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.
U.S. Department of Labor
Occupational Safety and Health Administration
(Non-Mandatory Form)
Form Approved
OMB No. 1218-0072

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
Address (Number, Street, City, State, and ZIP Code) Telephone Number for Information
  Date Prepared
  Signature of Preparer (optional)

Section II - Hazardous Ingredients/Identity Information

Hazardous Components (Specific Chemical Identity; Common Name(s)) OSHA PEL ACGIH TLV Other Limits Recommended %(optional)

Section III - Physical/Chemical Characteristics

Boiling Point   Specific Gravity (H2O = 1)
Vapor Pressure (mm Hg)   Melting Point  
Vapor Density (AIR = 1)   Evaporation Rate
(Butyl Acetate = 1)
Solubility in Water
Appearance and Odor

Section IV - Fire and Explosion Hazard Data

Flash Point (Method Used) Flammable Limits LEL
Extinguishing Media
Special Fire Fighting Procedures
Unusual Fire and Explosion Hazards
(Reproduce locally) OSHA 174, Sept. 1985

Section V - Reactivity Data

Stability Unstable   Conditions to Avoid
Incompatibility (Materials to Avoid)
Hazardous Decomposition or Byproducts
May Occur   Conditions to Avoid
  Will Not Occur    

Section VI - Health Hazard Data

Route(s) of Entry: Inhalation? Skin? Ingestion?
Health Hazards (Acute and Chronic)
Carcinogenicity: NTP? IARC Monographs? OSHA Regulated?
Signs and Symptoms of Exposure
Medical Conditions
Generally Aggravated by Exposure
Emergency and First Aid Procedures

Section VII - Precautions for Safe Handling and Use

Steps to Be Taken in Case Material is Released or Spilled
Waste Disposal Method
Precautions to Be taken in Handling and Storing
Other Precautions

Section VIII - Control Measures

Respiratory Proctection (Specify Type)
Ventilation Local Exhaust Special
  Mechanical (General) Other
Protective Gloves Eye Protection
Other Protective Clothing or Equipment
Work/Hygienic Practices
* U.S.G.P.O.: 1986 - 491 - 529/45775