Page 233 - K&J Supplies

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Apron
Chemical
Suit
Rubber
Gloves
Rubber
Boots
Ear
Protection
Eye
Protection
Chemical
Gloves
Face
Shield
Head
Protection
Dust Mask
Respirator
S.C.B.A.
Chemical Name:
Data needed for Formats 1 & 2
Warning Statement:
Data needed for Formats 1 &2
Target Organs:
Data needed for Formats 1 & 2
Fire Statement:
Data needed for Format 2
Spills & Leaks Statement:
Data needed for Format2
SIZE
QTY FORMAT #
14” X 10”
SIZE
QTY FORMAT #
20” X 14”
NFPA RATING:
HEALTH
FIRE
INSTABILITY SPECIFIC
Data needed for
Formats 1 & 2
PPE: 1
PPE: 2
PPE: 3
PPE: 4
PPE: 5
PPE: 6
PROTECTIVE EQUIPMENT REQUIRED
-
Choose Corresponding Letter For PPE Below:
Data needed for Formats 1 & 2
FIRST AID:
Data needed for
Formats 1 & 2
EYES:
SKIN:
INGESTION:
INHALATION:
Data Needed For
Format #2
DOT CLASS
DOT ID #
CAS#
CONFINED SPACE ENTRY
PERMIT REQUIRED (Y/N)
EMERGENCY
ASSISTANCE#
HAZMAT
HAZMAT
4
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