEST (21) 2.5 GAL ANNUAL WASTE AMT (25) N/A <br />CONTAINER <br />STORAGE (26) ❑ ABOVE GROUND TANK ❑ CAN ❑ BOX ❑ T <br />CONTAINER ❑ UNDER GROUND TANK ❑ CARBOY ❑ CYLINDER ❑ R <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑ O <br />❑ STEEL DRUM ❑ FIBER DRUM ® PLASTIC BOTTLE <br />STORAGE (27) H AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) ® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) %WT (30) HAZARDOUS COMPONENT (3 1) EHS (32) CAS# <br />44.80 DIMETHOATE <br />®YES E]Nq 0060.51.5 <br />25 CYCLOIIEXANONE <br />❑YES ®N 0108-94-1 <br />26.20 ETHANOL <br />❑YES ®N 0064-17-5 <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 2784 <br />(34) WHAT IS MATERIAL RETAIL SALE - <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: 9 C ❑ R ❑ S SJC 12/99 <br />