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California Hazardous Materials Inventory Form - Chemical DeSription <br />(1) ® ADD ❑ DELETE ❑ REVISE PAGE (2) = <br />OF (3) F1 16 <br />BUSINESS NAME <br />CHEMICAL LOCATION(S) <br />FARM SERVICE <br />5) <br /> <br />CHEMICAL NAME (8) <br />COMMON NAME (9) <br />CAS # (10) <br />METHOMYL <br />LANNATE <br />16752-77.5 <br />FIRE CODE (13) <br />HAZARD LEAVE BLANK <br />CATEGORIES <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)IMPURE []MIXTURE ❑WASTE RADIOACTIVE (15) ❑ yES ®NO (16) N/A <br />PHYSICAL STATE (17) ® SOLID []LIQUID ❑ GAS CURIES <br />FED HAZARD <br />CATEGORIES (IS)❑ FIRE ❑ REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) UNITS* (22) ❑ GAL ®LBS <br />CODE N/`� ❑ CU FT ❑TONS MAX DAILY AMT (23) g00 <br />ON SITE <br />DAYS ON SITE (20) 120 *If EHS, amounts must be in lbs AVG DAILY AMT (24) 120 <br />ON SITE <br />LARGEST (21 2 Ibs ANNUAL WASTE AMT (25) N/A <br />CONTAINER <br />STORAGE (26) <br />❑ ABOVE GROUND TANK <br />❑ CAN <br />❑ BOX <br />❑ <br />CONTAINER <br />❑ UNDER GROUND TANK <br />❑ CARBOY <br />❑ CYLINDER <br />❑ <br />❑ TANK INSIDE BUILDING <br />❑ SILO <br />❑ GLASS BOTTLE <br />❑ <br />❑ STEEL DRUM <br />❑ FIBER DRUM <br />❑ PLASTIC BOTTLE <br />❑ PLASTIC/NONMETALLIC <br />DRUM ®BAG <br />❑ 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) %V,7T (30) HAZARDOUS COMPONENT (3 1) EHS (32) CAS# <br />90 <br />METHOMYL <br />®YES ❑N 16752-77-5 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 2757 <br />(34) WHAT IS MATERIAL AGRICULTURAL INSECTICIDE <br />USED FOR? <br />DATE REC'D: 12/14/01 lFor Official Use Only: ®C ❑ R 0 S SIC 12/99 <br />