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California Hazardous Materials Inventory Form - Chemical Desiiption <br />(1) ® ADD ❑ DELETE ® REVISE PAGE (2) = <br />OF (3) 116 <br />BUSINESS NAME (4) RIPON FARM SERVICE <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 />(5) <br />METHYL BROMIDE <br />DOWFUME MC2 <br />74-83.9 <br />VE BLANK <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) ®PURE ❑MIXTURE ❑WASTE RADIOACTIVE (15) ❑YES ®NO (16) N/A <br />PHYSICAL STATE (17) ❑ SOLID ❑ LIQUID ®GAS CURIES <br />FED HAZARD <br />CATEGORIES (18)1FIRE FIRE ❑ REACTIVE ® PRESSURE RELEASE ® ACUTE HEALTH ❑ CHRONIC HEALTH <br />STATE WASTE (19) <br />CODE <br />DAYS ON SITE (20) <br />N/A <br />200 <br />LARGEST (21)� <br />CONTAINER <br />175 Ibs <br />UNITS* (22) ❑ GAL ® LBS <br />❑ CU FT ❑ TONS MAX DAILY AMT (23) 25,000 <br />ON SITE <br />*If EHS, amounts must be in lbs AVG DAILY AMT (24) <br />ONSITE 5,000 <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 />❑ SILO ❑ GLASS BOTTLE ❑ <br />❑ FIBER DRUM ❑ PLASTIC BOTTLE <br />STORAGE (27) ❑ AMBIENT H 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 />98 <br />METHYL BROMIDE <br />®YES ON <br />74-83-9 <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />❑YES ❑N <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DOT) 1062 <br />(34) WHAT IS MATERIAL FUMIGATION <br />USED FOR? <br />DATE REC'D: 12/14/01 For Official Use Only: H C ❑ R ❑ S SIC 12/99 <br />