University of Rochester
EMERGENCY INFORMATIONCALENDARDIRECTORYA TO Z INDEXCONTACTGIVINGTEXT ONLY


CHEMICAL HYGIENE PROGRAM

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APPENDIX 3

Request for MSDS

DATE:_____/_____/______

NAME:____________________________ DEPARTMENT:_________________________

ROOM#:______________ P.O. BOX:_________________ PHONE:______________

Columns 1 and 2 must be filled in to process your request.  Print complete name of chemical.  The information you provide in Columns 3 can reduce the time required to obtain the MSDS.

CHEMICAL NAME

MANUFACTURER & ADDRESS

CAT #
     
     
     
     
     
     
     
     
     
     

Return form via Fax to:  274-0001 or

via intradepartmental mail to:  EH&S, Box 278878

QUESTIONS?  Call x5-3241

QUESTIONS? Contact EH&S at (585) 275-3241 or e-mail EH&S Questions.

This page last updated 2/17/2006. Disclaimer