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0 <br />California Hazardous Materials Inventory <br />(1) ® ADD ❑ DELETE ❑ REVISE <br />BUSINESS NAME <br />CHEMICAL LOCATION(S) <br />MAP # (6) / GRID # (7) <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />FARM SERVICE <br />(5) <br /> <br />DIMETHYLAMINE SALT <br />2-4-D AMINE <br />2004-39-1 <br />LEAVE BLANK <br />Form - Chemical De cription <br />PAGE (2) F4 5 OF (3) F116 <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) <br />PHYSICAL STATE (17) <br />FED HAZARD <br />CATEGORIES (18)❑ <br />❑ PURE ®MIXTURE ❑ WASTE <br />RADIOACTIVE (15) ❑ VES ®NO (16) N/A <br />CURIES <br />❑ SOLID H LIQUID ❑ GAS <br />❑YES ❑N <br />FBRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH [ICHRONIC HEALTH <br />STATE WASTE <br />CODE <br />DAYS ON SITE <br />LARGEST <br />CONTAINER <br />STORAGE <br />CONTAINER <br />STORAGE <br />PRESSURE <br />STORAGE <br />TEMPERATURE <br />(29) %WT <br />(19) <br />(20) <br />(21) <br />(26) <br />(27) <br />(28) <br />N/A <br />UNITS* (22) ® GAL ❑ LBS <br />❑ CU FT ❑ TONS MAX DAILY AMT (23)180 <br />ON SITE <br />*If EHS, amounts mus[ be in lbs AVGTY AMT (24) <br />SITE <br />ONSE <br />ANNUAL WASTE AMT (25) <br />❑YES ❑N <br />365 <br />❑YES El <br />30 <br />30 GAL <br />N/A <br />❑ ABOVE GROUND TANK []CAN ❑ BOX ❑ TAN <br />❑ UNDER GROUND TANK ❑ CARBOY ❑ CYLINDER ❑ RAI <br />❑ TANK INSIDE BUILDING ❑ SILO ❑ GLASS BOTTLE ❑ Othe <br />❑ STEEL DRUM ❑ FIBER DRUM ® PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM []BAG ❑ TOTE BIN <br />IN AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBI <br />® AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />(30) HAZARDOUS COMPONENT (31) EHS (32) CAS# <br />46.5 DIMETHYLAMINE SALT 110YES <br />®N <br />2008-39-1 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES El <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 For Official Use Only: H C ❑ R ❑ S SJC 12/99 <br />