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Cation and Telephone Number 3. Name of the Responsible Authority 4. Mailing Address and Telephone/Fax Number 5. Circle: Manufacture Import Section B: Chemical Identification Information 6. Chemical Name: CAS Registry Name CBI ( ) IUPAC 7. CAS Number (if available) 8. RTECS Number (if available) 9. Common Name Molecular Formula 10. Synonyms for the New Chemical 11. Trade Name of the New Chemical Section C: Production, Import and Intended Use CBI ( ) 12. Total quantity produce.

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