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California Hazardous Materials Inventory Form - Chemical DeTription <br />(1) ® ADD ❑ DELETE ❑ REVISE PAGE (2) 6 S OF (3) 116 <br />BUSINESS NAME (4) RIPON FARM SERVICE <br />CHEMICAL LOCATION(S) (5) <br /> <br />CHEMICAL NAME (8) MANEB TRADE SECRET (11) ❑ YES ® NO <br />COMMON NAME (9) MANEX *EHS (12) ❑YES ®NO <br />*IF EHS BOX IS "Y" <br />CAS# (10) 12427-38-2 ALL AMOUNTS MUST BE IN LBS <br />FIRE CODE (13) <br />HAZARD LEAVE BLANK <br />CATEGORIES <br />TYPE (14) ❑ PURE ®MIXTURE ❑WASTE RADIOACTIVE (15) ❑ yES ®NO (16) N/A <br />PHYSICAL STATE (17) ❑ SOLID H LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)10FIRE ❑ 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 <br />CONTAINER <br />2.5 GAL <br />UNITS* (22) ® GAL ❑ LBS <br />MAX DAILY AMT (23) <br />❑ CU FT ❑ TONS 1,200 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ON SITE 1 S 0 <br />ANNUAL WASTE AMT (25) N/A <br />STORAGE (26) ❑ ABOVE GROUND TANK <br />CONTAINER ❑ UNDER GROUND TANK <br />❑ TANK INSIDE BUILDING <br />[I STEEL DRUM <br />❑ CARBOY ❑ CYLINDER ❑ <br />❑ SILO ❑ GLASS BOTTLE ❑ <br />❑ FIBER DRUM ® PLASTIC BOTTLE <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 (31) EHS (32) CAS# <br />37.00 MANEB ❑ YES <br />®N 12427-38-2 <br />❑YES <br />❑N <br />❑YES <br />N71 I <br />❑YES <br />ON <br />❑YES <br />❑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: 0 C 0 R ❑ S SJC 12/99 <br />