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California Hazardous Matals Inventory Form - Chemical Deription <br />(1) I B ADD ❑ DELETE ❑ REVISE I PAGE (2) = <br />OF (3) F116 <br />BUSINESS NAME (4)IRIPON FARM SERVICE <br />CHEMICAL LOCATION(S) (5) <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />FIRE CODE (13) <br />HAZARD <br />CATEGORIES <br />FENAMIPHOS <br />NEMACURE <br />22224-92-6 <br />LEAVE BLANK <br />TRADE SECRET (11) ❑YES B NO <br />*EHS (12) ®YES ❑ NO <br />*IF EHS BOX IS "Y" <br />ALL AMOUNTS MUST BE IN LBS <br />TYPE (14) ❑ PURE B MIXTURE ❑ WASTE RADIOACTIVE (15) ❑ yES B NO (16) N/A <br />PHYSICAL STATE (17) ❑ SOLID B LIQUID ❑GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)B FIRE ❑ REACTIVE ElPRESSURE RELEASE B ACUTE HEALTH B CHRONIC HEALTH <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />N/A <br />365 <br />LARGEST (21) <br />CONTAINER <br />2 5 GAL <br />UNITS* (22) ❑GAL BLB3 <br />❑ CU FT ❑ TONS MAX DAILY AMT (23 360 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) 7 0 <br />ON SITE <br />ANNUAL WASTE AMT (25) N/A <br />STORAGE (26) ❑ ABOVE GROUND TANK <br />CONTAINER ❑ UNDER GROUND TANK <br />❑ TANK INSIDE BUILDING <br />❑STEEL DRUM <br />LI CAN <br />[]CARBOY <br />❑ SILO <br />❑ FIBER DRUM <br />❑ CYLINDER ❑ <br />❑ GLASS BOTTLE ❑ <br />B PLASTIC BOTTLE <br />STORAGE (27)BAMBIENT ❑ABOVE AMBIENT ❑BELOW AMBI <br />PRESSURE <br />STORAGE (28) B AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />TEMPERATURE <br />29 %WT 30 HAZARDOUS COMPONENT (31) EHS 32 CAS# <br />35 <br />FENAMIPHOS <br />BYES ❑N <br />22224-92-6 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES 11 NJ <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) <br />(34) WHAT IS MATERIAL RETAIL SALE <br />USED FOR? <br />DATE RECD: 12/14/01 For Official Use Only: 0 C ❑ R ❑ S SIC 12/99 <br />