Material Safety Data Sheet
May be used to comply with
OSHA's Hazard Communication Standard,
29 CFR 1910.1200. Standard must be
consulted for specific requirements.
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U.S. Department of Labor
Occupational Safety and Health Administration
(Non-Mandatory Form)
Form Approved
OMB No. 1218-0072
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| IDENTITY (As Used on Label and List) |
Note: Blank spaces are not permitted. If any item is not applicable, or no information is available, the space must be marked to indicate that. |
Section I
| Manufacturer's Name |
Emergency Telephone Number
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| Address (Number, Street, City, State, and ZIP Code) |
Telephone Number for Information
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Date Prepared
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Signature of Preparer (optional)
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Section II - Hazardous Ingredients/Identity Information
| Hazardous Components (Specific Chemical Identity; Common Name(s)) |
OSHA PEL |
ACGIH TLV |
Other Limits Recommended |
%(optional) |
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Section III - Physical/Chemical Characteristics
| Boiling Point |
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Specific Gravity (H2O = 1)
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| Vapor Pressure (mm Hg) |
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Melting Point |
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| Vapor Density (AIR = 1) |
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Evaporation Rate
(Butyl Acetate = 1) |
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Solubility in Water
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Appearance and Odor
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Section IV - Fire and Explosion Hazard Data
| Flash Point (Method Used) |
Flammable Limits |
LEL
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UEL
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Extinguishing Media
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Special Fire Fighting Procedures
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Unusual Fire and Explosion Hazards
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| (Reproduce locally) |
OSHA 174, Sept. 1985 |
Section V - Reactivity Data
| Stability |
Unstable |
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Conditions to Avoid
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Stable |
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Incompatibility (Materials to Avoid)
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Hazardous Decomposition or Byproducts
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Hazardous
Polymerization |
May Occur |
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Conditions to Avoid
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Will Not Occur |
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Section VI - Health Hazard Data
| Route(s) of Entry: |
Inhalation? |
Skin? |
Ingestion?
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Health Hazards (Acute and Chronic)
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| Carcinogenicity: |
NTP? |
IARC Monographs? |
OSHA Regulated?
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Signs and Symptoms of Exposure
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Medical Conditions
Generally Aggravated by Exposure |
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Emergency and First Aid Procedures
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Section VII - Precautions for Safe Handling and Use
Steps to Be Taken in Case Material is Released or Spilled
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Waste Disposal Method
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Precautions to Be taken in Handling and Storing
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Other Precautions
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Section VIII - Control Measures
Respiratory Proctection (Specify Type)
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| Ventilation |
Local Exhaust |
Special
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Mechanical (General) |
Other
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| Protective Gloves |
Eye Protection
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Other Protective Clothing or Equipment
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Work/Hygienic Practices
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| * U.S.G.P.O.: 1986 - 491 - 529/45775 |
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