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California Hazardous Materials Inventory Form - Chemical Delf ription <br />1 ® ADD ❑ DELETE ❑ REVISE <br />11 -ICI zlm.*yL uII1 <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 /> <br />MANCOZEB <br />DITHANE DF <br />8018-01-7 <br />VE BLANK <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)I❑ PURE ®MIXTURE ❑WASTE RADIOACTIVE (15) ❑ YES ®NO (16) N/A <br />PHYSICAL STATE (17) IN SOLID ❑ LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)❑ FIRE ❑ REACTIVE []PRESSURE RELEASE ® ACUTE HEALTH ® CHRONIC HEALTH <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />N/A <br />365 <br />LARGEST (21)� <br />❑YES ❑N <br />CONTAINER <br />12 LB <br />UNITS* (22) ❑ GAL ®LBS <br />❑ CU FT [:1TONS MAX DAILY AMT (23) 20,000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE 1,000 <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 />❑ CARBOY ❑ CYLINDER ❑ <br />El SILO ❑ GLASS BOTTLE ❑ <br />❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />®BAG ❑ TOTE BIN <br />STORAGE (27) ® 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 />75.00 <br />MANCOZEB <br />❑YES 0Nq 8018-01-7 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑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 For Official Use Only: H C ❑ R ❑ S SIC 12/99 <br />