MATERIAL SAFETY DATA SHEET                                         FILE NUMBER:
NAME OF PRODUCT                                                                                  MSDS DATE:


SECTION 1: PRODUCT AND COMPANY IDENTIFICATION


PRODUCT NAME:
SYNONYMS:
PRODUCT CODES:

MANUFACTURER:
DIVISION:
ADDRESS:

EMERGENCY PHONE:
CHEMTREC PHONE:
OTHER CALLS:
FAX PHONE:

CHEMICAL NAME:
CHEMICAL FAMILY:
CHEMICAL FORMULA:

PRODUCT USE:
PREPARED BY:

SECTION 1 NOTES:


SECTION 2: COMPOSITION/INFORMATION ON INGREDIENTS


INGREDIENT:

CAS NO.           % WT            % VOL            SARA 313 REPORTABLE

ppm            mg/m3

      OSHA PEL-TWA:
      OSHA PEL STEL :
      OSHA PEL CEILING:

     ACGIH TLV-TWA:
     ACGIH TLV STEL:
     ACGIH TLV CEILING:

SECTION 2 NOTES:


SECTION 3: HAZARDS IDENTIFICATION


EMERGENCY OVERVIEW:

ROUTES OF ENTRY:

POTENTIAL HEALTH EFFECTS

     EYES:

     SKIN:

     INGESTION:

     INHALATION:

ACUTE HEALTH HAZARDS:

CHRONIC HEALTH HAZARDS:

MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE:

CARCINOGENICITY

     OSHA:            ACGIH:           NTP:            IARC:

     OTHER:

SECTION 3 NOTES:


SECTION 4: FIRST AID MEASURES


EYES:

SKIN:

INGESTION:

INHALATION:

NOTES TO PHYSICIANS OR FIRST AID PROVIDERS:

SECTION 4 NOTES:


SECTION 5: FIRE-FIGHTING MEASURES


FLAMMABLE LIMITS IN AIR, UPPER:
     (% BY VOLUME)            LOWER:

FLASH POINT:
     F:
     C:
     METHOD USED:

AUTOIGNITION TEMPERATURE:
     |F:
     C:

NFPA HAZARD CLASSIFICATION
     HEALTH:            FLAMMABILITY:             REACTIVITY:
     OTHER:

HMIS HAZARD CLASSIFICATION
     HEALTH:            FLAMMABILITY:            REACTIVITY:
     PROTECTION:

EXTINGUISHING MEDIA:

SPECIAL FIRE FIGHTING PROCEDURES:

UNUSUAL FIRE AND EXPLOSION HAZARDS:

HAZARDOUS DECOMPOSITION PRODUCTS:

SECTION 5 NOTES:


SECTION 6: ACCIDENTAL RELEASE MEASURES


ACCIDENTAL RELEASE MEASURES:

SECTION 6 NOTES:


SECTION 7: HANDLING AND STORAGE


HANDLING AND STORAGE:

OTHER PRECAUTIONS:

SECTION 7 NOTES:


SECTION 8: EXPOSURE CONTROLS/PERSONAL PROTECTION


ENGINEERING CONTROLS:

VENTILATION :

RESPIRATORY PROTECTION:

EYE PROTECTION:

SKIN PROTECTION:

OTHER PROTECTIVE CLOTHING OR EQUIPMENT:

WORK HYGIENIC PRACTICES:

EXPOSURE GUIDELINES:

SECTION 8 NOTES:


SECTION 9: PHYSICAL AND CHEMICAL PROPERTIES


APPEARANCE:

ODOR:

PHYSICAL STATE:

pH AS SUPPLIED:
pH (Other):
BOILING POINT:
     F:
     C:

MELTING POINT:
     F:
     C:

FREEZING POINT:
     F:
     C:

VAPOR PRESSURE (mmHg):
@
     F:
     C:

VAPOR DENSITY (AIR = 1):
@
     F:
     C:

SPECIFIC GRAVITY (H2O = 1):
@
     F:
     C:

EVAPORATION RATE:

BASIS (=1):

SOLUBILITY IN WATER:

PERCENT SOLIDS BY WEIGHT:

PERCENT VOLATILE:
     BY WT/
     BY VOL @
     F:
     C:

VOLATILE ORGANIC COMPOUNDS (VOC):
            WITH WATER:           LBS/GAL
     WITHOUT WATER:           LBS/GAL

MOLECULAR WEIGHT:
VISCOSITY:
@
     F:
     C:

SECTION 9 NOTES:


SECTION 10: STABILITY AND REACTIVITY



          STABLE            UNSTABLE

STABILITY:

CONDITIONS TO AVOID (STABILITY):

INCOMPATIBILITY (MATERIAL TO AVOID):

HAZARDOUS DECOMPOSITION OR BY-PRODUCTS:

HAZARDOUS POLYMERIZATION:

CONDITIONS TO AVOID (POLYMERIZATION):

SECTION 10 NOTES:


SECTION 11: TOXICOLOGICAL INFORMATION



TOXICOLOGICAL INFORMATION:

SECTION 11 NOTES:


SECTION 12: ECOLOGICAL INFORMATION



ECOLOGICAL INFORMATION:

SECTION 12 NOTES:


SECTION 13: DISPOSAL CONSIDERATIONS


WASTE DISPOSAL METHOD:

RCRA HAZARD CLASS:

SECTION 13 NOTES:


SECTION 14: TRANSPORT INFORMATION


U.S. DEPARTMENT OF TRANSPORTATION
     PROPER SHIPPING NAME:
     HAZARD CLASS:
     ID NUMBER:
     PACKING GROUP:
     LABEL STATEMENT:

WATER TRANSPORTATION
     PROPER SHIPPING NAME:
     HAZARD CLASS:
     ID NUMBER:
     PACKING GROUP:
     LABEL STATEMENTS:

AIR TRANSPORTATION
     PROPER SHIPPING NAME:
     HAZARD CLASS:
     ID NUMBER:
     PACKING GROUP:
     LABEL STATEMENTS:

OTHER AGENCIES:

SECTION 14 NOTES:


SECTION 15: REGULATORY INFORMATION


U.S. FEDERAL REGULATIONS
     TSCA (TOXIC SUBSTANCE CONTROL ACT):

     CERCLA (COMPREHENSIVE RESPONSE COMPENSATION, AND LIABILITY ACT):

     SARA TITLE III (SUPERFUND AMENDMENTS AND REAUTHORIZATION ACT):

     311/312 HAZARD CATEGORIES:

     313 REPORTABLE INGREDIENTS:

STATE REGULATIONS:

INTERNATIONAL REGULATIONS:

SECTION 15 NOTES:


SECTION 16: OTHER INFORMATION


OTHER INFORMATION:

PREPARATION INFORMATION:

DISCLAIMER: