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Environmental Health & Safety

CHEMICAL HYGIENE PROGRAM

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APPENDIX 5

Request for SDS

DATE:_____/_____/______

NAME:____________________________ DEPARTMENT:_________________________

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

EH&S recommends SDSs for high hazard chemicals be retained in the laboratory. If you do not have a current copy of these safety sheets, they are available through the internet.

For any SDSs you were not able to obtain through the internet, complete the requested information below. Print the complete name of the chemical. Providing the information in columns 2 and 3 can reduce the time required to obtain the SDS.

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

This page last updated 7/30/2015. Disclaimer.