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Chemical Descri #ion <br />A <br />Cdhnalpoof oiol oInlIanmrnmlaln asnubamrlhd eamycr s <br />_ ' - - - - - - - - - - - - - - - - - - <br />CAS Trado Sacral - ® <br />Ohara. <br />Nemo <br />Chock All ❑ ❑ C ElE3® <br />Thal Apply Puro Mix Solid . Llauld Gas 8HS <br />Physical and <br />Heath Hazards <br />El Piro <br />I:- Suddon Rlotaasn <br />ra <br />ElRoucllvIly <br />❑ Immodlalo (Imola) <br />❑ Doloyod )chronic) <br />Inventory <br />,-- <br />Max, Daily <br />Amount (coda) <br />Avg. Daily <br />Amount (coda) <br />No, of Days <br />On-stla(days) <br />F <br />3 <br />E <br />Storage Codes and Locations <br />(Non-Confidential) <br />• <br />❑Chock If all of Iho information for Ihls:chamtcal Is <br />Idonllcal to Iho Inforgrollonsubmita l last your <br />- - --- -- ---- <br />CAS Trada Sacra <br />Cham. <br />Name <br />Chock All ❑ ❑ ❑ ❑ ❑ •I <br />❑ Flro <br />❑ Sudden Ratanso <br />of Prassuro <br />❑ Reactivity <br />❑ Immodlalo (=go <br />❑ Doloyod (chronic) <br />Max, Daily <br />Amount (code) <br />Avg. Dully <br />Amount (sada) <br />No. of Days <br />On-olio (days) <br />, <br />" <br />• <br />— <br />Thal Apply Pura Mix Solid Liquid Gas EHS <br />®Chock If all ar Iho InlomraIIan for ihls ehomleol Is <br />Idonllcal la Iho Informgllorl aubmillod lastyoor <br />- - - - - - - - - - - - - - - - - - - - - <br />CAS Trade Sacral ® <br />Cham. <br />Name <br />Chock All ❑ ❑ • ❑ ❑ 13 <br />❑ Flro <br />❑ Sudden Milano <br />of Pressure <br />ElRanollvIty <br />El Immodlalo (aouln) <br />.• <br />Max. Daily <br />Amount (dodo) <br />- Al n. Dolly• <br />Amount (curial <br />• <br />Na. of Days <br />on-elle )dayo) <br />. <br />❑ Minya! (chronic) <br />• <br />Thal Apply Puro Mix . Solid Llnuld Gas EHS <br />®Chook If all of Iha Infonnollon for Ihle ehomlcal le <br />Idonllcal to Iho Informallon submlllad last your <br />- - - - - - - - - - - - - - - - - - - - - <br />CAS Trade Sacral D <br />oham,• <br />Name <br />• <br />Chuck All ❑ ❑ - ❑ ❑ ❑ ® <br />Thal Apply Pura Mix Solid Liquid 000 EHSOn-olio <br />❑ Flra <br />Mon Dully <br />Amount (coda) <br />Avg. Dally <br />Amount (code) <br />No, of Days <br />(days) <br />El Suddon Rolaaso <br />Prnsauro <br />of <br />Roaollvily <br />❑ Immodialo (acute) <br />❑ Doloyod (chronic) <br />- <br />• <br />®Check If all o11ho Informallon forlhls chcmlaol In <br />Idonllcal lq Iho Informallon suhmlllad Iasi your <br />- - - - - - - .. - - - - - - - - - - - <br />CAS Trade Sacral ® <br />Cham. <br />Namo <br />Chock All EJ i: El E:1 IN ❑ <br />❑ Flrc <br />Mex. Dally <br />Amount )endo) <br />Ell 5uddon Rahman <br />of Proasuro <br />EIRoacllvIly <br />❑Immediate (acute) <br />I: Dalayod (chronic) <br />Avg. Daily <br />' <br />Amount (code) <br />365 <br />Thal <br />ON elle as <br />Dy) <br />Apply Pura • Mk Sand Liquid Gas EHS <br />Certification (Read and slgn after completing all sections) <br />I codify undorpenally of law that I hove personally oxamined and am familiar with Iha Information submitted In papas ono through 1, <br />and that hosed an my Inquiry of those Individuals rosponalble for obtaining this Information, I believe that the submitted Information Is Iran ncouralo, <br />end complain. <br />Dalo signed • <br />. <br />Optional Attchments <br />❑ I have allochod a slip plan <br />❑ I have attached o list of alto coordlnaln.nhhrevlollonc <br />❑ I have aordshmaasutos d a r4)1ton of dikes and other <br />' <br />Nemo and official Illlo of ownarlopornlar9lgnalure <br />OR owner/oporolor•s aulhodsad representative • <br />