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California Hazardous Materials Inventory Form - Chemical Deoiption <br />(1) ® ADD ❑ DELETE ❑ REVISE PAGE (2) = <br />OF (3)116 <br />I:I1M11k1:6X`1J <br />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 />YBTra <br />DIMETHYLAMINE <br />DRI -CLEAN HERBICIDE <br />2008-39-1 <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 />MIXTURE ❑WASTE RADIOACTIVE (15) ❑YES ®NO(16) <br />PHYSICAL STATE (17) ® SOLID ❑ LIQUID ❑GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)1FIRE FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ® CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) ❑GAL ®LBS <br />CODE N/A ❑ CU FT ❑ TONS MAX DAILY AMT (23) 2,000 <br />ON SITE <br />DAYS ON SITE (20) 365 *If EHS, amounts must be in lbs AVG DAILY AMT (24) 500 <br />ON SITE <br />LARGEST (21 4.5 LBS 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 ❑ 0 <br />❑ STEEL DRUM ❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />STORAGE (27) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />PRESSURE <br />STORAGE (28) IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(99) %WT ('itl) uA7.ARnnri.0 COMPONFNT (31) EHS (17) CAS# <br />96.9 <br />DIMETHYLAMINE <br />❑YES ®N <br />2008-39-1 <br />1.00 <br />SODIUM LIGNOSULFONATE <br />❑YES ®N <br />68512-34-5 <br />❑YES ❑N <br />❑YF,S ❑N <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 iFor Official Use Only: 0 C 0 R ❑ S SIC 12/99 <br />