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container"> <div class="row"> <section class="col-sm-9"> <a id="main-content"></a> <h1 class="page-header">File a 60-Day Notice</h1> <div class="region region-content"> <div id="block-system-main" class="block block-system"> <div class="content"> <form class="node-form node-prop65_notice-form" enctype="multipart/form-data" action="/prop65/add-60-day-notice" method="post" id="prop65-notice-node-form" accept-charset="UTF-8"><div><input type="hidden" name="changed" value="" /> <input type="hidden" name="form_build_id" value="form-5NRqqn4YuW2jLlCv2rY13XtwIPY_RdytDva4qxQI88o" /> <input type="hidden" name="form_id" value="prop65_notice_node_form" /> <div class="field-type-text field-name-field-prop65-report-year field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-report-year"><div id="field-prop65-report-year-add-more-wrapper"><div class="form-item form-item-field-prop65-report-year-und-0-value form-type-textfield form-group"> <label class="control-label" for="edit-field-prop65-report-year-und-0-value">Report Year <span class="form-required" title="This field is required.">*</span></label> <input class="text-full form-control form-text required" title="Enter the year of the 60 Day Notice." data-toggle="tooltip" type="text" id="edit-field-prop65-report-year-und-0-value" name="field_prop65_report_year[und][0][value]" value="2024" size="10" maxlength="10" /></div></div></div><div class="field-type-date field-name-field-prop65-date field-widget-date-popup form-wrapper form-group" id="edit-field-prop65-date"><div id="field-prop65-date-add-more-wrapper"><fieldset class="date-combo panel panel-default form-wrapper" id="bootstrap-panel"> <legend class="panel-heading"> <span class="panel-title fieldset-legend">Notice Date <span class="form-required" title="This field is required.">*</span></span> </legend> <div class="panel-body" id="bootstrap-panel-body"> <div class="date-no-float container-inline-date"><div class="date-no-float form-item form-item-field-prop65-date-und-0-value form-type-date-popup form-group"><div id="edit-field-prop65-date-und-0-value" class="date-padding clearfix"><div class="form-item form-item-field-prop65-date-und-0-value-date form-type-textfield form-group"><input class="date-clear form-control form-text required" autocomplete="off" title=" E.g., 11/22/2024" data-toggle="tooltip" type="text" id="edit-field-prop65-date-und-0-value-datepicker-popup-0" name="field_prop65_date[und][0][value][date]" value="" size="20" maxlength="30" /> <label class="control-label element-invisible" for="edit-field-prop65-date-und-0-value-datepicker-popup-0">Date <span class="form-required" title="This field is required.">*</span></label> </div></div></div></div> </div> </fieldset> </div></div><div class="field-type-text field-name-field-prop65-plaintiff field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-plaintiff"><div id="field-prop65-plaintiff-add-more-wrapper"><div class="form-item"><div class="table-responsive"> <table id="field-prop65-plaintiff-values" class="field-multiple-table table table-hover table-striped sticky-enabled"> <thead><tr><th colspan="2" class="field-label"><label>Plaintiff <span class="form-required" title="This field is required.">*</span></label></th><th>Order</th> </tr></thead> <tbody> <tr class="draggable"><td class="field-multiple-drag"></td><td><div class="form-item form-item-field-prop65-plaintiff-und-0-value form-type-textfield form-group"><input class="text-full form-control form-text required" type="text" id="edit-field-prop65-plaintiff-und-0-value" name="field_prop65_plaintiff[und][0][value]" value="" size="60" maxlength="512" /> <label class="control-label element-invisible" for="edit-field-prop65-plaintiff-und-0-value">Plaintiff <span class="form-required" title="This field is required.">*</span></label> </div></td><td class="delta-order"><div class="form-item form-item-field-prop65-plaintiff-und-0--weight form-type-select form-group"><select class="field_prop65_plaintiff-delta-order form-control form-select" id="edit-field-prop65-plaintiff-und-0-weight" name="field_prop65_plaintiff[und][0][_weight]"><option value="0" selected="selected">0</option></select> <label class="control-label element-invisible" for="edit-field-prop65-plaintiff-und-0-weight">Weight for row 1</label> </div></td> </tr> </tbody> </table> </div> <div class="description">Enter Plaintiff or a Company name. You can add additional Plaintiffs by clicking the "Add another Plaintiff" button.</div><div class="clearfix"><button class="field-add-more-submit btn btn-success form-submit icon-before" type="submit" id="edit-field-prop65-plaintiff-und-add-more" name="field_prop65_plaintiff_add_more" value="Add another Plaintiff"><span class="icon glyphicon glyphicon-plus" aria-hidden="true"></span> Add another Plaintiff</button> </div></div></div></div><div class="field-type-text field-name-field-prop65-p-attorney field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-p-attorney"><div id="field-prop65-p-attorney-add-more-wrapper"><div class="form-item"><div class="table-responsive"> <table id="field-prop65-p-attorney-values" class="field-multiple-table table table-hover table-striped sticky-enabled"> <thead><tr><th colspan="2" class="field-label"><label>Plaintiff Attorney </label></th><th>Order</th> </tr></thead> <tbody> <tr class="draggable"><td class="field-multiple-drag"></td><td><div class="form-item form-item-field-prop65-p-attorney-und-0-value form-type-textfield form-group"><input class="text-full form-control form-text" type="text" id="edit-field-prop65-p-attorney-und-0-value" name="field_prop65_p_attorney[und][0][value]" value="" size="60" maxlength="512" /> <label class="control-label element-invisible" for="edit-field-prop65-p-attorney-und-0-value">Plaintiff Attorney</label> </div></td><td class="delta-order"><div class="form-item form-item-field-prop65-p-attorney-und-0--weight form-type-select form-group"><select class="field_prop65_p_attorney-delta-order form-control form-select" id="edit-field-prop65-p-attorney-und-0-weight" name="field_prop65_p_attorney[und][0][_weight]"><option value="0" selected="selected">0</option></select> <label class="control-label element-invisible" for="edit-field-prop65-p-attorney-und-0-weight">Weight for row 1</label> </div></td> </tr> </tbody> </table> </div> <div class="description">Enter Plaintiff Attorney or a Company name. You can add additional Plaintiff Attorney by clicking the "Add another Plaintiff Attorney" button.</div><div class="clearfix"><button class="field-add-more-submit btn btn-success form-submit icon-before" type="submit" id="edit-field-prop65-p-attorney-und-add-more" name="field_prop65_p_attorney_add_more" value="Add another Plaintiff Attorney"><span class="icon glyphicon glyphicon-plus" aria-hidden="true"></span> Add another Plaintiff Attorney</button> </div></div></div></div><div class="field-type-text field-name-field-prop65-defendant field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-defendant"><div id="field-prop65-defendant-add-more-wrapper"><div class="form-item"><div class="table-responsive"> <table id="field-prop65-defendant-values" class="field-multiple-table table table-hover table-striped sticky-enabled"> <thead><tr><th colspan="2" class="field-label"><label>Defendant <span class="form-required" title="This field is required.">*</span></label></th><th>Order</th> </tr></thead> <tbody> <tr class="draggable"><td class="field-multiple-drag"></td><td><div class="form-item form-item-field-prop65-defendant-und-0-value form-type-textfield form-group"><input class="text-full form-control form-text required" type="text" id="edit-field-prop65-defendant-und-0-value" name="field_prop65_defendant[und][0][value]" value="" size="60" maxlength="512" /> <label class="control-label element-invisible" for="edit-field-prop65-defendant-und-0-value">Defendant <span class="form-required" title="This field is required.">*</span></label> </div></td><td class="delta-order"><div class="form-item form-item-field-prop65-defendant-und-0--weight form-type-select form-group"><select class="field_prop65_defendant-delta-order form-control form-select" id="edit-field-prop65-defendant-und-0-weight" name="field_prop65_defendant[und][0][_weight]"><option value="0" selected="selected">0</option></select> <label class="control-label element-invisible" for="edit-field-prop65-defendant-und-0-weight">Weight for row 1</label> </div></td> </tr> </tbody> </table> </div> <div class="description">Enter a Defendant or a Company name. You can add additional Defendant by clicking the "Add another Defendant" button.</div><div class="clearfix"><button class="field-add-more-submit btn btn-success form-submit icon-before" type="submit" id="edit-field-prop65-defendant-und-add-more" name="field_prop65_defendant_add_more" value="Add another Defendant"><span class="icon glyphicon glyphicon-plus" aria-hidden="true"></span> Add another Defendant</button> </div></div></div></div><div class="field-type-taxonomy-term-reference field-name-field-prop65-chemical field-widget-options-select form-wrapper form-group" id="edit-field-prop65-chemical"><div class="form-item form-item-field-prop65-chemical-und form-type-select form-group"> <label class="control-label" for="edit-field-prop65-chemical-und">Chemicals <span class="form-required" title="This field is required.">*</span></label> <select multiple="multiple" name="field_prop65_chemical[und][]" class="form-control form-select required" title="Multiples from the list can be selected by holding the Ctrl key down (Command key on Mac) while selecting items" data-toggle="tooltip" id="edit-field-prop65-chemical-und"><option value="891">1,1,1,2-Tetrachloroethane</option><option value="4">1,1,2,2-Tetrachloroethane</option><option value="834">1,1-Dichloro-2,2-bis(p-chloropheny)ethylene (DDE)</option><option value="5">1,1-Dichloroethane</option><option value="6">1,1-Dimethylhydrazine (UDMH)</option><option value="7">1,2,3-Trichloropropane</option><option value="8">1,2-Dibromo-3-chloropropane (DBCP)</option><option value="9">1,2-Dichloropropane</option><option value="10">1,2-Diethylhydrazine</option><option value="11">1,2-Dimethylhydrazine</option><option value="850">1,3,5-Triglycidyl-s-triazinetrione</option><option value="12">1,3-Butadiene</option><option value="827">1,3-Dichloro-2-propanol (1,3-DCP)</option><option value="13">1,3-Dichloropropene</option><option value="14">1,3-Propane sultone</option><option value="15">1,4-Butanediol dimethanesulfonate (Busulfan)</option><option value="16">1,4-Dichloro-2-butene</option><option value="17">1,4-Dioxane</option><option value="18">1,6-Dinitropyrene</option><option value="19">1,8-Dinitropyrene</option><option value="2">1-(2-Chloroethyl)-3-(4-methylcyclohexyl)-1-nitrosourea (Methyl-CCNU)</option><option value="3">1-(2-Chloroethyl)-3-cyclohexyl-1-nitrosourea (CCNU) (Lomustine)</option><option value="21">1-Amino-2,4-dibromoanthraquinone</option><option value="22">1-Amino-2-methylanthraquinone</option><option value="966">1-Bromopropane</option><option value="23">1-Chloro-4-nitrobenzene</option><option value="908">1-Hydroxyanthraquinone</option><option value="24">1-Naphthylamine</option><option value="25">1-Nitropyrene</option><option value="20">1-[(5-Nitrofurfurylidene)-amino]-2-imidazolidinone</option><option value="27">2,2-Bis(bromomethyl)-1,3-propanediol</option><option value="28">2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD)</option><option value="29">2,3-Dibromo-1-propanol</option><option value="30">2,4,5-Trimethylaniline and its strong acid salts</option><option value="31">2,4,6-Trichlorophenol</option><option value="32">2,4-D butyric acid</option><option value="1006">2,4-diamino-6-chloro-s-triazine (DACT)2</option><option value="33">2,4-Diaminoanisole</option><option value="34">2,4-Diaminoanisole sulfate</option><option value="35">2,4-Diaminotoluene</option><option value="36">2,4-Dinitrotoluene</option><option value="37">2,6-Dinitrotoluene</option><option value="38">2,6-Xylidine (2,6-Dimethylaniline)</option><option value="26">2-(2-Formylhydrazino)-4-(5-nitro-2-furyl)thiazole</option><option value="39">2-Acetylaminofluorene</option><option value="40">2-Amino-5-(5-nitro-2-furyl)-1,3,4-thiadiazole</option><option value="41">2-Aminoanthraquinone</option><option value="42">2-Aminofluorene</option><option value="843">2-Chloropropionic acid</option><option value="845">2-Ethylhexanoic acid</option><option value="996">2-Mercaptobenzothiazole</option><option value="43">2-Methyl-1-nitroanthraquinone (of uncertain purity)</option><option value="44">2-Methylaziridine (Propyleneimine)</option><option value="885">2-Methylimidazole</option><option value="45">2-Naphthylamine</option><option value="46">2-Nitrofluorene</option><option value="47">2-Nitropropane</option><option value="883">3,3',4,4'-Tetrachloroazobenzene</option><option value="49">3,3'-Dichloro-4,4'-diamino-diphenyl ether</option><option value="50">3,3'-Dichlorobenzidine</option><option value="51">3,3'-Dichlorobenzidine dihydrochloride</option><option value="52">3,3'-Dimethoxybenzidine (o-Dianisidine)</option><option value="53">3,3'-Dimethoxybenzidine dihydrochloride</option><option value="54">3,3'-Dimethylbenzidine (ortho-Tolidine)</option><option value="55">3,3'-Dimethylbenzidine dihydrochloride</option><option value="56">3,7-Dinitrofluoranthene</option><option value="57">3,9-Dinitrofluoranthene</option><option value="48">3-(N-Nitrosomethylamino) propionitrile</option><option value="58">3-Amino-9-ethylcarbazole hydrochloride</option><option value="59">3-Chloro-2-methylpropene</option><option value="60">3-Methylcholanthrene</option><option value="828">3-Monochloropropane-1,2-diol (3-MCDP)</option><option value="62">4,4'-Diaminodiphenyl ether (4,4'-Oxydianiline)</option><option value="63">4,4'-Methylene bis(2-chloroaniline)</option><option value="64">4,4'-Methylene bis(2-methylaniline)</option><option value="65">4,4'-Methylene bis(N,N-dimethyl) benzenamine</option><option value="66">4,4'-Methylenedianiline</option><option value="67">4,4'-Methylenedianiline dihydrochloride</option><option value="68">4,4'-Thiodianiline</option><option value="61">4-(N-Nitrosomethylamino)-1-(3-pyridyl)1-butanone</option><option value="69">4-Amino-2-nitrophenol</option><option value="70">4-Aminobiphenyl (4-amino-diphenyl)</option><option value="71">4-Chloro-o-phenylenediamine</option><option value="72">4-Dimethylaminoazobenzene</option><option value="725">4-Methylimidazole (4-MEI)</option><option value="73">4-Nitrobiphenyl</option><option value="74">4-Nitropyrene</option><option value="75">4-Vinyl-1-cyclohexene diepoxide (Vinyl cyclohexenedioxide)</option><option value="76">4-Vinylcyclohexene</option><option value="77">5-(Morpholinomethyl)-3-[(5-nitro-furfurylidene)-amino]-2-oxazolidinone</option><option value="78">5-Chloro-o-toluidine and its strong acid salts</option><option value="79">5-Methoxypsoralen with ultraviolet A therapy</option><option value="80">5-Methylchrysene</option><option value="82">5-Nitro-o-anisidine</option><option value="81">5-Nitroacenaphthene</option><option value="83">6-Nitrochrysene</option><option value="84">7,12-Dimethylbenz(a)anthracene</option><option value="85">7H-Dibenzo[c,g]carbazole</option><option value="86">8-Methoxypsoralen with ultraviolet A therapy</option><option value="87">A-alpha-C (2-Amino-9H-pyrido [2,3-b]indole)</option><option value="88">Acetaldehyde</option><option value="89">Acetamide</option><option value="90">Acetazolamide</option><option value="91">Acetochlor</option><option value="92">Acetohydroxamic acid</option><option value="93">Acifluorfen</option><option value="94">Acrylamide</option><option value="95">Acrylonitrile</option><option value="96">Actinomycin D</option><option value="97">Adriamycin (Doxorubicin hydrochloride)</option><option value="98">AF-2;[2-(2-furyl)-3-(5-nitro-2-furyl)] acrylamide</option><option value="99">Aflatoxins</option><option value="100">Alachlor</option><option value="101">Alcoholic beverages, when associated with alcohol abuse</option><option value="102">Aldrin</option><option value="103">All-trans retinoic acid</option><option value="1037">Aloe vera, non-decolorized whole leaf extract</option><option value="104">Alprazolam</option><option value="105">Altretamine</option><option value="106">Amantadine hydrochloride</option><option value="107">Amikacin sulfate</option><option value="108">Aminoglutethimide</option><option value="109">Aminoglycosides</option><option value="110">Aminopterin</option><option value="111">Amiodarone hydrochloride</option><option value="112">Amitraz</option><option value="113">Amitrole</option><option value="114">Amoxapine</option><option value="841">Amsacrine</option><option value="115">Anabolic steroids</option><option value="116">Analgesic mixtures containing Phenacetin</option><option value="810">Androstenedione</option><option value="117">Angiotensin converting enzyme (ACE) inhibitors</option><option value="118">Aniline</option><option value="119">Aniline hydrochloride</option><option value="120">Anisindione</option><option value="721">Anthraquinone</option><option value="121">Antimony oxide (Antimony trioxide)</option><option value="122">Aramite</option><option value="123">Arsenic (inorganic arsenic compounds)</option><option value="124">Arsenic (inorganic oxides)</option><option value="125">Asbestos</option><option value="126">Aspirin</option><option value="127">Atenolol</option><option value="1003">Atrazine</option><option value="128">attapulgite</option><option value="129">Auramine</option><option value="130">Auranofin</option><option value="825">Avermectin B1 (Abamectin)</option><option value="131">Azacitidine</option><option value="132">Azaserine</option><option value="133">Azathioprine</option><option value="134">Azobenzene</option><option value="135">Barbiturates</option><option value="136">Beclomethasone dipropionate</option><option value="137">Benomyl</option><option value="716">Benthiavalicarb-isopropyl</option><option value="139">Benzene</option><option value="140">Benzidine [and its salts]</option><option value="141">Benzidine-based dyes</option><option value="147">Benzodiazepines</option><option value="148">Benzofuran</option><option value="884">Benzophenone</option><option value="149">Benzotrichloride</option><option value="142">Benzo[a]anthracene</option><option value="143">Benzo[a]pyrene</option><option value="144">Benzo[b]fluoranthene</option><option value="145">Benzo[j]fluoranthene</option><option value="146">Benzo[k]fluoranthene</option><option value="150">Benzphetamine hydrochloride</option><option value="151">Benzyl chloride</option><option value="152">Benzyl violet 4B</option><option value="138">Benz[a]anthracene</option><option value="153">Beryllium</option><option value="154">Beryllium and beryllium compounds</option><option value="155">beta-Butyrolactone</option><option value="1002">beta-Myrcene</option><option value="156">beta-Propiolactone</option><option value="157">Betel quid with tobacco</option><option value="158">Bis(2-chloro-1-methylethyl)ether, technical grade</option><option value="159">Bis(2-chloroethyl)ether</option><option value="160">Bis(chloromethyl)ether</option><option value="161">Bischloroethyl nitrosourea (BCNU) (Carmustine)</option><option value="910">Bisphenol A (BPA)</option><option value="162">Bitumens, extracts of steam-refined and air refined</option><option value="163">Bracken fern</option><option value="164">Bromacil lithium salt</option><option value="831">Bromochloroacetic acid</option><option value="965">Bromodichloroacetic acid</option><option value="165">Bromodichloromethane</option><option value="166">Bromoethane</option><option value="167">Bromoform</option><option value="168">Bromoxynil</option><option value="169">Bromoxynil octanoate</option><option value="170">Butabarbital sodium</option><option value="708">Butyl Benzyl Phthalate (BBP)</option><option value="171">Butylated hydroxyanisole</option><option value="172">C.I. Acid Red 114</option><option value="173">C.I. Basic Red 9 monohydrochloride</option><option value="174">C.I. Direct Blue 15</option><option value="175">C.I. Direct Blue 218</option><option value="176">C.I. Solvent Yellow 14</option><option value="177">Cacodylic acid</option><option value="178">Cadmium</option><option value="179">Cadmium and cadmium compounds</option><option value="180">Caffeic acid</option><option value="181">Captafol</option><option value="182">Captan</option><option value="183">Carbamazepine</option><option value="835">Carbaryl</option><option value="184">Carbazole</option><option value="185">Carbon disulfide</option><option value="186">Carbon monoxide</option><option value="187">Carbon tetrachloride</option><option value="188">Carbon-black extracts</option><option value="189">Carboplatin</option><option value="190">Ceramic fibers (airborne particles of respirable size)</option><option value="191">Certain combined chemotherapy for lymphomas</option><option value="192">Chenodiol</option><option value="193">Chinomethionat (Oxythioquinox)</option><option value="889">Chloral</option><option value="890">Chloral hydrate</option><option value="194">Chlorambucil</option><option value="195">Chloramphenicol</option><option value="196">Chlorcyclizine hydrochloride</option><option value="197">Chlordane</option><option value="198">Chlordecone (Kepone)</option><option value="199">Chlordiazepoxide</option><option value="200">Chlordiazepoxide hydrochloride</option><option value="201">Chlordimeform</option><option value="202">Chlorendic acid</option><option value="203">Chlorinated paraffins</option><option value="204">chlorine by weight)</option><option value="205">Chloroethane (Ethyl chloride)</option><option value="206">Chloroform</option><option value="207">Chloromethyl methyl ether (technical grade)</option><option value="208">Chloroprene</option><option value="209">Chlorothalonil</option><option value="210">Chlorotrianisene</option><option value="211">Chlorozotocin</option><option value="1017">Chlorpyrifos</option><option value="212">Chlorsulfuron</option><option value="213">Chromium (hexavalent compounds)</option><option value="214">Chrysene</option><option value="215">Ciclosporin (Cyclosporin A; Cyclosporine)</option><option value="216">Cidofovir</option><option value="217">Cinnamyl anthranilate</option><option value="218">Cisplatin</option><option value="219">Citrus Red No. 2</option><option value="220">Cladribine</option><option value="221">Clarithromycin</option><option value="222">Clobetasol propionate</option><option value="223">Clofibrate</option><option value="224">Clomiphene citrate</option><option value="225">Clorazepate dipotassium</option><option value="227">Cobalt metal powder</option><option value="228">Cobalt sulfate heptahydrate</option><option value="226">Cobalt [II] oxide</option><option value="229">Cocaine</option><option value="880">Coconut oil diethanolamine condensate (cocamide diethanolamine)</option><option value="230">Codeine phosphate</option><option value="231">Coke oven emissions</option><option value="232">Colchicine</option><option value="233">Conjugated estrogens</option><option value="234">Creosotes</option><option value="832">Cumene</option><option value="235">Cupferron</option><option value="236">Cyanazine</option><option value="237">Cycasin</option><option value="238">Cycloate</option><option value="239">Cycloheximide</option><option value="813">Cyclopenta[cd]pyrene</option><option value="240">Cyclophosphamide (anhydrous)</option><option value="241">Cyclophosphamide (hydrated)</option><option value="242">Cyhexatin</option><option value="243">Cytarabine</option><option value="244">Cytembena</option><option value="245">D&C Orange No. 17</option><option value="246">D&C Red No. 19</option><option value="247">D&C Red No. 8</option><option value="248">D&C Red No. 9</option><option value="249">Dacarbazine</option><option value="250">Daminozide</option><option value="251">Danazol</option><option value="252">Dantron (Chrysazin; 1,8-Dihydro-xyanthraquinone)</option><option value="253">Daunomycin</option><option value="254">Daunorubicin hydrochloride</option><option value="255">DDD (Dichlorodiphenyl-dichloroethane)</option><option value="256">DDE (Dichlorodiphenyl-dichloroethylene)</option><option value="257">DDT (Dichlorodiphenyl-trichloroethane)</option><option value="258">DDVP (Dichlorvos)</option><option value="1020">delta-9-tetrahydrocannabinol</option><option value="259">Demeclocycline hydrochloride (internal use)</option><option value="706">Designated Chemicals - see notice</option><option value="260">Di(2-ethylhexyl)phthalate</option><option value="723">Di(2-ethylhexyl)phthalate (DEHP)</option><option value="711">Di-isodecyl phthalate (DIDP)</option><option value="707">Di-n-butyl phthalate (DBP)</option><option value="709">Di-n-Hexyl Phthalate (DnHP)</option><option value="296">Di-n-propyl isocinchomeronate (MGK Repellent 326)</option><option value="261">Diaminotoluene (mixed)</option><option value="262">Diazepam</option><option value="263">Diazoxide</option><option value="267">Dibenzo[a,e]pyrene</option><option value="268">Dibenzo[a,h]pyrene</option><option value="269">Dibenzo[a,i]pyrene</option><option value="270">Dibenzo[a,l]pyrene</option><option value="264">Dibenz[a,h]acridine</option><option value="265">Dibenz[a,h]anthracene</option><option value="266">Dibenz[a,j]acridine</option><option value="720">Dibromoacetic acid</option><option value="811">Dibromoacetonitrile</option><option value="271">Dichloroacetic acid</option><option value="844">Dichloroacetic acid</option><option value="272">Dichloromethane (Methylene chloride)</option><option value="273">Dichlorophene</option><option value="274">Dichlorphenamide</option><option value="275">Diclofop methyl</option><option value="833">Diclofop-methyl</option><option value="276">Dicumarol</option><option value="277">Dieldrin</option><option value="278">Dienestrol</option><option value="279">Diepoxybutane</option><option value="280">Diesel engine exhaust</option><option value="879">Diethanolamine</option><option value="281">Diethyl sulfate</option><option value="282">Diethylstilbestrol (DES)</option><option value="283">Diflunisal</option><option value="284">Diglycidyl resorcinol ether (DGRE)</option><option value="285">Dihydroergotamine mesylate</option><option value="286">Dihydrosafrole</option><option value="903">Diisononyl phthalate (DINP)</option><option value="287">Diisopropyl sulfate</option><option value="288">Diltiazem hydrochloride</option><option value="289">Dimethyl sulfate</option><option value="290">Dimethylcarbamoyl chloride</option><option value="291">Dimethylvinylchloride</option><option value="292">Dinitrotoluene (technical grade)</option><option value="293">Dinitrotoluene mixture, 2,4-/2,6-</option><option value="294">Dinocap</option><option value="295">Dinoseb</option><option value="297">Diphenylhydantoin (Phenytoin)</option><option value="298">Diphenylhydantoin (Phenytoin), sodium salt</option><option value="299">Direct Black 38 (technical grade)</option><option value="300">Direct Blue 6 (technical grade)</option><option value="301">Direct Brown 95 (technical grade)</option><option value="302">Disodium cyanodithioimidocarbonate</option><option value="303">Disperse Blue 1</option><option value="304">Doxorubicin hydrochloride</option><option value="305">Doxycycline (internal use)</option><option value="306">Doxycycline calcium (internal use)</option><option value="307">Doxycycline hyclate (internal use)</option><option value="308">Doxycycline monohydrate (internal use)</option><option value="309">Endrin</option><option value="310">Epichlorohydrin</option><option value="818">Epoxiconazole</option><option value="311">Ergotamine tartrate</option><option value="312">Erionite</option><option value="313">Estradiol 17B</option><option value="314">Estragole</option><option value="802">Estrogen-progestogen (combined) used as menopausal therapy</option><option value="315">Estrone</option><option value="316">Estropipate</option><option value="814">Ethanol in alcoholic beverages</option><option value="317">Ethinylestradiol</option><option value="318">Ethionamide</option><option value="319">Ethoprop</option><option value="320">Ethyl acrylate</option><option value="321">Ethyl alcohol in alcoholic beverages</option><option value="322">Ethyl dipropylthiocarbamate</option><option value="323">Ethyl methanesulfonate</option><option value="324">Ethyl-4,4'-dichlorobenzilate</option><option value="837">Ethyl-tert-butyl ether</option><option value="704">Ethylbenzene</option><option value="325">Ethylene dibromide</option><option value="326">Ethylene dichloride (1,2-Dichloroethane)</option><option value="942">Ethylene Glycol</option><option value="327">Ethylene glycol monoethyl ether</option><option value="328">Ethylene glycol monoethyl ether acetate</option><option value="329">Ethylene glycol monomethyl ether</option><option value="330">Ethylene glycol monomethyl ether acetate</option><option value="331">Ethylene oxide</option><option value="332">Ethylene thiourea</option><option value="333">Ethyleneimine</option><option value="334">Etodolac</option><option value="335">Etoposide</option><option value="803">Etoposide in combination with cisplatin and bleomycin</option><option value="336">Etretinate</option><option value="337">Fenoxaprop ethyl</option><option value="338">Fenoxycarb</option><option value="339">Filgrastim</option><option value="340">Fluazifop butyl</option><option value="341">Flunisolide</option><option value="342">Fluorouracil</option><option value="343">Fluoxymesterone</option><option value="344">Flurazepam hydrochloride</option><option value="345">Flurbiprofen</option><option value="346">Flutamide</option><option value="347">Fluticasone propionate</option><option value="348">Fluvalinate</option><option value="349">Folpet</option><option value="350">Formaldehyde (gas)</option><option value="351">Furan</option><option value="352">Furazolidone</option><option value="968">Furfuryl</option><option value="969">Furfuryl Alcohol</option><option value="353">Furmecyclox</option><option value="354">Fusarin C</option><option value="712">Gallium Arsenide</option><option value="355">Ganciclovir sodium</option><option value="356">Gasoline engine exhaust (condensates/extracts)</option><option value="357">Gemfibrozil</option><option value="358">Glasswool fibers (airborne particles of respirable size)</option><option value="359">Glu-P-1 (2-Amino-6-methyldipyrido [1,2-a:3',2'-d]imidazole)</option><option value="360">Glu-P-2 (2-Aminodipyrido [1,2-a:3',2'-d]imidazole)</option><option value="361">Glycidaldehyde</option><option value="362">Glycidol</option><option value="1009">Glyphosate</option><option value="363">Goserelin acetate</option><option value="364">Griseofulvin</option><option value="365">Gyromitrin (Acetaldehyde methylformylhydrazone)</option><option value="366">Halazepam</option><option value="367">Halobetasol propionate</option><option value="368">Haloperidol</option><option value="369">Halothane</option><option value="370">HC Blue 1</option><option value="371">Heptachlor</option><option value="372">Heptachlor epoxide</option><option value="373">Hexachlorobenzene</option><option value="812">Hexachlorobutadiene</option><option value="374">Hexachlorocyclohexane (technical grade)</option><option value="375">Hexachlorodibenzodioxin</option><option value="376">Hexachloroethane</option><option value="713">Hexafluoroacetone</option><option value="377">Hexamethylphosphoramide</option><option value="378">Histrelin acetate</option><option value="379">Hydramethylnon</option><option value="380">Hydrazine</option><option value="381">Hydrazine sulfate</option><option value="382">Hydrazobenzene (1,2-Diphenylhydrazine)</option><option value="383">Hydroxyurea</option><option value="384">Idarubicin hydrochloride</option><option value="385">Ifosfamide</option><option value="809">Imazalil</option><option value="386">Indeno [1,2,3-cd]pyrene</option><option value="387">Indium phosphide</option><option value="1023">Indium Tin Oxide</option><option value="388">Iodine-131</option><option value="389">Iprodione</option><option value="722">Iprovalicarb</option><option value="390">IQ (2-Amino-3-methylimidazo [4,5-f] quinoline)</option><option value="391">Iron dextran complex</option><option value="392">Isobutyl nitrite</option><option value="393">Isoprene</option><option value="882">Isopyrazam</option><option value="394">Isosafrole</option><option value="395">Isotretinoin</option><option value="396">Isoxaflutole</option><option value="888">Kresoxim-methyl</option><option value="397">Lactofen</option><option value="398">Lasiocarpine</option><option value="399">Lead</option><option value="400">Lead acetate</option><option value="401">Lead and lead compounds</option><option value="402">Lead phosphate</option><option value="403">Lead subacetate</option><option value="815">Leather dust</option><option value="404">Leuprolide acetate</option><option value="405">Levodopa</option><option value="406">Levonorgestrel implants</option><option value="407">Lindane and other hexachloro-cyclohexane isomers</option><option value="408">Linuron</option><option value="409">Lithium carbonate</option><option value="410">Lithium citrate</option><option value="411">Lorazepam</option><option value="412">Lovastatin</option><option value="413">Lynestrenol</option><option value="416">m-Dinitrobenzene</option><option value="913">Malathion</option><option value="816">Malonaldehyde, sodium salt</option><option value="414">Mancozeb</option><option value="415">Maneb</option><option value="902">Marijuana smoke</option><option value="417">Me-A-alpha-C (2-Amino-3-methyl-9H-pyrido[2,3-b]indole)</option><option value="418">Mebendazole</option><option value="419">Medroxyprogesterone acetate</option><option value="420">Megestrol acetate</option><option value="421">MeIQ(2-Amino-3,4-dimethylimidazo [4,5-f]quinoline)</option><option value="422">MeIQx(2-Amino-3,8-dimethylimidazo [4,5-f]quinoxaline)</option><option value="423">Melphalan</option><option value="424">Menotropins</option><option value="717">Mepanipyrim</option><option value="425">Meprobamate</option><option value="426">Mercaptopurine</option><option value="427">Mercury</option><option value="428">Mercury and mercury compounds</option><option value="429">Merphalan</option><option value="430">Mestranol</option><option value="824">Metam potassium</option><option value="431">Methacycline hydrochloride</option><option value="432">Metham sodium</option><option value="886">Methanol</option><option value="433">Methazole</option><option value="434">Methimazole</option><option value="435">Methotrexate</option><option value="436">Methotrexate sodium</option><option value="437">Methyl bromide, as a structural fumigant</option><option value="438">Methyl carbamate</option><option value="439">Methyl chloride</option><option value="440">Methyl iodide</option><option value="804">Methyl isobutyl ketone</option><option value="826">Methyl isocyanate (MIC)</option><option value="887">Methyl isopropyl ketone</option><option value="441">Methyl methanesulfonate</option><option value="846">Methyl n-butyl ketone</option><option value="442">Methylazoxymethanol</option><option value="443">Methylazoxymethanol acetate</option><option value="444">Methyleugenol</option><option value="445">Methylhydrazine and its salts</option><option value="446">methylimino]-5-[2-(5-nitro-2-furyl)vinyl]-1,3,4-oxadiazole</option><option value="447">Methylmercury compounds</option><option value="448">Methyltestosterone</option><option value="449">Methylthiouracil</option><option value="450">Metiram</option><option value="451">Metronidazole</option><option value="452">Michler's ketone</option><option value="453">Midazolam hydrochloride</option><option value="454">Minocycline hydrochloride (internal use)</option><option value="455">Mirex</option><option value="456">Misoprostol</option><option value="457">Mitomycin C</option><option value="458">Mitoxantrone hydrochloride</option><option value="459">molecular weight)</option><option value="840">Molinate</option><option value="1022">Molybdenum trioxide</option><option value="820">MON 13900 (furilazole)</option><option value="819">MON 4660 (dichloroacetyl-1-oxa-4-azaspiro(4,5)-decane</option><option value="460">Monocrotaline</option><option value="805">MOPP (vincristine-prednisone-nitrogen mustard-procarbazine mixture)</option><option value="461">Mustard Gas</option><option value="462">MX (3-chloro-4-dichloromethyl-5-hydroxy-2(5H)-furanone)</option><option value="463">Myclobutanil</option><option value="465">N,N'-Diacetylbenzidine</option><option value="464">N,N-Bis(2-chloroethyl)-2-naphthylamine (Chlornapazine)</option><option value="899">N,N-DIMETHYL-P-TOLUIDINE</option><option value="830">N,N-Dimethylacetamide</option><option value="995">N,N-Dimethylformamide</option><option value="842">n-Butyl glycidyl ether</option><option value="471">N-Carboxymethyl-N-nitrosourea</option><option value="496">N-Methyl-N'-nitro-N-nitrosoguanidine</option><option value="497">N-Methylolacrylamide</option><option value="498">N-Methylpyrrolidone</option><option value="508">N-Nitroso-N-ethylurea</option><option value="509">N-Nitroso-N-methylurea</option><option value="510">N-Nitroso-N-methylurethane</option><option value="502">N-Nitrosodi-n-butylamine</option><option value="503">N-Nitrosodi-n-propylamine</option><option value="499">N-Nitrosodiethanolamine</option><option value="500">N-Nitrosodiethylamine</option><option value="501">N-Nitrosodimethylamine</option><option value="504">N-Nitrosodiphenylamine</option><option value="505">N-Nitrosomethylethylamine</option><option value="506">N-Nitrosomethylvinylamine</option><option value="507">N-Nitrosomorpholine</option><option value="511">N-Nitrosonornicotine</option><option value="512">N-Nitrosopiperidine</option><option value="513">N-Nitrosopyrrolidine</option><option value="514">N-Nitrososarcosine</option><option value="466">N-[4-(5-Nitro-2-furyl)-2-thiazolyl]acetamide</option><option value="467">Nabam</option><option value="468">Nafarelin acetate</option><option value="469">Nafenopin</option><option value="470">Nalidixic acid</option><option value="705">Naphthalene</option><option value="472">Neomycin sulfate (internal use)</option><option value="473">Netilmicin sulfate</option><option value="474">Nickel</option><option value="1010">Nickel (soluble compounds)</option><option value="475">Nickel and certain nickel compounds</option><option value="476">Nickel carbonyl</option><option value="477">Nickel compounds</option><option value="478">Nickel refinery dust from the pyrometallurgical process</option><option value="479">Nickel subsulfide</option><option value="480">Nicotine</option><option value="481">Nifedipine</option><option value="482">Nimodipine</option><option value="483">Niridazole</option><option value="484">Nitrapyrin</option><option value="485">Nitrilotriacetic acid</option><option value="486">Nitrilotriacetic acid, trisodium salt monohydrate</option><option value="487">Nitrobenzene</option><option value="488">Nitrofen (technical grade)</option><option value="489">Nitrofurantoin</option><option value="490">Nitrofurazone</option><option value="491">Nitrogen mustard (Mechlorethamine)</option><option value="492">Nitrogen mustard hydrochloride (Mechlorethamine hydrochloride)</option><option value="493">Nitrogen mustard N-oxide</option><option value="494">Nitrogen mustard N-oxide hydrochloride</option><option value="495">Nitromethane</option><option value="714">Nitrous oxide</option><option value="515">No Listed Chemical Identified</option><option value="516">Norethisterone (Norethindrone)</option><option value="517">Norethisterone (Norethindrone) /Ethinyl estradiol</option><option value="518">Norethisterone (Norethindrone) /Mestranol</option><option value="519">Norethisterone acetate (Norethindrone acetate)</option><option value="520">Norethynodrel</option><option value="521">Norgestrel</option><option value="522">o,p'-DDT</option><option value="523">o-Aminoazotoluene</option><option value="524">o-Anisidine</option><option value="525">o-Anisidine hydrochloride</option><option value="527">o-Dinitrobenzene</option><option value="529">o-Nitroanisole</option><option value="530">o-Nitrotoluene</option><option value="531">o-Phenylenediamine and its salts</option><option value="532">o-Phenylphenate, sodium</option><option value="533">o-Phenylphenol</option><option value="536">o-Toluidine</option><option value="537">o-Toluidine hydrochloride</option><option value="526">Ochratoxin A</option><option value="528">Oil Orange SS</option><option value="534">Oral contraceptives, combined</option><option value="535">Oral contraceptives, sequential</option><option value="538">Oxadiazon</option><option value="539">Oxazepam</option><option value="540">Oxydemeton methyl</option><option value="541">Oxymetholone</option><option value="542">Oxytetracycline (internal use)</option><option value="543">Oxytetracycline hydrochloride (internal use)</option><option value="544">Oxythioquinox</option><option value="545">p,p'-DDT</option><option value="847">p,p'-Oxybis(benzenesulfonyl hydrazide)</option><option value="546">p-a,a,a-Tetrachlorotoluene</option><option value="550">p-Aminoazobenzene</option><option value="555">p-Chloro-o-toluidine, strong acid salts of</option><option value="553">p-Chloroaniline</option><option value="554">p-Chloroaniline hydrochloride</option><option value="556">p-Cresidine</option><option value="557">p-Dichlorobenzene</option><option value="558">p-Dinitrobenzene</option><option value="580">p-Nitrosodiphenylamine</option><option value="547">Paclitaxel</option><option value="548">Palygorskite fibers</option><option value="549">Palygorskite fibers (> 5mm in length)</option><option value="551">Panfuran S</option><option value="552">Paramethadione</option><option value="912">Parathion</option><option value="559">Penicillamine</option><option value="990">Pentabromodiphenyl ether mixture [DE-71 (technical grade)]</option><option value="560">Pentachlorophenol</option><option value="561">Pentobarbital sodium</option><option value="562">Pentostatin</option><option value="563">perchloroethylene</option><option value="1036">Perfluorononanoic acid (PFNA) and its salts</option><option value="999">Perfluorooctane Sulfonate (PFOS)</option><option value="998">Perfluorooctanoic Acid (PFOA)</option><option value="564">Phenacemide</option><option value="565">Phenacetin</option><option value="566">Phenazopyridine</option><option value="567">Phenazopyridine hydrochloride</option><option value="568">Phenesterin</option><option value="569">Phenobarbital</option><option value="570">Phenolphthalein</option><option value="571">Phenoxybenzamine</option><option value="572">Phenoxybenzamine hydrochloride</option><option value="573">Phenprocoumon</option><option value="574">Phenyl glycidyl ether</option><option value="575">Phenylhydrazine and its salts</option><option value="848">Phenylphosphine</option><option value="576">PhiP(2-Amino-1-methyl-6-phenylimidazol[4,5-b]pyridine)</option><option value="577">Pimozide</option><option value="578">Pipobroman</option><option value="718">Pirimicarb</option><option value="579">Plicamycin</option><option value="581">Polybrominated biphenyls</option><option value="582">Polychlorinated biphenyls</option><option value="584">Polychlorinated dibenzo-p-dioxins</option><option value="583">Polychlorinated dibenzofurans</option><option value="585">Polygeenan</option><option value="586">polyvinyl chloride</option><option value="587">Ponceau 3R</option><option value="588">Ponceau MX</option><option value="589">Potassium bromate</option><option value="590">Potassium dimethyldithiocarbamate</option><option value="591">Pravastatin sodium</option><option value="592">Prednisolone sodium phosphate</option><option value="593">Primidone</option><option value="594">Procarbazine</option><option value="595">Procarbazine hydrochloride</option><option value="596">Procymidone</option><option value="597">Progesterone</option><option value="598">Pronamide</option><option value="599">Propachlor</option><option value="600">Propargite</option><option value="1004">Propazine</option><option value="710">Propoxur</option><option value="601">Propylene oxide</option><option value="602">Propylthiouracil</option><option value="906">Pulegone</option><option value="821">Pymetrozine</option><option value="603">Pyrimethamine</option><option value="604">Quazepam</option><option value="605">Quinoline and its strong acid salts</option><option value="606">Quizalofop-ethyl</option><option value="607">Radionuclides</option><option value="608">Reserpine</option><option value="609">Residual (heavy) fuel oils</option><option value="610">Resmethrin</option><option value="719">Resmethrin</option><option value="611">Retinol</option><option value="612">Ribavirin</option><option value="613">Rifampin</option><option value="822">S,S,S-Tributyl phosphorotrithioate (Tribufos, DEF)</option><option value="614">Saccharin, sodium</option><option value="615">Safrole</option><option value="616">Salicylazosulfapyridine</option><option value="817">Salted fish, Chinese-style</option><option value="617">Secobarbital sodium</option><option value="941">Sedaxane</option><option value="618">Selenium sulfide</option><option value="619">Sermorelin acetate</option><option value="620">Shale-oils</option><option value="621">Silica, crystalline (airborne particles of respirable size)</option><option value="1005">Simazine</option><option value="622">Sodium dimethyldithiocarbamate</option><option value="623">Sodium fluoroacetate</option><option value="624">soots, tar and mineral oils (coal tar)</option><option value="625">Soots, tars, and mineral oils (untreated and mildly treated oils and used engine oils)</option><option value="829">Spirodiclofen</option><option value="626">Spironolactone</option><option value="627">Stanozolol</option><option value="628">Sterigmatocystin</option><option value="629">Streptomycin sulfate</option><option value="630">Streptozocin (streptozotocin)</option><option value="631">Streptozotocin (streptozocin)</option><option value="993">styrene</option><option value="632">Styrene oxide</option><option value="633">Sulfallate</option><option value="634">Sulfasalazine</option><option value="724">Sulfur dioxide</option><option value="635">Sulindac</option><option value="636">Talc containing asbestiform fibers</option><option value="637">Tamoxifen and its salts</option><option value="638">Tamoxifen citrate</option><option value="639">Temazepam</option><option value="640">Teniposide</option><option value="641">Terbacil</option><option value="642">Terrazole</option><option value="836">tert-Amyl methyl ether</option><option value="643">Testosterone and its esters</option><option value="644">Testosterone cypionate</option><option value="645">Testosterone enanthate</option><option value="997">Tetrabromobisphenol A</option><option value="646">tetrachloroethene</option><option value="647">Tetrachloroethylene (Perchloroethylene)</option><option value="911">Tetrachlorvinphos</option><option value="648">Tetracycline (internal use)</option><option value="649">Tetracycline hydrochloride (internal use)</option><option value="650">Tetracyclines (internal use)</option><option value="651">Tetrafluoroethylene</option><option value="652">Tetranitromethane</option><option value="653">Thalidomide</option><option value="654">Thioacetamide</option><option value="655">Thiodicarb</option><option value="656">Thioguanine</option><option value="657">Thiophanate methyl</option><option value="658">Thiourea</option><option value="659">Thorium dioxide</option><option value="806">Titanium dioxide (airborne, unbound particles of respirable size)</option><option value="660">Tobacco smoke</option><option value="661">Tobacco smoke (primary)</option><option value="662">Tobacco, oral use of smokeless products</option><option value="663">Tobramycin sulfate</option><option value="664">Toluene</option><option value="665">Toluene diisocyanate</option><option value="666">total organic gases</option><option value="667">Toxaphene (Polychlorinated camphenes)</option><option value="849">Toxins derived from Fusarium moniliforme (Fusarium verticillioides)</option><option value="668">trans-2-[(Dimethylamino)</option><option value="669">Treosulfan</option><option value="670">Triadimefon</option><option value="671">Triazolam</option><option value="672">Tributyltin methacrylate</option><option value="673">Trichlormethine (Trimustine hydrochloride)</option><option value="892">Trichloroacetic acid</option><option value="674">Trichloroethylene</option><option value="675">Trientine hydrochloride</option><option value="676">Triforine</option><option value="677">Trilostane</option><option value="678">Trimethadione</option><option value="679">Trimethyl phosphate</option><option value="680">Trimetrexate glucuronate</option><option value="681">Triphenyltin hydroxide</option><option value="801">Tris(1,3-dichloro-2-propyl) phosphate (TDCPP)</option><option value="682">Tris(1-aziridinyl)phosphine sulfide (Thiotepa)</option><option value="683">Tris(2,3-dibromopropyl)phosphate</option><option value="684">Tris(2-chloroethyl) phosphate</option><option value="685">Tris(aziridinyl)-p-benzoquinone (Triaziquone)</option><option value="686">Trp-P-1 (Tryptophan-P-1)</option><option value="687">Trp-P-2 (Tryptophan-P-2)</option><option value="688">Trypan blue (commercial grade)</option><option value="689">Unleaded gasoline (wholly vaporized)</option><option value="690">Uracil mustard</option><option value="691">Urethane (Ethyl carbamate)</option><option value="692">Urofollitropin</option><option value="693">Valproate (Valproic acid)</option><option value="1011">Vanadium pentoxide (orthorhombic crystalline form)</option><option value="694">Vinblastine sulfate</option><option value="695">Vinclozolin</option><option value="696">Vincristine sulfate</option><option value="697">Vinyl bromide</option><option value="698">Vinyl chloride</option><option value="715">Vinyl cyclohexene dioxide</option><option value="699">Vinyl fluoride</option><option value="700">Vinyl trichloride (1,1,2-Trichloroethane)</option><option value="701">Warfarin</option><option value="838">Wood dust</option><option value="851">Zalcitabine</option><option value="839">Zidovudine (AZT)</option><option value="702">Zileuton</option><option value="807">α-Methyl styrene</option><option value="1021">Δ9-Tetrahydrocannabinol (Δ9-THC; delta-9-THC)</option></select></div></div><div class="field-type-text field-name-field-prop65-product field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-product"><div id="field-prop65-product-add-more-wrapper"><div class="form-item"><div class="table-responsive"> <table id="field-prop65-product-values" class="field-multiple-table table table-hover table-striped sticky-enabled"> <thead><tr><th colspan="2" class="field-label"><label>Product <span class="form-required" title="This field is required.">*</span></label></th><th>Order</th> </tr></thead> <tbody> <tr class="draggable"><td class="field-multiple-drag"></td><td><div class="form-item form-item-field-prop65-product-und-0-value form-type-textfield form-group"><input class="text-full form-control form-text required" type="text" id="edit-field-prop65-product-und-0-value" name="field_prop65_product[und][0][value]" value="" size="60" maxlength="1024" /> <label class="control-label element-invisible" for="edit-field-prop65-product-und-0-value">Product <span class="form-required" 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Add additional Product by clicking the "Add another Product" button.</div><div class="clearfix"><button class="field-add-more-submit btn btn-success form-submit icon-before" type="submit" id="edit-field-prop65-product-und-add-more" name="field_prop65_product_add_more" value="Add another Product"><span class="icon glyphicon glyphicon-plus" aria-hidden="true"></span> Add another Product</button> </div></div></div></div><div class="field-type-list-boolean field-name-field-prop65-occupation-exposure field-widget-options-buttons form-wrapper form-group" id="edit-field-prop65-occupation-exposure"><div class="form-item form-item-field-prop65-occupation-exposure-und form-type-radios form-group"> <label class="control-label" for="edit-field-prop65-occupation-exposure-und">Occupational Exposure <span class="form-required" title="This field is required.">*</span></label> <div id="edit-field-prop65-occupation-exposure-und" class="form-radios"><div class="form-item form-item-field-prop65-occupation-exposure-und form-type-radio radio"> <label class="control-label" for="edit-field-prop65-occupation-exposure-und-0"><input type="radio" id="edit-field-prop65-occupation-exposure-und-0" name="field_prop65_occupation_exposure[und]" value="0" checked="checked" class="form-radio" />No</label> </div><div class="form-item form-item-field-prop65-occupation-exposure-und form-type-radio radio"> <label class="control-label" for="edit-field-prop65-occupation-exposure-und-1"><input type="radio" id="edit-field-prop65-occupation-exposure-und-1" name="field_prop65_occupation_exposure[und]" value="1" class="form-radio" />Yes</label> </div></div></div></div><fieldset class="required-fields group-prop65-notice-document field-group-fieldset panel panel-default form-wrapper" id="node-prop65-notice-form-group-prop65-notice-document"> <legend class="panel-heading"> <span class="panel-title fieldset-legend">Notice Document</span> </legend> <div class="panel-body" id="node-prop65-notice-form-group-prop65-notice-document-body"> <div class="field-type-file field-name-field-prop65-pdf-file field-widget-file-generic form-wrapper form-group" id="edit-field-prop65-pdf-file"><div id="edit-field-prop65-pdf-file-und-0-ajax-wrapper"><div class="form-item form-item-field-prop65-pdf-file-und-0 form-type-managed-file form-group"> <label class="control-label" for="edit-field-prop65-pdf-file-und-0">Notice PDF <span class="form-required" title="This field is required.">*</span></label> <div class="file-widget form-managed-file clearfix input-group"><input type="hidden" name="field_prop65_pdf_file[und][0][fid]" value="0" /> <input type="hidden" name="field_prop65_pdf_file[und][0][display]" value="1" /> <input class="form-control form-file" type="file" id="edit-field-prop65-pdf-file-und-0-upload" name="files[field_prop65_pdf_file_und_0]" size="22" /><span class="input-group-btn"><button class="btn-primary btn form-submit icon-before" type="submit" id="edit-field-prop65-pdf-file-und-0-upload-button" name="field_prop65_pdf_file_und_0_upload_button" value="Upload"><span class="icon glyphicon glyphicon-upload" aria-hidden="true"></span> Upload</button> </span></div><div class="help-block">Use the "Browse" button to select a .pdf file on your computer and click the "Upload" button.<br><a href="#" data-toggle="popover" data-target="#upload-instructions" data-html="1" data-placement="bottom" data-title="File requirements"><span class="icon glyphicon glyphicon-question-sign" aria-hidden="true"></span> More information</a><div id="upload-instructions" class="element-invisible help-block"><ul><li>Files must be less than <strong>2 GB</strong>.</li> <li>Allowed file types: <strong>pdf</strong>.</li> </ul></div></div></div></div></div><div class="field-type-list-boolean field-name-field-prop65-agreement field-widget-options-onoff form-wrapper form-group" id="edit-field-prop65-agreement"><div class="form-item form-item-field-prop65-agreement-und form-type-checkbox checkbox"> <label class="control-label" for="edit-field-prop65-agreement-und"><input type="checkbox" id="edit-field-prop65-agreement-und" name="field_prop65_agreement[und]" value="1" class="form-checkbox required" />Agree to publication on the Office of the Attorney General's website <span class="form-required" title="This field is required.">*</span></label> </div></div> </div> </fieldset> <div class="field-type-text-long field-name-field-prop65-public-comments field-widget-text-textarea form-wrapper form-group" id="edit-field-prop65-public-comments"><div id="field-prop65-public-comments-add-more-wrapper"><div class="form-item form-item-field-prop65-public-comments-und-0-value form-type-textarea form-group"> <label class="control-label" for="edit-field-prop65-public-comments-und-0-value">Comments</label> <div class="form-textarea-wrapper resizable"><textarea class="text-full form-control form-textarea" title="Additional information pertaining to this 60 Day Notice. Comments will be available for view to the public." data-toggle="tooltip" id="edit-field-prop65-public-comments-und-0-value" name="field_prop65_public_comments[und][0][value]" cols="60" rows="3"></textarea></div></div></div></div><fieldset class="required-fields group-prop65-doj-pdf field-group-fieldset panel panel-default form-wrapper" id="node-prop65-notice-form-group-prop65-doj-pdf"> <legend class="panel-heading"> <span class="panel-title fieldset-legend">Factual information in support of Certificate of Merit</span> </legend> <div class="panel-body" id="node-prop65-notice-form-group-prop65-doj-pdf-body"> <div class="field-type-file field-name-field-prop65-doj-pdf field-widget-file-generic form-wrapper form-group" id="edit-field-prop65-doj-pdf"><div id="edit-field-prop65-doj-pdf-und-0-ajax-wrapper"><div class="form-item form-item-field-prop65-doj-pdf-und-0 form-type-managed-file form-group"> <label class="control-label" for="edit-field-prop65-doj-pdf-und-0">Confidential Information <span class="form-required" title="This field is required.">*</span></label> <div class="file-widget form-managed-file clearfix input-group"><input type="hidden" name="field_prop65_doj_pdf[und][0][fid]" value="0" /> <input type="hidden" name="field_prop65_doj_pdf[und][0][display]" value="1" /> <input class="form-control form-file" type="file" id="edit-field-prop65-doj-pdf-und-0-upload" name="files[field_prop65_doj_pdf_und_0]" size="22" /><span class="input-group-btn"><button class="btn-primary btn form-submit icon-before" type="submit" id="edit-field-prop65-doj-pdf-und-0-upload-button" name="field_prop65_doj_pdf_und_0_upload_button" value="Upload"><span class="icon glyphicon glyphicon-upload" aria-hidden="true"></span> Upload</button> </span></div><div class="help-block"><b>Confidential</b>: This file will be maintained in confidence by the Office of the Attorney General pursuant to Health & Safety Code section 25249.7 (i). It will not be available for viewing by the public.<br><a href="#" data-toggle="popover" data-target="#upload-instructions--2" data-html="1" data-placement="bottom" data-title="File requirements"><span class="icon glyphicon glyphicon-question-sign" aria-hidden="true"></span> More information</a><div id="upload-instructions--2" class="element-invisible help-block"><ul><li>Files must be less than <strong>2 GB</strong>.</li> <li>Allowed file types: <strong>pdf</strong>.</li> </ul></div></div></div></div></div> </div> </fieldset> <fieldset class="required-fields group-prop65-contact-info field-group-fieldset panel panel-default form-wrapper" id="node-prop65-notice-form-group-prop65-contact-info"> <legend class="panel-heading"> <span class="panel-title fieldset-legend">Contact Information</span> </legend> <div class="panel-body" id="node-prop65-notice-form-group-prop65-contact-info-body"> <div class="field-type-text field-name-field-prop65-contact-name field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-contact-name"><div id="field-prop65-contact-name-add-more-wrapper"><div class="form-item form-item-field-prop65-contact-name-und-0-value form-type-textfield form-group"> <label class="control-label" for="edit-field-prop65-contact-name-und-0-value">Contact Name <span class="form-required" title="This field is required.">*</span></label> <input class="text-full form-control form-text required" type="text" id="edit-field-prop65-contact-name-und-0-value" name="field_prop65_contact_name[und][0][value]" value="" size="60" maxlength="100" /></div></div></div><div class="field-type-text field-name-field-prop65-org-contact field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-org-contact"><div id="field-prop65-org-contact-add-more-wrapper"><div class="form-item form-item-field-prop65-org-contact-und-0-value form-type-textfield form-group"> <label class="control-label" for="edit-field-prop65-org-contact-und-0-value">Contact Organization <span class="form-required" title="This field is required.">*</span></label> <input class="text-full form-control form-text required" type="text" id="edit-field-prop65-org-contact-und-0-value" name="field_prop65_org_contact[und][0][value]" value="" size="60" maxlength="100" /></div></div></div><div class="field-type-text field-name-field-prop65-address field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-address"><div id="field-prop65-address-add-more-wrapper"><div class="form-item form-item-field-prop65-address-und-0-value form-type-textfield form-group"> <label class="control-label" for="edit-field-prop65-address-und-0-value">Address <span class="form-required" title="This field is required.">*</span></label> <input class="text-full form-control form-text required" type="text" id="edit-field-prop65-address-und-0-value" name="field_prop65_address[und][0][value]" value="" size="60" maxlength="100" /></div></div></div><div class="field-type-text field-name-field-sb24-city field-widget-text-textfield form-wrapper form-group" id="edit-field-sb24-city"><div id="field-sb24-city-add-more-wrapper"><div class="form-item form-item-field-sb24-city-und-0-value form-type-textfield form-group"> <label class="control-label" for="edit-field-sb24-city-und-0-value">City <span class="form-required" title="This field is required.">*</span></label> <input class="text-full form-control form-text required" type="text" id="edit-field-sb24-city-und-0-value" name="field_sb24_city[und][0][value]" value="" size="60" maxlength="255" /></div></div></div><div class="field-type-list-text field-name-field-prop65-state field-widget-options-select form-wrapper form-group" id="edit-field-prop65-state"><div class="form-item form-item-field-prop65-state-und form-type-select form-group"> <label class="control-label" for="edit-field-prop65-state-und">State <span class="form-required" title="This field is required.">*</span></label> <select class="form-control form-select required" id="edit-field-prop65-state-und" name="field_prop65_state[und]"><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA" selected="selected">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MH">Marshall Islands</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="MP">Northern Marianas Islands</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PW">Palau</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select></div></div><div class="field-type-text field-name-field-prop65-zip field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-zip"><div id="field-prop65-zip-add-more-wrapper"><div class="form-item form-item-field-prop65-zip-und-0-value form-type-textfield form-group"> <label class="control-label" for="edit-field-prop65-zip-und-0-value">Zip <span class="form-required" title="This field is required.">*</span></label> <input class="text-full form-control form-text required" type="text" id="edit-field-prop65-zip-und-0-value" name="field_prop65_zip[und][0][value]" value="" size="12" maxlength="20" /></div></div></div><div class="field-type-text field-name-field-prop65-email field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-email"><div id="field-prop65-email-add-more-wrapper"><div class="form-item form-item-field-prop65-email-und-0-value form-type-textfield form-group"> <label class="control-label" for="edit-field-prop65-email-und-0-value">Email Address <span class="form-required" title="This field is required.">*</span></label> <input class="text-full form-control form-text required" type="text" id="edit-field-prop65-email-und-0-value" name="field_prop65_email[und][0][value]" value="" size="30" maxlength="60" /></div></div></div><div class="field-type-text field-name-field-prop65-phone field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-phone"><div id="field-prop65-phone-add-more-wrapper"><div class="form-item form-item-field-prop65-phone-und-0-value form-type-textfield form-group"> <label class="control-label" for="edit-field-prop65-phone-und-0-value">Phone Number <span class="form-required" title="This field is required.">*</span></label> <input class="text-full form-control form-text required" type="text" id="edit-field-prop65-phone-und-0-value" name="field_prop65_phone[und][0][value]" value="" size="20" maxlength="20" /></div></div></div><div class="field-type-text field-name-field-prop65-fax field-widget-text-textfield form-wrapper form-group" id="edit-field-prop65-fax"><div id="field-prop65-fax-add-more-wrapper"><div class="form-item form-item-field-prop65-fax-und-0-value form-type-textfield form-group"> <label class="control-label" for="edit-field-prop65-fax-und-0-value">Fax Number</label> <input class="text-full form-control form-text" type="text" id="edit-field-prop65-fax-und-0-value" name="field_prop65_fax[und][0][value]" value="" size="20" maxlength="20" /></div></div></div> </div> </fieldset> <div class="captcha"><input type="hidden" name="captcha_sid" value="62472004" /> <input type="hidden" name="captcha_token" value="94d383d5909c5f8c0da255a3760a75cb" /> <input 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