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California Hazardous Materials Inventory Form - Chemical Deiption <br />(1) ® ADD ❑ DELETE ❑ REVISE PAGE (2) = <br />OF (3) Eil <br />BUSINESS NAME <br />FARM SERVICE <br />CHEMICAL LOCATION(S)(5) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />CHEMICAL NAME <br />(8) ENZONE <br />TRADE SECRET (11) ❑ YES ®NO <br />COMMON NAME <br />(9) ENZONE <br />*EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />CAS # <br />(10) 7345-64-9 <br />ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE <br />(13) <br />HAZARD <br />LEAVE BLANK <br />CATEGORIES <br />TYPE <br />(14) ®PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑yES ®NO (16) N/A <br />PHYSICAL STATE <br />(17) ❑ SOLID ® LIQUID ❑GAS <br />CURIES <br />FED HAZARD <br />CATEGORIES <br />(18)® FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH []CHRONIC HEALTH <br />STATE WASTE <br />(19) UNITS* (22) H GAL ❑ LBS <br />N/A MAX DAILY AMT (23) 5,000 <br />CODE <br />❑ CU <br />FT ❑TONS <br />ON SITE <br />DAYS ON SITE <br />(20) *If EHS, amounts must be in lbs AVG DAILY AMT (24) 1,000 <br />365 <br />ON SITE <br />LARGEST <br />(21) 5000 <br />ANNUAL WASTE AMT (25) N/A <br />CONTAINER <br />STORAGE <br />(26) ® ABOVE GROUND TANK <br />❑ CAN ❑ BOX []TAN <br />CONTAINER <br />❑ UNDER GROUND TANK <br />❑ CARBOY ❑ CYLINDER ❑ RAI <br />❑ TANK INSIDE BUILDING <br />❑ SILO ❑ GLASS BOTTLE ❑ Othe <br />❑ STEEL DRUM <br />❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC DRUM <br />[]BAG ❑ TOTE BIN <br />STORAGE <br />(27) ❑ AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBI <br />PRESSURE <br />STORAGE <br />(28) ® AMBIENT ❑ ABOVE AMBIENT <br />❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />(29) 0/1WT <br />(40) HAZARnou.0 CnMPnNFNT <br />(31) EHS (42) CAS# <br />32 <br />ENZONE <br />❑YES ®N <br />7345-64-9 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 1760 <br />(34) WHAT IS MATERIAL AGRICULTURAL NEMATICIDE <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: ® C 0 R ❑ S SJC 12/99 <br />