HomeMy WebLinkAbout0157 AIRPORT ROAD - Health 157 Airport Road Sewer Acct #4066
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oFt Ta,. Town of Barnstable
Regulatory Services
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Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
May 24, 2017
David Romeiser
6 Fox Trot Run
Sandwich, MA 02649
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 157 Airport Road Unit A, Hyannis, MA, was
inspected on May 24, 2017 by Timothy B. O'Connell, R.S., Health Inspector for the
Town of Barnstable. This inspection was conducted in accordance with the 2006
Barnstable rental registration ordinance requiring yearly inspections of all rental
properties.
The following violations of the State Sanitary Code were observed:
105 CMR 410.500—Owner's Responsibilities to Maintain Structural Elements
Severe water staining observed on bedroom ceiling and large crack in wall in rear
bedroom. This damage is due to leaking roof.
You are directed to correct State Sanitary Code violations listed above within thirty
(30) days of your receipt of this notice by repairing both wall and ceiling and ensure
source of chronic dampness has been repaired.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served.
Non-compliance will result.in a fine of $100..00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
PER ORDER OF THE BOARD OF HEALTH
omas A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
Commonweailth of Massachusetts
Executive Office of Environmental Affairs
Department of 1 �-
Environmental Protection
Southeast R lional Office
Wllilam F.Weld
Govwmor
Trudy Coxe truEOE David B..Struhscupy
-
COMM'rlorw
j August 22, 1996
Jonathan H. Leach RE: BARNSTABLE--WSC/SMP-4-0368
David E. Romeiser Cyprus Realty Trust
Barnstable Animal Hospital 157 Airport Road
157 Airport Road REMOVAL OF SITE FROM LTBI LIST
Hyannis, Massachusetts 02601
Dear Mr. Leach and Mr.lRomeiser:
Some time ago, between April 1989 and January 1991, the
Department of Environmental Protection (the Department) listed the
above referenced property as a Location to Be Investigated (LTBI) ;
that is, a location where oil or hazardous material contamination
is suspected. Our records indicate that you may be connected with
this LTBI as a property owner, a facility operator, someone who
generates or transports oil or hazardous materials or a contributor
to the contamination. The Department's regulations (the .
Massachusetts Contingency Plan, the "MCP", which can be found at
310 CMR 40.0000) currently requires that anyone who has a
connection to this location submit an evaluation of the property to
the Department by August 2, 1995.
In the Fall of 1996, the Department is planning to issue new
regulations establishing criteria for delisting LTBIs that do not
appear to need further action. Using these criteria, the'
Department recently reviewed its records related to this and other
LTBIs to identify those LTBIs that do not appear to need further
evaluation. The criteria applied included a review of the uses of
the property, the conditions reported, and other information
obtained by the Department.
i
The Department's file review indicates that this LTBI meets
the criteria used to identify those locations that do not need
further evaluation. Until the new regulations are published in
final form, the Department plans to forgo enforcement of the August
1995 deadline for evaluating this location and will not penalize
You if you choose not to submit an evaluation. If this location is
not delisted as a result of the regulations, the Department will
set a new deadline for evaluating this location.
20 Riverside Drive 9 Lakeville,Massachusetts 02347 • FAX(508)947-6557 • Telephone (508) 946-2700
iCOMPLETE • •MOLETE,:THIS SECTION.ON •
■ Complete items 1,21 and 3. A. Szi�uyllu
■ Print your name and address on the reverse X ❑Agent
siE that we can return the card to you. El Addressee
■ Attach this card to the back of the mailpiece, B. Received by( 'n ed Name) 6-Date of Delivery
or on the front if space permits.
1. D. Is delivery address different torn item 1 T ❑Yes
If YES;,enter delivery address below. p No
David Romeiser
6 Fox Trot Run
Sandwich, MA 02649
II I IIIIII IIII III I III I II I II I I I I IIII I II I II I II III 3. Service Type ❑Priority red Express®
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❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
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ws ❑.Collect on Delivery Merchandise
C7 Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM'
{ ,, `]Insured Mail' ❑Signature Confirmation
7 0�,5'17 a 0 0 01 4 9 9 0, 2 7 9 3 a Insured Mail Restricted Delivery Restricted Delivery.
over$500
PS Form 3811.,July 2015PSNM753Q 02-000-9053 Domestir, y6..o Receipt
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Postage&Fees Paid
Permit No.G-10,':`l,
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jUnited States •Sender:Please print your name,address,and ZIP+4®in this box•
I Postal SeNlee
q Town of Barnstable
8 ' Health Division
200 Main Street
' Hyannis, MA 02601
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-2-
It is important to note that the Department's review relied on
the accuracy of information in the Department's files, and did- not
seek to conclude definitively that this LTBI poses "no significant
risk" under current Department standards. Should the Department
receive new information that warrants intervention, the.Department
reserves the right to take or require others to take action to
protect public health, :safety, . welfare and the environment. Please
also note that you remain legally obligated to notify the
Department of any condition or release at this LTBI that the MCP
requires to be reported.
If you have any: questions regarding this letter, please
contact the MCP Helpline. Dial (617) 338-2255 from the Boston area
or outside of Massachusetts, or (800) 462-0444 from area codes 413
and 508: Press 112". during the initial Department InfoLine
greeting.
Sincerely,
kreau.
an Hobill, Acting Regional Engineer
of Waste Site Cleanup
H/ka
CERTIFIED MAIL NO. P 256 393 302
RETURN RECEIPT REQUESTED
cc: - Barnstable Board of Health
Post Office Box 514
Hyannis, Massachusetts 02601
ATTN: Thomas McRearn, Hazardous Waste Coordinator
Town of Barnstable
Town Hall
•367 Main Street
Hyannis, Massachusetts 02601
ATTN: Warren Rutherford, Town Manager
DEP-SERO
ATTN: Andrea Papadopoulos, Deputy 'Regional Director
Gerard Martin, Acting Section Chief - SMP
Data Entry
i
i
Commonwealth of Massachusetts
Executive Office of Environmental Affairs
Department of
Environmental Protection
Southeast Regional Office
William F.Weld
Gammor
Trudy Coxe
Secretary,EOEA
Thomas S.Power
Acting commlaslon
June 15, 1994
Cyprus Realty Trust RE: BARNSTABLE--WSC/SA-4-0368
c/o Garnick & Princi, P..C. Property Located at
32 Main Street 157 Airport Road
P.O. Box 398 LOCATION TO BE
Hyannis, Massachusetts 02601 INVESTIGATED, TRANSITION
M.G.L. Chapter 21E and
310 CMR 40. 0000
Gentlemen:
The Massachusetts Department of Environmental Protection
(DEP) has redesigned the Waste Site Cleanup Program. The revised
Massachusetts Contingency Plan ("MCP") and related fee
regulations (310 CMR 4 .00) became effective on October 1, 1993 .
This letter is being sent to you regarding the above-
referenced Location to be Investigated which is listed on DEP's
August 1993 Transition List of Confirmed Disposal Sites and
Locations to Be Investigated, or Addendum thereto. You (as used
in this letter "you" refers to the Cyprus realty Trust) have been .
previously identified as a "Potential Responsible Party" (PRP)
for the above-referenced Location with liability under MGL 6.21E
§5.
NECESSARY RESPONSE ACTIONS AND APPLICABLE DEADLINES
This Location shall not be deemed to have had all the
necessary and required response actions taken for it unless and
until all substantial hazards presented by the release and/or
threat of release have been eliminated and a level of No
Significant Risk exists or has been achieved in compliance with
M.G.L. c. 21E and the MCP.
The enclosed MCP Transition Fact Sheet #2 explains the
requirements for Locations to be Investigated. The new MCP
offers two viable options with deadlines for a responsible party
to submit to the Department the necessary submittals. However,
because this Location is within an. approved zone II for public
water supply wells, the Department requests that the required
information be submitted to the Department no later than November
21, 1994.
20 Riverside Drive 9 Lakeville,Massachusetts 0.2347 • FAX(508)947-6557 • Telephone (508) 946-2700
-2-
In addition, the MCP requires persons undertaking response
actions to perform Immediate .Response Actions in response to
sudden releases, Imminent Hazards and Conditions of Substantial
Release Migration. Such persons must continue' to 'evaluate the
need for Immediate Response Actions and notify the Department
immediately if such a need .exists.
We recognize that. there may be difficulties and confusion
during the transition of existing sites from the 1988, MCP to the
new MCP. The new MCP, however, offers many incentives and
opportunities for streamlined, timely, and efficient cleanups.
It is the Department's intent to provide you with as smooth a
transition as possible. Please be aware that failure to comply
with any provisions of 'the revised MCP may result in the
Department taking enforcement action against you.
Should you have any questions about this letter, or to
inform the Department whether you intend to comply with the
Department's requirements, please contact Maria Pinaud or
Jonathan Hobill at (508) 946-2862 or at the above address.
Very truly yours,
Gregg nt, Acting Regional
Engineer for Waste Site Cleanup
H/MP/rr
Attachment: The 1993 MCP
Transition Fact Sheet #2
Fact sheet on LSPs
CERTIFIED MAIL #P337 626 823-
RETURN RECEIPT REQUESTED ,
cc: Barnstable Board of Health
P.O. Box 534
Hyannis, MA 02601
ATTN: Tom McKean
Hazardous Waste Coordinator
Town of Barnstable
367 Main Street
Hyannis, MA 02601
ATTN: Warren Rutherford
Town Manager
DEP - SERO
ATTN: Mark Jablonski
DEP SERO - Data Entry
,a—noCommonweaith of Massachusetts
Executive Office of Environmental Affairs
0. Department of
Environmental Protection
Southeast Regional Office
William F. Weld
Governor , G ,y.
Daniel S.Greenbaum
commisalorror
May 13, 1993
Cyprus Realty Trust RE: BARNSTABLE--WSC/SA 4-0368
c/o Garnick & Princi, P.C.. Property Located at
32 Main Street 157 Airport Road
P.O. Box 398 LOCATION TO BE
Hyannis, Massachusetts 02601 INVESTIGATED, Request
for PA/Phase I Report,
ATTENTION: Mr. Michael J. Princi M.G.L. , Ch. 21E and
310 CMR 40.000
Gentlemen:
The Department of Environmental Protection, Bureau of Waste
Site Cleanup, (the "Department") , has determined that the property
owned or occupied by Cyprus Realty Trust located at 157 Airport
Road, Hyannis', Massachusetts, (the "Location") , is a Location To Be
Investigated (LTBI) as a possible disposal site within the meaning
of `M.G.L. Chapter 21E and the Massachusetts Contingency Plan,
(MCP) , 310 CMR 40.000. Based upon available information, the
Department considers this location reasonably likely to be a
disposal site. Because this Location has been identified as an
LTBI, it is included on the List of "Locations and Disposal Sites"
published by the Department.
The Department is investigating the source(s) of contamination
affecting the water quality at several public water supply wells
serving the Hyannis area. The Location falls within the proposed
zone II of these wells.
The assessment and cleanup of disposal sites areas where oil
or hazardous materials have been released or come to be located, is
governed by M.G.L. , Ch. 21E, and by 310 CMR 40. 000, the MCP.
The information currently available is insufficient to allow
the Department to confirm the Location as a disposal site. In
order to make this determination, the Department requests that you
(as used in this letter you refers to Cyprus Realty Trust) ,
as a party potentially liable for the release, take the steps
outlined below:
20 Riverside Drive • Lakeville,Massachusetts 02347 9 FAX(506)947-M7 • Telephone (508) 946-2700
-2-
1. Provide the Department with a written response within
fourteen (14) days of your receipt of this letter,
indicating whether you intend to take the necessary
actions.
2. Contract with a consultant knowledgeable in hazardous
waste site assessment and abatement to conduct the
following work in accordance with the MCP:
a. Complete and submit, within forty-five (45) days of
receipt of this letter, a Preliminary Assessment
Report (copy enclosed) meeting the requirements of
40.541 of the MCP.
b. Complete a Phase I-Limited Site Investigation and
Report as outlined in 40.543 of the MCP. All items
contained in 310 CMR 40.543 must be addressed.
Note that in order to determine the source and
extent of contamination, observation wells (deep
and shallow) may need to be installed. To
determine the depth of the wells and the
appropriate length/location of the screen, split
spoon samples should be taken continuously through
the soil strata and be tested for the presence of
volatile organic compounds (VOCs) utilizing a field
gas chromatograph or similar instrument.
The Phase I Report shall include, at a minimum, the
following information:
1. Boring logs, well construction specifications,
and a description of the drilling method;
2. A listing of all chemicals (generic names) and
quantities used, stored and disposed of at the
Location;
3. A site plan drawn to scale showing the
location of all observation wells, catch
basins, utility lines, septic system
components, dry wells, and floor drains;
4. A current ground water and contaminant plume
contour map; and
5. Results of laboratory and field testing data.
Ground water from all- wells should be sampled
and analyzed for VOCs utilizing EPA Method
624.
-3-
In addition, the sampling plan should include
the chemicals listed in item 2 for soil and
ground water samples. All laboratory data must
comply with the Department's "Minimum Standards
for Analytical Data for Remedial Response
Actions Under M.G.L. , Ch. 21E, Policy #WSC-300-
89" (copy enclosed) .
C. Complete the Interim Site Classification Form (copy
enclosed) in accordance with 40.544 of the MCP.
The Phase I Report documenting all Phase I activities
shall be prepared and submitted, in conjunction with the
Interim Site Classification Form, to the Department
within ninety (90) days of receipt of this letter.
d. The consultant shall also evaluate the need for a
Short Term Measure (STM) as defined in 40. 542 of
the MCP. If at any time an imminent hazard is
discovered at the Location, you must immediately
notify the Department and submit a proposal for a
STM. This evaluation shall continue throughout the
assessment process for the Location.
Depending on the information generated by the above-
referenced work, the Department may require you to perform
additional investigations, studies and/or actions.
You should be aware that if the Department performs the
required assessment activities, you may be held liable for the
costs the Department has incurred.
If the LTBI is confirmed as a disposal site, you may be named
as a party liable for up to three (3) times the Department's
response action costs. The Department may also assess interest on
the costs it has incurred to date at the rate of twelve percent
(12%) , compounded annually. You may also be liable for damages for
the impairment of natural resources and for any liability imposed
under M.G.L. Ch. 21E, Section 11 and other laws or under M.G.L. Ch.
21A, Section 16, for violations of Ch. 21E and other statues,
regulations, orders, or approvals.
If you perform the required response actions, the Department
will not seek to recover the costs it incurs in reviewing the
Preliminary Assessment, Phase I-Limited Site Investigation Report
and the Disposal Site Classification Form that you submit to the
Department.
Should you have any questions regarding this notice, please
" -4-
contact Cynthia Baran at (508) 946-2887. In any correspondence to
this office, please refer to case WSC/SA 4-0368. The Department
looks forward to your cooperation in this matter.
Very truly yours,
MaJ7k J. Be�ley, Qe�f
Site Remediation Section
B/CB/rr
Enclosures
CERTIFIED MAIL #P808 785 260
RETURN RECEIPT REQUESTED
cc: Town of Barnstable
Town Hall
Hyannis, MA 02601
ATTN: Warren Rutherford
Town Manager
Hazardous Waste Coordinator
P.O. Box 534
Hyannis, Massachusetts 02601
ATTN: Tom McKean
DEP - BWSC - Boston
DEP - SERO - Data Entry
MATERIAL SAFETY DATA SHEET
Page I of 2
I,. Product Identi -fication
Trade Name: Mineral Oil
Synonyms: Mineral Oil U. S. P. , White Mineral Oil , LiqUid
Petr01atUM, Paraffin Oil .
II . Physical Data
SOlUbility: In-S-OlUble in water .
Odor Odorless - tasteless even when warmed.
III . Fire and Explosic-n Haz-ard Data
IV. Health Hazard.
Threshold Limit VzklLte: . N/A
Effects of OVert:?Xj:)0SUrE?: None
He
Stability: Stable u n d in r ordinary conditions of use and
storage. Store at contrc-lled room temperature between 15 and
Open flame or exposure to excessive heat .
Ha-?ard-_-jL1S Polymerization:
`
Will not occur .
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Page 2of2
VI ' Spill' or Leak Procedures
SGeps to� be Taken if Material is Released or Shut
off leak, dike up large spill . Use absorbent material for
clean up.
Waste Disposal Method: Dispose in accordance with Federal ,
State and local regulations.
VII . Special Protection Information
Respiratory Protection: None
None
Protective Equipment : None
The above information is believ=i to be accurate and
represents the best information available to us at the time
thut this MaLeri"l Safety D^t^ Sheet wu" prepared. The
i/`formation ia provided to u"r nustome, s in good faith, �
�
however , no warranty, expressed or implied, is made'
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JORGENSEN LABORATORIES MATERIAL SAFETY DATA SHEET - Page 1 of 3
LACTO-PHENOL COTTON BLUE
IDENTIFICATION
Product Hamer Lacto-Phenol Cotton Blue
Date: October 1992
Manufacturer/Distributor: Jorgensen Laboratories, Inc. -
1450 N. Van Buren Ave.
Loveland, CO 80538
Product Information a Emergency Phone: (303)669-2500
Fax: (303)663-5042
INGREDIENTS
Phenol
Lactic Acid
Glycerine
Aniline Blue
PRECAUTIONARI MEASURES
DANGER! CORROSIVE! MAY CAUSE BURNS!
POISON! MAY BE FATAL IF SWALLOWED. HARMFUL IF INHALED.
Do not get in eyes, on skin, or clothing (will stain skin & clothing).
Avoid breathing mist. Use with adequate ventilation.
Wash thoroughly after handling. "
DOT Hazard Class: Corrosive Material, Poison B.
EMERGENCY/FIRST AID `
CALL PHYSICIAN.
If swallowed, if conscious, give large amounts of milk, milk of magnesia, or whites of eggs. Induce vomiting.
Never give anything by mouth to an unconscious person. If inhaled, remove to fresh air. If not breathing, give
artificial respiration. If breathing is difficult, give oxygen. In case of contact, immediately flush skin or eyes
with plenty of water for at least 15 minutes. In all cases call a physician.
PHYSICAL DATA
Appearance: Dark blue liquid.
Odor: Acrid odor.
Solubility in Water: Incomplete.
PHENOL LACTIC ACID GLYCERINE ANILINE BLUE
Boiling Point: 182C 122C 18.6C No info found
Melting Point: 43C 18C 290C No info found
Specific Gravity: 1.06 No info found 1.47 1.47
Vapor Density (air=1): 3.24 1.2 1.26 1.26
Vapor Pressure (mm Hg): 0.36 No info found No info found No info found
Evaporation Rate (butyl acetate=l): < 0.1 No info found No info found No info found
Percent Volatile by Volume (2): No info found No info found No info found No info found
FIRE 3 EXPLOSION DATA
Flash Point: 175F No info found No info found No info found
Fire: Contact with strong oxidizing agents may produce an explosive material due to
presence of glycerine. Closed containers exposed to heat may explode.
Fire Extinquishing Media: Use dry chemical or carbon dioxide for small fires. Use alcohol type foam.for
large fires.
Special Information: In the event of a fire, wear full protective clothing and NIOSH'approved
self-contained breathing apparatus with full facepiece operated in the
_ pressure demand or other positive pressure mode. Application of water fog/spray
" will aid in keeping fire-exposed material/containers cool.
i
i
JORGENSEN LABORATORIES MATERIAL SAFETY DATA SHEET Page 2 of 3
LACYO-PHENOL COTTON BLUE
REACTIVITY DATA
Stability: Stable under ordinary conditions of use and storage.
PHENOL LACTIC ACID GLYCERINE ANILINE BLUE
Hazardous Decomposition: No info found. Emits acrid fumes No info found. Toxic fumes of .
when heated. nitrogen oxide
carbon dioxide
and carbon
monoxide.
Hazardous Polymerization: Will not occur. Will not occur. Will not occur. Will not occur
Incompatibilities: Strong oxidizing . Oxidizers, iodides, Oxidizer such as No info found
agents & bases. albumin & nitric chromium trioxide,
Avoid heat, flame acid. Reacts violent K chlorate, K perm
& other sources of ly with nitric acid anganate may produce
ignition. & hydrogen flouride. an explosive.
HEALTH HAZARD DATA
Exposure/Health Effects
Inhalation: Corrosive! Inhalation of vapors can cause coughing, choking, inflammation of
the nose, throat, and upper respiratory tract. .
Ingestion: Corrosive! Swallowing can cause immediate pain and burns of the mouth; throat, -
esophagus and gastrointestinal tract. May cause nausea, vomiting and diarrhea.
Skin Contact: Corrosive! Can cause redness, pain, and irritation. Concentrated solutins may
cause burns and/or discolor skin.
Eye Contact: Corrosive! Vapors are irritating and may cause damage to the eyes.-Splashes may
cause burns and permanent eye damage.
Aggravation of
Pre-existing Conditions: Persons with pre-existing skin disorders or eye disease may be more susceptible
to the effects of this substance.
First Aid Procedures
Inhalation: Remove to fresh air. If not breathing, give artificial respiration.
If breathing is difficult, give oxygen. Call a physician.
Ingestion: If swallowed, if conscious, give large amounts of milk, milk of magnesia, or
whites of eggs. Induce vomiting. Never give anything by mouth to an
unconscious person. In all cases call a physician.
Skin Exposure: In case of contact, immediately flush skin with plenty of water for at least
15 minutes while removing contaminated clothing and shoes. Wash clothing
before reuse. Thoroughly clean shoes before reuse. Get medical attention
immediately.
.Eye Exposure: Wash eyes with plenty of water for at least 15 minutes, lifting lower and upper
eyelids occasionally. Get medical attention immediately.
-t;;'JORGENSEN LABORATORIES MATERIAL SAFETY DATA SHEET Page 3 of 3
LACTO-PHENOL COTTON BLUE
PRECAUTIONS FOR SAFE HANDLING AND USE
Leak/Spill Disposal Information: Clean-up personnel should wear protective clothing and respiratory
equipment suitable for toxic or corrosive fluids or vapors. Isolate or
enclose the area of the leak or spill.
Small Spills: Flush with large amounts of water.
Larger Spills: Provide forced ventilation to dissipate fumes. Pick up with absorbent material
(sand, earth, vermiculite). Dispose in a RCRA-approved waste facility.
Waste Disposal: Ensure compliance with local, state and federal regulations.
Handling & Storage: Keep in a tightly closed container, stored in a cool, dry, ventilated area.
Protect against physical damage. Isolate from incompatible substances.
OCCUPATIONAL CONTROL MEASURES
Airborne Exposure Limits: No information found.
Ventilation: A system of local and/or general exhaust is recommended to minimize employee
exposure. All mechanical ventilation systems should be explosion-proof.
Skin Protection: Rubber or neoprene gloves and.additional protection including impervious boots,
apron, or coveralls, as needed in areas of unusual exposure to prevent skin
contact.
Eye Protection: Use chemical safety goggles and/or a full face shield where splashing is
possible. Contact lenses should not be worn when working with this material.
Maintain eye wash fountain and quick-drench facilities in work area.
The information contained herein is provided in good faith and is believed to be correct as of the date hereof.
However, Jorgensen Laboratories, Inc. makes no representation as to the comprehensiveness of accuracy of the
information. It is expected that individuals receiving the information will exercise their independent judgement in
determining its appropriateness for a particular purpose. Accordingly, Jorgensen Laboratories, Inc. will not be
responsible for damages of any kind resulting from the use of or reliance upon such information.
NO REPRESENTATIONS, OR WARRANTIES, EITHER EXPRESS OR IMPLIED, OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR
OF ANY OTHER NATURE ARE MADE HEREUNDER WITH RESPECT TO THE INFORMATION SET FORTH HEREIN OR TO THE PRODUCT TO WHICH THE
INFORMATION REFERS.
JORGENSEN LABORATORIES MATERIAL SAFETY DATA SHEET Page 1 of 2
NEW METHYLENE BLUE STAIN
IDENTIFICATION
Product Name16 Metnylene-3lue Stain
Date: October 1991
Distributor: Jorgensen Laboratories, Inc.
1450 N. Van Buren Ave.
Loveland, CO 80538
Product Information & Emergency Phone: (303)669-2500
Fax: (303)663-5042
INGREDIENTS
Methylene Blue
Sodium Chloride
PRECAUTIONARY MEASURES
As part of good industrial/personal hygiene and safety procedure, avoid all unnecessary exposure to the chemical
substance and ensure prompt removal from skin, eyes and clothing (will stain skin & clothing).
DOT Hazard Class: Not regulated.
EMERGENCY/FIRST AID
See First Aid Procedures under HEALTH HAZARD DATA.
PHYSICAL DATA
Appearance: Dark blue liquid.
Odor: None.
Solubility in Water: Incomplete.
Boiling Point: No information found.
Melting Point: No information found.
Specific Gravity: No information found.
Vapor Density (air=1): No information found.
Vapor Pressure (mm Hg): No information found.
Evaporation Rate (butyl acetate=l): No information found.
Percent Volatile by Volume (a): No information found.
FIRE & EXPLOSION DATA
Flash Point: No information found.
Fire & Explosion: Not considered to be a fire or explosion hazard.
Fire Extinquishing Media: Use any means suitable for extinguishing surrounding fire.
Special Information: No information found.
REACTIVITY DATA
Stability: Stable under ordinary conditions of use and storage.
Hazardous Decomposition: No information found.
Hazardous Polymerization: Will not occur.
Incompatibilities: No incompatability data found.
JORGENSEN LABORATORIES MATERIAL SAFETY DATA SHEET Page 2 of��
NEW METHYLENE BLUE STAIN
HEALTH HAZARD DATA
Exposure/Health Effects
Inhalation: No special precautions required.
Ingestion: May cause irritation of the mouth, esophagus and stomach.
Skin Contact: No irritation known. Will stain skin and clothing.
Eye Contact: Can cause irritation, redness, tearing and blurred vision.
First Aid Procedures
Inhalation: Remove to fresh air if effects occur.
Ingestion: If swallowed, if conscious, give large amounts of water and induce vomiting.
Never give anything by mouth to an unconscious person. Get medical attention.
Skin Exposure: In case of contact, wash with mild soap and water. Get medical advice if
irritation develops.
Eye Exposure: Wash eyes with plenty of water for at least 15 minutes. If irritation
develops, get medical attention.
PRECAUTIONS FOR SAFE HAMDLING AND USE
Leak/Spill Disposal Information: Small quantities may be disposed of in the sewer. Large quantities should
be disposed of according to local requirements for non-hazardous material.
Waste Disposal: Ensure compliance with local, state and federal regulations.
Handling & Storage: Keep in a tightly closed container, stored in a cool, dry, ventilated area.
OCCUPATIONAL CONTROL MEASURES
Airborne Exposure Limits: No information found.
Ventilation: General room ventilation is usually adequate.
Skin Protection: wear resistant gloves.
Eye Protection: Use chemical safety goggles. _
The information contained herein is provided in good faith and is believed to be correct as of the date hereof.
However, Jorgensen Laboratories, Inc. makes no representation as to the comprehensiveness of accuracy of the
information. It is expected that individuals receiving the information will exercise their independent judgement in
determining its appropriateness for a particular purpose. Accordingly, Jorgensen Laboratories, Inc. will not be
responsible for damages of any kind resulting from the use of or reliance upon such information.
NO REPRESENTATIONS, OR WARRANTIES, EITHER EXPRESS OR IMPLIED, OF MERCHANTABILITY, FITNESS FOR A.PARTICULAR PURPOSE OR
OF ANY OTHER NATURE ARE MADE HEREUNDER WITH RESPECT TO THE INFORMATION SET FORTH HEREIN OR TO THE PRODUCT TO WHICH THE
INFORMATION REFERS.
JORGENSEN LABORATORIES YATE3IAL SAFETY DATA SHEET Page 2 of 2
DIP QUICK SWH SOLUTION 1 2 (EOSIN)
iCALTH HAUB DATA
Exposure/HealthZ-f-fects
inhalation: No special precaution required.
ingestion: Poisonous! May be fatal if swallowed.
Skin Contact: May cause irritation. Will stain skin & clothing.
Eye Contact.: May cause irritatior;.
First Aid Procedures
Inhalation: Remove to fresh air if effects occur.
incestion: Induce vomiting and get medical attention immediately.
Skin Exposure: In case of contact, wash with mild soap and water. Get medical advice if
irritation develops.
Eye Exposure: Wash eyes with plenty of water for at least 15 minutes. If irritation
develops, get medical attentior.
PRECAUTIONS FOR SAFE HANDLING AND USE
Leak/pill Disposal information: Small quantities may be disposed of in the sewer. Laroe quantities should
be disposed of according to local requirements for non—hazardous material.
Waste Disposal: Ensure compliance with local, state and federal regulations.
Handling & Storage: Keep in a tightly closed container, stored in a cool, dry, ventilated area.
OCCUPATIONAL CONTROL MEASURES
Airborne Exposure Limits: No information found.'
Ventilation: General room ventilation is usually adequate.
Skin Protection: Wear resistant gloves.
Eye Protection: Use chemical safety goggles.
The information cont_ined herein is provided in good faith and is believed to be correct as of the date hereof.
However, Jorgen=_en Laboratories, Inc. makes no representation as to the comprehensiveness of accuracy of the
information. It is expected that individuals receiving the information will exercise their indeDendent Judgement in
determining its appropriateness for a particular purpose. Accordingly, Jorgensen Laboratories, Inc. will not be
responsible for damages of any kind resulting from the use of or reliance upon such information.
NO REPRESENTATIONS, OR WA.RRAYTUO,, EITHER EXPRESS OR IMPLIED, OF MERCHANTA3ILiT'!, FITNESS FOR 1. PART.ICULAP, PURPOSE 0?
O' ANY OTI'rR NATURE ARE M=�E :7z'sUrr-R W=T_H RES?ECT TO T:W IHcOR►1ATION SET FORTY HritEIN Or TO T? PCODUCT. TO WHICH T;=
ISFOP,MATION REFERS.
.ORGENSEI( LABORATORIES MAM.IAL SAFETY DM SI{EET Page 1 of 2
DIP QUICK STAIR SOLUTION I Z (EOSIX) :
IDETTIFICATION � _'�, .
Product Name. Dip Quick Stain Solution f 2 (Eosin)
Data: October 1991
Distributor: JOryenSen lacoratcries, 21C.
1450 N. Van Buren Ave.
Loveland, CO 80538
?rcduct Information 3 ?mergency ?hone: (303)669-?500
zax: (303)663-:042
INGREDIENTS %
Eosin ,
Sodium Azide, 0.01%
Suffer Solution
PRECAUTIONARY MEASURES
?OISONOUS! 1kR,1TUL IF SIOLLWED.
As part of good industrial/personal hygiene and safety procedure, avoid all unnecessary exposure to the chemical
substance and ensure prompt removal.from skin, eyes and clothing (will stain skin and clothing).
ifARNING: This reagent contains sodium azide. Sodium azide may react with lead and copper plumbing to form highly
explosive metal azides. If discarded into sink, flush with'a large volume of water to prevent azide buildup.
DOT Hazard-Class: Not regulated. "
EMERGE;ICY/FIRST AID
See First Aid Procedures under HEALTH HAZARD DATA.
PHYSICAL DATA
Appearance: Red liquid.
Odor: None.
Solubility in Water: Incomplete'*
Boiling Point: No information found.
Melting Point: No information found.
Specific Gravity: No information found.
Vapor Density (air=1): No information found.
Vapor Pressure (mm Hg): No information found.
Evaporation Rate (butyl acetate=l): No information found.
Percent Volatile by Volume (V: No information found.
FIRE A EXPLOSION DATA
Flash Point: Noncombustible.
Fire & Explosion: Not considered to be a fire or explosion hazard.
Fire Extinquishing Media: Use any means suitable for extinquishing surrounding -fire.
Special '.nfor•mation: No information cund.
REACTIVITY DATA
Stability: Stable under ordinary conditions of use and storage.
Hazardous Decomposition: No information found.
azar�?ous Polymerization: Will not occur.
I
Incompatibilities: No incompatability data found.
ccrcn r ianoimr B>ZIAL SAFM DATA SHEET Page 1 of 2
DIP QUICK STAIN SOLUTION frIFIXATIT11
IDENTIFICATION
Product Name: Dip Quick Staim Solution 1 (Fixative)
Date: October 1991
Distributor: Jorgensen Laboratories, Inc.
14SO N. man Buren Ave.
Loveland, CO 80538
Product Information i Ehergency Phone: (303)669-2500
Fax: (303)663-5042
INGREDIENTS
Methyl Alcohol (Methanol)
PRECAUTIONARY IMSURF.B
HARMFUL IF SWALLOWED OR INHALED. MAY CAUSE IRRITATION.
Do not get in eyes, on skin, or clothing.
Avoid breathing vapor. Use with adequate ventilation.
Wash thoroughly after handling.
DOT Hazard Class: Flammable Liquid.
PlS6RGENCY/FIRST AID
See First Aid Procedures under HEALTH HAZARD DATA.
t PHYSICAL DATA
Appearance: Clear liquid.
Odor: Characteristic.
Solubility in Water: Complete.
Boiling Point: 64.5C
Melting Point: -144F
Specific Gravityl 0.79
Vapor Density (air=1): 1.1
vapor Pressure (nm Hg): 96.0
Evaporation Rate (butyl acetate=l): 5.91
Percent Volatile by Volume (t): loot
FIRE i SxPLOSION DATA
Flash Point: 52F (Tag closed cup method).
i
Fire ! Explosion: Flawable liquid. Vapors are heavier than air and travel along the ground
to an ignition source and flash back to vapor source.
Fire Extinquishing Media: Use dry chemical or carbon dioxide for small fires. Use alcohol type foam for
large fires.
Special Information: Do not use ordinary foam. Application of water fog/spray will aid in keeping
fire-exposed materials cool.
REACTIVITY DATA
Stability: Stable under ordinary conditions of use and storage.
Hazardous Decomposition: Incomplete combustion say produce carbon dioxide and/or carbon monoxide.
Hazardous Polymerization; Will not occur.
Incompatibilities: Avoid contact with oxidizers. Avoid sources of ignition, such as heat, $Perks
and flames.
4-,1QRGENSEN LABOWORIBS MATERIAL SAM DATA SHEET Page Z of Z
DIP QUICK STAIN SOLUTION 1 (FIXATIVE)
HEALTH HAM DATA
Exposure/Health Effects
Inhalation: Inhalation of vapors can cause drowsiness, headaches, respiratory irritation,
fatigue, nausea, possible unconsciousness, and even asphyxiation.
Ingestion: Ingestion may result in vomiting, nausea, inebriation, blindness or central
nervous system dazage.
Skin Contact: Short-term, non-repeated contact may cause moderate irritation I dryness.
Eye Contact: Can cause irritation, redness, tearing and blurred vision.
First Aid Procedures
Inhalation: Remove to fresh air if effects occur.
Ingestion: Induce vomiting and get medical attention is Wlately.
Skin Exposure: In case of contact, wash with mild soap and water. Get medical advice if
irritation develops.
Eye Exposure: wash eyes with plenty of water for at least 15 minutes. If irritation
develops, get medical attention.
s
PRECAUTIONS FOR SAFE HANDLING AND USE
Leak/Spill Disposal Information: Eliminate all ignition source-' (heat, flame including pilot lights, 3 sparks)
Flush with large quantities of water or absorb with an appropriate absorbent.
Small quantities may be disposed of in the sever
Waste Disposal: Ensure -compliance with local, state and federal regulations.
Handling a Storage: Keep to a tightly closed container, stored in a cool, dry, ventilated area
away from sources of ignition and :lame.
OCCUPATIONAL COKML MBASURB.S
Airborne Exposure Limits: No information found.
Ventilation: General room ventilation is usually adequate.
Skin Protection: Wear resistant gloves.
Eye Protection: Use chemical safety goggles.
The information contained herein is provided in good faith and is believed to be correct as of the date hereof.
However, Jorgensen Laboratories, Inc. makes no representation as to the comprehensiveness of accuracy of the
information. It is expected that individuals receiving the information will exercise their independent judgement in
determining its appropriateness for a particular purpose. Accordingly, Jorgensen Laboratories, Inc. will not be
responsible.for damages of any kind resulting from the use of or reliance upon such information.
NO REPRESENTATIONS, OR WARRANTIES, EITHER EXPRESS OR IMPLIED, OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR
OF ANY OTHER NATURE ARE MADE HEREUNDER WITH RESPECT TO THE INFORMATION SET FORTH HEREIN OR TO THE PRODUCT TO WHICH THE
INFORMATION REFERS.
i_ 1 �► ae.0 er wu.w _ 0
•wew
CUMBERLAND ::K:w, 2
0
_ MATERIAL SAFETY DATA SHEET `��
SECTION I. Identity of Material
PRODUCT NAME OR NUMBER HYDROGEN:P_EROXIDE', 3%-S0LUTION
SYNONYMS HYDROGEN PEROXIDE 3% SOLUTION
FORMULA H2O2 a CAS NUMBER M 1 XTURE CHEMICAL FAMILY PEROXYGEN
SECTION II•A Hazardous Product/Ingredient Per 29 CFR 1910; 1200
NO. COMPOSITION
CAS NUMBER PERCENT
P HYDROGEN PEROXIDE 3% SOLUTION MIXTURE 100%
1 HYDROGEN PEROXIDE 7722-84-1 3%
SECTION II-B ACUTE TOXICITY DATA
NO. ACUTE ORAL LOW ACUTE DERMAL LOSO
• ACUTE INHALATION 1050
SECTION III PHYSICAL DATA
00ILING POINT:
2140
F SPECIFIC GRAVITY. 1 ,00
MEG F) VAPOR PRESSURE: 10.1 (DEOF)
(H20 w 11 (MM NO) $0 0C
MELTING POINT: N/A SOLUBILITY:: COMPLETE.(DEG F) VAPOR DENSITY: UNKNOWN
WATER)' (AIR 11 r
EVAPORATION RATE(N•BUTYL ACETATE LESS THAN WATER
APPEARANCE AND ODOR: COLORLESS, ODORLESS, L I QU 1 D, SLIGHTLY AC I D
SECTION IV FIRE A PLOSION HAZARDS
FLASH POINT AND METH N A
/ FLAMMABLE LIMIT Sf%VOLUME IN AIR
LOWER: N/A UPPER: N/A
EXTINGUISHING MEDIA ANY TANK SURROUNDED 13Y F 1 RE SHOULD BE FLOODED WITH WATER FOR COOL 1 NG.
SPECIAL FIREFIGHTING PROCEDURES AND PRECAUTIONS HYDROGEN PEROXIDE IN TH 1 S CONCENTRATION IS CONSIDERED A
MILD OXIDIZER. DECOMPOSITION RELEASES OXYGEN WHICH MAY INTENSIFY FIRE.
` UNUSUAL RITE AND ExplOS10N HAZARDS DECOMPOS 1 T 1 ON RELEASES OXYGEN WHICH MAY INTENSIFY F i RE.
The dale In this Material Solely Dole Sheet relates only to the$pacific material dsslgnated herein and does not Mato to use In Combination with any other material or In any pro ask The In•
formation set forth herein Is furnished free of Charge and is based on technical data that CUMBERLAND believes to be reliable.11 Is Intended for use by persons having technical$kilt and at
their own dbere0on and rick.Slnu eendlllen$of we are outside out control,we make no warranties,express or Implied,and assume no liability In Connection with any us of this Informs-
Von.Nothing herein 10 to be take 06 a license to operate under or a recommendallon le Infringe any patent*. N
1
SECTION V HEALTH HAZARD INFORMATION
OSHA
NO• PELRWA PELICEILING ACGIH OTHER
TLVRWA TLVISTEL
P N/A N/A N/A N/A
CARCINOGEN- OSHA-NO, NTP-NO, IARC_NO
INHALATION:
N/A
SKIN CONTACT:
N/A
SKIN ABSORPTION:
N/A
EYE CONTACT: I RR I TAT 1 NG TO THE EYE.
INGESTIOTN/AN/A'
ACUTE
CHRONIC:
N/A
SECTION VI EMERGENCY AND FIRST AID PROCEDURES
EYES: IMMEDIATELY FLUSH WITH LARGE AMOUNTS OF WATER FOR AT LEAST 15 MINUTES.
SEEK MEDICAL ATTENTION.
SKIN: WASH WITH WATER.
INHALATION: . REMOVE VICTIM TO FRESH AIR. OBTAIN MED 1 CAL ATTENT 1 ON.
INGESTION: IF SWALLOWED, DRINK PLENTY OF WATER IMMEDIATELY TO DILUTE, BUT DO NOT ATTEMPT
TO INDUCE VOMITING. SEEK MEDICALATTENTION IMMEDIATELY.
NOTES TO PHYSICIAN:
SECTION VII REACTIVITY
STABILITY. SL i GI fTLY UNSTABLE HAZARDOUS POLYMERIZATION: WILL NOT OCCUR
CONDITIONS AND MATERIALS TO AVOID: CONTAINERS ARE TO BE STORED IN A COOL ENVIRONMENT. KEEP AWAY FROM
EXCESSIVE HEAT. THIS PRODUCT IN GREATER CONCENTRATIONS 1S INCOMPATIBLE WITH REDUCING
A'GENTS, RUST,DIRT,ORGANIC MATERIALS WITH A PH ABOVE 4.
HAZARDOUS DECOMPOSITION PRODUCTS
N/A
i
I
I,
SECTION VIII EMPLOYEE PROTECTION
CONTROL MEASURES:
RESPIRATORY PROTECTION:
PROTECTIVE CLOTHING:
EYE PROTECTION: TH I S PRODUCT 1 S NOT 1 NTENDED FOR EYE USAGE. W 1 LL CAUSE MODERATE I RR 1 TAT I ON.
IN THE EVENT OF EYE CONTACT, FLUSH FOR AT LEAST 15 MINUTES WITH WATER. SEEK MEDICAL ATTENTION
SECTION IX ENVIRONMENTAL PROTECTION
SPIV OR LEAK PROCEDURES: DILUTE WITH LARGE AMOUNTS OF WATER AND IF POSS 1 BLE,DIRECT SOLUTION TO DIKED
AREA AND HOLD UNTIL DECOMPOSED. DISPOSE IN ACCORDANCE WITH LOCAL ENVIRONMENTAL REGULATIONS.
1 ,
WASTE DISPOSAL: D 1 LUTE W 1 TH LARGE AMOUNTS OF WATER. IF LOCAL REGULATIONS PERMIT. WASH TO SEWER.
IF LOCAL REGULATIONS DO NOT PERMIT WASTE TO GO TO SEWER,TREAT AS DIRECTCD BY LOCAL AGENCY.
ENVIRONMENTAL HAZARDS:
SECTION X SPECIAL PROTECTION INFORMATION
VENTILATION REOUIREMEN7S:
EXHAUST FAN.
RESPIRATORY(SPECIFY IN DETAIL) SPECIFIC PERSONAL PROTECTIVE EOUIPMENT
N I OSH APPROVED FOR SEVERE EYE PROTECTION WHEER' E_'CT aSURE EXISTS
VAPOR EXPOSURE.
EYE:
GLOVES: NO SPECIAL PRECAUTIONS UNLESS USER HAS
7NICALL GOGGLES SENSITIVE SKIN,
OTHER CLOTHING AND EQUIPMENT: —
SECTION XI TRANSPORTATION DATA
HAZARDOUS CHARACTERISTICS
LJ CORROSIVE ❑FLAMMABLE LIQUID ❑FLAMMABLE SOLIDS
❑EXPLOSIVES
❑OXIDIZER ❑POISON ❑MAGNETIC ❑NON-FLAMMABLE OAS
❑FLAMMABLE GAS ❑RADIOACTIVE ❑NONE UO OTHER__r_ONG Adrjj Cr&A MQO I TY QRM•D
D.O.T.
1 CLASSIFICATION FLASH
I POINT
SECTION XII MANUFACTURER OR SUPPLIER DATA
FIRM'S NAME L MAILING ADDRESS
NAME(PRINT) JAMES R. BEAVER
CUMBERLAND-SWAN; INC. SIGNATURE
ONE SWAN DRIVE TITLE / RISK MANAGER
SMYRNA, TN 37167
DATE 7/1 0/9,0
EMERGENCY TELEPHONE NO.
( 615) 459-8900
BE SAFE';
READ OUR PRODUCT
SAFETY INFORMATION
07/28/95 FRI 10:25 FAX 3 0001
• FORMALDEHYDE SOLUTION 37% WAB20265
• MATERIAL SAFETY DATA SHEET
PRODUCT NAME,,FORM ALDEHYDE SOLUTION f DATE:9/15/93 PAGE I OF 7
MANUFACTUM. FOR THE BUTLER COMPANY BY CNEMTRONICS (INNOTECH INC)
CASH 000050-00-0
FORMULA: HCH0+CH(3)011
CHEMICAL FAMILY: ALPEHYDE
CHEMICAL NAME AND SYNONYMS: FORMALDEHYDE.SOM1770N;
OXYM/sl'IIYLENE. M1;111Y1,hNls G1.YC01.;METIMIYAL; 1"ORMALIN.
SUPPLIERS NAME: CHEAP-TRONICS,INC:
1803 SOUTH Sr,COND STREET
LEAV!ENIVORTII,AS 66048
SUPPLIERS AND EMERGENCY PHONE: (Y13)6514900
S.A.R.A.INFORMATION
HAZARDS: FIRE: YE:S PRESSURE: NO REACTIVITY:NO ACUTE: YES
CHRONIC: YI:.S
PHYSICAL DATE: MIXTURE: YRS PURE:NO SOLID:NO LIQUID: YES
GAS:NO
SECTION 1 HAZARDOUS INGREDIENTS
INGREDEENT PERCENT M
FORMALDEHYDE• 37% 'TWA 0.75 PPM,STEL 2 PPM,ACTION
(CASH 50-00-0)d LEVEL 0.5 PPM OSHA
TLV 0.3 PPM CEILING(A2)ACGIH
METHYL ALCOHOL(METHANOL)7-12% PE TLV 200 PPM"SKIN",STEL 250
J (CASH 67-56-1)a PPM OSHA/ACGIH
NIOSH:TWA 200 PPM
800 PPM CEILING
WATER 51.56% N/E
(CASH 7732-18-5)
•IDLH LEVEL FORMALDEHYDE 100 PPM,METHANOL 25000 PPM,FORMALDEHYDE"ACTION
LEVEL"0.5 PPM-OSHA 29CFR 1910.1048.ODOR THRESHOLD 0.8.1.0 PPM-OSHA,52 FED.REG,46168
ET SEG.
d-THIS CHEMICAL IS SUBJECT TO S.A.R.A TITLE III SECTION 313 PART 372 REPORTING
SECTION!/ HEATII HAZARDS
THgFcHOi,Dh,IMiT IALUIE: AS INDICATED IN SECTION 1.
110T.NTUL L1,11*07 Or OYI:RGX['OA'UKI;_
rYe_s:W-OSURI;TO HIGH VAPOR CONCENTRATION OR CONTACT WITH LIQUID CAUSES
TEARING,SEVERE IRRITATION AND A BURNING SENSATION. CONTACT WITH LIQUID CAUSES
SEVERE BURNS,EXPOSURE TO CONCENTRATIONS GREATER THAN 25%MAY CAUSE
IRREVERSIBLE DAMAGE TO THE EYES.INCLUDING EYE CORROSION WITH CORNEAL OR
CONJUCTIVAL ULCERATION. METHANOL ABSORPTION BY SWALLOWING OR SKIN ABSORPTION
CAN CAUSE SEVERE DAMAGE TO THE EYE,CORNEAL"OPACITY,AND ULTIMATELY BLINDNESS.
SM-CONTACT CAN CAUSE MODERATE INJURY-REDDENING AND SWELLING.CONTACT
WITH LIQUID CAUSES DRYING,CRACKING,AND SCALING.PROLONGED OR REPEATED EXPOSURE
CONTINUED ON NEXT PAGE
F)b Provided as a "Value Added Service"
C�® , by The Butler Company
- • MATERIAL SAFETY DATA SHEET
PRODUCT NAME:FORMALDEHYDE SOLUTION DATE: 9/15/93 PAGE 2 OF-7
SECTION!! HEALTH HAZARDS CONTINUED
CAUSES A HARDENING OR TANNING EFFECT,MAY CAUSE CRACKING OF THE SKIN AND
ULCERATION,PARTICULARLY AROUND THE FINGERNAILS. MAY CAUSE CONTACT ALLERGIC
DERMATITIS,MODERATELY TOXIC TO ANIMALS BY ABSORPTION. DERMAL LD(50)(RABBIT):0.27
G/KG(FORMALDEHYDE)
!NIldLA1YC)N: HIGHLY IRRITATING TO UPPER RESPIRATORY TRACT. MAY CAUSE
INFLAMMATION OF LINING OF NOSE,THROAT,AND LUNGS WITH BRONCHOPNEUMONIA AND
EDEMA POSSIBLE FROM EXTREMELY IRRITATING EXPOSURE. SENSITIZER(ALLERGIC
REACTION POSSIBLE,ASTHMA POSSIBLE) MODERATELY TOXIC TO ANIMALS. FORMALDEHYDE
INHALATION HAS BEEN FATAL,BUT RARELY SO.
�,Y�1'4TIDN: POISONOUS IF SWALLOWED,AS LITTLE AS 1 FLUID OUNCE INGESTED HAS
RESULTED IN DEATH TO HUMANS. SMALL,REPEATED QUANTITIES.IF INGESTED,REPORTED TO
CAUSE BURNING AND PAIN OF THE DIGESTIVE TRACT AND HEADACHE. INGESTION OF LARGER
AMOUNTS CAUSES PAIN,VOMITING,DIARRHEA,CYANOSIS,SHALLOW RESPIRATION,
COUGHING.REDUCED BODY TEMPERATURE.,WEAK IRREGULAR PULSE,UNCONSCIOUSNESS
AND DEATH.(FOR SYMPTOMS AT VARIOUS EXPOSURE LEVELS SEE NOTE(A)SECTION(IX).FOR
SYMPTOMS OF METHANOL OVEREXPOSURE SEE NOTE(A)SECTION(IX). FORMALDEHYDE
SLIGHTLY TOXIC TO ANIMALS. ORAL LD(50)(RAT):500 MG/KG. 1-2 OUNCES MAY BE FATAL.
Eau'tlb:
!;YES. FLUSH EYES WITH WATER FOR AT LEAST A 15 MINUTE PERIOD,WHILE FORCIBLY
HOLDING EYELIDS OPEN TO PERMIT WATER TO IRRIGATE ALL SURFACES. PROMPT ACTION
WILL MINIMIZE INJURY. CALL A PHYSICIAN. N071i: 1T IS HELPFUL TO HAVE SOMEONE OTHER
THAN THE VICTIM TO HOLD THE EYES OPEN.
SKW—REMOVE CLOTHING AND SHOES,WASH IMMEDIATELY WITH LARGE AMOUNTS OF
WATER. 1F IRRITATION PERSISTS,CALL A PHYSICIAN. CLEAN CLOTHING BEFORE RE-USE.
DISCARD CONTAMINATED LEATHER CLOTHING.
LNLWATION.• REMOVE VICTIM TO FRESH AIR. IF BREATHING HAS STOPPED,GIVE
ARTIFICIAL RESPIRATION. CALL A PHYSICIAN. IF BREATHING DIFFICULT,GIVE OXYGEN,
111GEMOM--INDUCE VOMITING IMMEDIATELY BY GIVING TWO GLASSES OF WATER AND
STICKING FINGER DOWN THE THROAT. FOLLOWING THIS,GIVE ACTIVATED CHARCOAL
SLURRY. IF SIGNIFICANT QUANTITIES OF METHANOL HAVE BEEN SWALLOWED.THEN GIVE A
METHANOL ANTIDOTE BY MOUTH(A SOLUTION OF 100 ML OF 100-PROOF ETHYL ALCOHOL
(GRAIN ALCOHOL)IN 2000 ML OF WATER.) CALL A PHYSICIAN. NEVER GIVE ANYTHING BY
MOUTH TO AN UNCONSCIOUS PERSON. NOIE- TO PREPARE ACTIVATED CHARCOAL SLURRY.
SUSPEND 50 GRAMS OF ACTIVATED CHARCOAL IN 400 ML OF WATER IN A BOTTLE AND SHAKE
WELL.
QTILEaR Iff'ORMATW&
C_AI{CM- EN SZ' 1I.�• FORMALDEHYDE IS LISPED AS A CARCINOGEN BY I.A.R.C.,N.T.P.,
O.S.H.A.,AND A.C.G.1.H.
EORMALD I MI,ASA C'AIlC7NOGI,N• RATS CHRONICALLY EXPOSED TO A 14 PPM
FORMALDEHYDE VAPOR CONTRACTED NASAL CANCERS. HOWEVER.ACCORDING TO THE
GUIDELINES FOR CLASSIFICATION OF EXPERIMENTAL ANIMAL CARCINOGENS OF THE
AMERICAN CONFERENCE OF GOVERNMENTAL INDUSTRIAL HYGIENISTS.FORMALDEHYDE
WOULD BE CONSIDERED AS AN INDUSTRIAL SUBSTANCE OF LOW CARCINOGENIC POTENCY IN
EXPERIMENTAL ANIMALS. IN HUMANS,NO EVIDENCE OF FORMALDEHYDE RELATED CANCER
INDUCTION HAS BEEN OBSERVED. A_C.O.1.11. DO HOWEVER, INCLUDE FORMALDEHYDE ON
CONTINUED ON NEXT PAGE
• . • MATERIAL SAFETY DATA SHEET
PRODUCT NAME:FORMALDEHYDE SOLUTION DATE:9115/93 PAGE 3 OF 7
SECTION 11 H1iALT1111AZARD)S CONTINUED
THEIR A-2 LIST"SUSPECTED CARCINOGENIC POTENTIAL FOR MAN." EPIDEMIOLOGIC STUDIES
DO NOT DEMONSTRATE AN INCREASED RISK OF HUMAN CANCER FROM EXPOSURE TO THIS
COMPOUND.
FORMALDEHYDE IS LISTED BY THE INTERNATIONAL_AGENCY FOR RE SEARCH_ON
CA ER AS PROBABLY CARCINOGENIC-TO E1IMAKSON THE BASIC OF ANIMA •EVIDENCE AND
A ST LIMITED HUMAN DATA II A R,C GROUP 2A1
LISTED BY THE NATIONAL TOXICOLOGY PROGRAM AS REASONABLY ANTICIPATED TO
BE CARCINOGENIC.
FORMALDEHYDE(OAS)IS A CHEMICAL KNOWN TO THE STATE OF CALIFORNIA TO
CAUSE CANCER.
IT IS LISTED AS A POTENTIAL CANCER HAZARD BY O.S.H.A.
ML771ANOL---NOT LISTED AS A CARCINOGEN BY N,T.P( NATIONAL TOXICOLOGY
PROGRAM):NOT REGULATED AS A CARCINOGEN BY O.S.H.A.(000UPATIONAL SAFETY&HEALTH
ADMINISTRATION);NOT EVALUATED BY I.A.R.C.(INTERNATIONAL AGENCY FOR RESEARCH ON
CANCER).
MU]JAGEN' ICI7Y..-1N VITRO,FORMALDEHYDE IS MUTAGENIC(MUTAGENIC ACTIVITY
DETECTED IN E.COLL PSEUDO-MORAS FLUORESCENS,AND SACCHAROMYCES CERVISIAE.
METHANOL SHOWS LIMITED EVIDENCE OF MUTANGENICITY(MOUSE LYMPHOMA FORWARD
MUTATION ASSAY) IN VIVO,LIMITED EVIDENCE OF MUTAGENCITY.
RE11RO UCTION•FORMALDEHYDE SHOWED NO EVIDENCE OF REPRODUCTIVE EFFECTS
IN ANIMAL STUDIES(MICE,RATS,DOGS). METHANOL--REPORTED TO CAUSE BIRTH DEFECTS IN i
RATS EXPOSED TO VERY HIGH LEVELS OF VAPORS(20,000 PPM).
IIUMANke -'ERIL•NCr--r,ORMAL12 IYI)Is
VA110IRJSRL URE-THE FOLLOWING ARE TYPICAL SYMPTOMS ENCOUNTERED AT
VARIOUS EXPOSURE LEVELS. PRIMARY IRRITATION IS DEPENDENT ON DURATION OF
EXPOSURE AND INDIVIDUAL SUSCEPTIBILITY.
0.8 PPM—TYPICAL THRESHOLD OF PERCEPTION
1.0-2.0 PPM--TYPICAL THRESHOLD OF IRRITATION
2.0-3.0 PPM--IRRITATION OF EYES.NOSE,AND THROAT
3.0-5.0 PPM--INCREASED IRRITATION.TEARING,HEADACHE,PUNGENT ODOR
10.0-20.0 PPM--PROFUSE TEARING,SEVERE BURNING,COUGHING
50.0 PPM--SERIOUS BRONCHIAL AND ALVEOLAR DAMAGE
100.6 PPM--FORMALDEHYDE INDUCED CHEMICAL PNEUMONIA AND DEATH
HEALTH EFFECTS--MATHANOL
METHANOL OVEREXPOSURE MAY PROVOKE NONSPECIFIC.DISCOMFORT,SUCH AS
NAUSEA,HEADACHE,OR WEAKNESS;TEMPORARY NERVOUS SYSTEM DEPRESSION WITH
ANESTHETIC EFFECTS SUCH AS DIZZINESS,HEADACHE,CONFUSION,INCOORDINATION,AND
LOSS OF CONSCIOUSNESS;OR BLINDNESS. HIGHER EXPOSURES TO METHANOL MAY LEAD TO
THESE EFFECTS;ABNORMAL KIDNEY FUNCTION AS DETECTED BY LABORATORY TESTS;OR
FATALITY FROM GROSS OVEREXPOSURE. INGESTION OF AS LITTLE AS 350ML OF THIS
PRODUCT(EQUIVALENT TO 100ML OF PURE METHANOL)MAY CAUSE BLINDNESS OR FATALITY.
A DICAL CONDITIONS Gl N-.RAI L t RFC,,OUN ED A t'1lIMG AGOd VA171)AY I:XNOS
ANY PRE-EXISTING RESPIRATORY EYE,OR SKIN DISORDERS OR KIDNEY DISEASE MAT BE
AGGRAVATED BY OVEREXPOSURE TO THIS PRODUCT. MAY CAUSE AN ALLERGIC SKIN
REACTION. SOME REPORTS SUGGEST THAT FORMALDEHYDE MAY CAUSE ASTHMA.
CONTINUEO'ON NEXT PAGE
• MATERIAL SAFETY DATA SHEET
PRODUCT NAME: FORMALDEHYDE SOLUTION DATE:9/15/93 PAGE 4 OF 7
SECTION II IIEALTII NA7.ARAS CONTINUED
PRIMAR R0l17�- OT-EX771Y• EYES,SKIN,INHALATION,INGESTION.
NOTE TO PHYSICIAN:THE SYMPTOMS OF LUNG EDEMA OFTEN DO NOT BECOME MANIFESTED
UNTIL A FEW HOURS HAVE PASSED,AND THEY ARE AGGRAVATED BY PHYSICAL EFFORT. REST
AND HOSPITALIZATION ARE THEREFORE ESSENTIAL, BEFORE THIS MANIFESTATION,
ADMMISTRATION OF A CORTICO-STEROID-CONTAINING SPRAY,BY A DOCTOR OR A PERSON
AUTHORIZED BY HIM OR HER,SHOULD BE CONSIDERED. TREAT AL'L IRRITATION EFFECTS
SYMPTOMATICALLY. METABOLIC ACIDOSIS MAY BE A SECONDARY EFFECT OF INGESTION
SECTIOX III SPECIAL PROTECTION
RES IR.fTORYl'ROT.CTION CARTRIDGES USED FOR INDUSTRIAL EXPOSURES MUST BE ~T
CERTIFIED BY N.I.O.S.H. BECAUSE PART NUMBERS USED BY MANUFACTURERS MAY DIFFER
FROM THOSE CURRENTLY USED FOR FORMALDEHYDE CARTRIDGES,IT WILL BE IMPORTANT TO
CONFIRM THAT A SPECIFIC CARTRIDGE IS CERTIFIED FOR USE WITH FORMALDEHYDE. WE
RECOMMEND THAT WHEN REORDERING CARTRIDGES THAT HAS BEEN APPROVED FOR
FORMALDEHYDE BE SPECIFICALLY REQUESTED.
O.S.H.A. REQUIRES A FULL FACEPIECE RESPIRATOR EQUIPPED WIT"CARTRIDGES OR CANISTERS
BE WOR11 WHEN FORMALDEHYDE CONCENTRATIONS EXCEED I PPM PEL BUT ARE BELOW 10
PPM. AT FORMALDEHYDE CONCENTRATIONS UP TO 100 PPM,AN INDUSTRIAL-SIZED CANISTER
(ONE WORN ON THE CHEST OR BACK)AND FULL FACEPIECE RESPIRATOR IS REQUIRED.
CARTRIDGES ARE TO BE REPLACED EVERY TWO OR FOUR HOURS FOR THE 100 AND 10 PPM
LIMITATION RESPECTIVELY,
Y NTIL.ATIONR i0 UIE s - PROVIDE VENTILATION TO CONTROL EXPOSURE LEVELS BELOW
AIRBORNE EXPOSURE LIMITS. LOCAL EXHAUST VENTILATION RECOMMENDED.
I'ROTECI'IYE CI OTIIIN G:
KYI&WEAR CHEMICAL SAFETY GOGGLES TO PREVENT EYE CONTACT. HAVE EYE
BATHS IMMEDIATELY AVAILABLE WHERE EYE CONTACT CAN OCCUR.
SKI&REMOVE CONTAMINATED CLOTHING PROMPTLY AND LAUNDRY BEFORE RUSE.
PROVIDE SAFETY SHOWER AT ANY LOCATION WHERE SKIN CONTACT CAN OCCUR. REPEATED
OR PROLONGED CONTACT MAY CAUSE ALLERGIC SKIN REACTION IN SOME PEOPLE.
GLOVES: WEAR NEOPRENE,NITRILE,BUTYL OR POLYVINYL CHLORIDE GLOVES,COVERALLS
WITH LONG SLEEVES.
AI OULD BE AVAILABLE.
M'AS Ra,' SAFETY S110WER.EYE BATH AND WASHING FACILITIES
SHOULD BE AVAILABLE.
SEE O.S.H.A.29CFR 1910.1048(H) PROTECTIVE EQUIPMENT AND CLOTHING AND O.S.H.A. 29CFR
1910.10480) HYGIENE PROTECTION FOR OTHER SPECIFIC REQUIREMENTS BASED ON THE FORIVL
OF FORMALDEHYDE,THE CONDITIONS OF THE USE AND THE HAZARDS TO BE PREVENTED.
CONTINUED ON NEXT PAGE
v
• MATERIAL SAFETY DATA SHEET
• TRODUCT NAME: FORMALDEHYDE SOLUTION DATE:9/15/93 PAGE S OF 7
SECTION IV FIRE A PROTECTION HAZARD DATA
1•'LASII POINI'(M:1'JIO 1: 140(12%METHANOL)TO 155(7%METHANOL)DEG.F(TCC)
AUTOIGNITION TEMPERATURE: 793 DEG. F
,t7�(MdDL!_ :LIMl7�(%VOLUME IN AIR):
UPPER: 73(FORMALDEHYDE VAPOR)
LOWER: 7.0
(�{JISJI N. %Dld WATER SPRAY,DRY CHEMICAL,"ALCOHOL" FOAM,OR CO2.
SI'Is CIA L FIR,FI aIIT/NG IAou"UtI•
USE WATER SPRAY TO KEEP FIRE-EXPOSED CONTAINERS COOL. WEAR COMPLETE
PROTECTIVE CLOTHING,BOOTS,GOGGLES,AND HELMET. SELF-CONTAINED BREATHING
APPARATUS IS REQUIRED FOR INDOOR FIRE AND MAY BE NEEDED OUTDOORS.
UNUS<;IA FIRI' 1%XPI_nCInN ADS.
WHEN AQUEOUS FORMALDEHYDE SOLUTIONS ARE HEATED ABOVE THEIR FLASH
POINTS,A POTENTIAL EXPLOSION HAZARD EXISTS. FORMALDEHYDE VAPORS MAY REQUIRE
EVACUATION OF AN AREA IN CASE OF FIRE. VAPOR IS HEAVIER THAN AIR,AND CAN TRAVEL A
CONSIDERABLE DISTANCE TO A SOURCE OF IGNITION AND FLASH BACK. REACTS WITH
NITROGEN OXIDES;ABOVE 160 DEG.F.THE REACTION BECOMES EXPLOSIVE. ;
SECTION V PHYSICAL DATA
Ll Q(L JNS-DINT• 206-214 DEG.F
M1s TING 1'OIM' POLYMERIZES AND SEPARATES BELOW 32 DEG.F TO 153 DEG.F
Sltll�'ICC.R�VI,7Y�(1/?0�I): 1.075. 1.202(ig 68.168 DEG. F
VAPOR EKES' RE(MM IIG): 39.42 @ 100 DEG. F
VAPOR PRESSURE(AIR,1):' 1.03 APPROXIMATELY
F.VAI'O/U7101VI M,-(71UI'Y1.ACIsTi177-'-I): <1
SOLUBILIIYINWAIAX• COMPLETE
PERCENT VOLT L;Y VOI UMF 100
M- 2.8-4.0
dl'1'1 ARANCEAN)QUaR CLEAR.COLORLESS LIQUID,TURNS MILKY ON COOLING;PUNGENT
ODOR.
SECTION VI REACTIVIT7'DATA
NZAB1LITY.• NO KNOWN HAZARDOUS INSTABILITY,
INCOMPARBI Y-, STRONG OXIDIZING AGENTS.PHENOL,UREA,CAUSTICS,STRONG ALKALIS,
ISOCYANATES,ANHYDROUS OXIDES,INORGANIC ACIDS AND CHLORIDES,
ALKALI METALS.AMINES,OXYGEN.HYDROGEN PEROXIDE AND OTHER STRONG
OXIDIZING AGENTS • } . .
NOTE: FORMALDEHYDE AND CHLORIDES PARTICULARLY HYDROGEN CHLORIDE,IN
LIQUID OR VAPOR STATE ARE REPORTED TO PRODUCE BICLOROMETHYL ETHER,AN
O.S.H.A:REGULATED CARCINOGEN.
CONTINUED ON NEXT PAGE.
i
' MATERIAL SAFETY DATA SHEET
PRODUCT NAME: FORMALDEHYDE SOLUTION DATE:9/15/93 PAGE 6 OF 7
SECTION VI REACTIVITYDATA CONTINUED
IlA7AR 0 ILC D .COMPOCl170N_ FORMALDEHYDE OAS,FORMIC ACID,CARBON MONOXIDE AT
ELEVATED TEMPERATURES OR WHEN BURNED.
IL4Z„dRWVSPQLW l.ATION• HEAT OF POLYMERIZATION OF FORMALDEHYDE IS
APPROXIMATELY 900 BTU/LB, HOWEVER,IN COMMERCIAL AQUEOUS SOLUTIONS,
FORMALDEHYDE IS PRESENT PRIMARILY IN ITS HYDRATED FORM.METHYLENE GLYCOL,AND
THE LAR(M EXOTHERM IS NOT EXPERIENCED. NON-HAZARDOUS POLYMERIZATION MAY
OCCUR AT LOW TEMPERATURES,FORMING PARAFORMALDEHYDE,A WHITE SOLID.
SECTION VII SPILL A LEAK PROCEDURES
SI PS TO D IAILFj�(jF' W -aEV, :D 02 j=,V,
WEAR PROTECTIVE GEAR AS INDICATED IN SECTION 111. PLACE LEAKING CONTAINERS IN WELL
VENTILATED AREAS. ELIMINATE IGNITION SOURCES. USE FOAM TO CONTROL VAPORS. FLUSH
AREA WITH WATER SPARINGLY OR USE AN ABSORBANT TO CONTAIN AND/OR REMOVE SPILL.
DIKE THE SPILL TO MINIMIZE CONTAMINATED AREA AND FACILITATE SALVAGE OR DISPOSAL.
AVOID RUN-OFF INTO SEWERS AND DITCHED WHICH LEAD TO NATURAL WATERWAYS.
NEUTRALIZE WITH AMMONIUM HYDROXIDE OR COMPLEX WITH SODIUM SULFITE. IF
REQUIRED,FEDERAL,STATE, AND LOCAL AUTHORITIES SHOULD BE NOTIFIED.
SECTION VII SPILL do LEAK PROCEDURES CONTINUED
If AST£.DISPML MRI7�Q-
INCINERATION;BIOLOGICAL OXIDATION WITH PROPER ACCLIMATION OF SYSTEM. USE OF
INJECTION WELLS MAY PROVIDE AN ALTERNATE MEANS OF DISPOSAL FOR COMPATIBLE
MATERIALS. COMPLY WITH FEDERAL,STATE,AND LOCAL REGULATIONS BEFORE DISPOSAL.
---REFER TO NOTE(C)SECTION 1X WITH REGARD TO PARAFORMALDEHYDE FORMATION.
EPA—RESOURCE CONSERVATION AND RECOVERY ACT(RCRA)REGULATIONS: AS PRODUCED,
THIS MATERIAL IS A PRODUCT AND NOT A WASTE. IF DISCARDED OR INTENDED TO BE
DISCARDED AS IS,IT IS A HAZARDOUS WASTE AS DEFINED IN RCRA(40 CFR 261). THE EPA
HAZARDOUS WASTE NUMBER IS U122.
----RQ UNDER CERCLA---1000 LBS.
----AQUATIC TOXICITY: THE MIXTURE IS MODERATELY TOXIC(96 HR LC(50)-38 48 MG/L)
SECTION V111 D.O.T SHIPPING INFORMATION
PROPER SHIPPING NAME: FORMALDEHYDE SOLUTION
HAZARD CLASS: now q
1D NUMBER: IMM #jJ 2201
LABEL REQUIREMENTS: NO LABEL REQUIRED(L Tb Nl•q
REPORTABLE QUANTITY: ALL SHIPMENTS ARE REPORTABLE
CONTINUED ON NEXT PACE
• ` I
MATERIAL SAFETY DATA SHEET
PRODUCT NAME: FORMALDEHYDE SOLUTION DATE:9115/93 PAGE 7 OF 7
SECTIONLK ADDITIONAL 1NFORAMTION^ .�
THIS INFORMATION MAY BE OF IMPORTANCE TO YOU.
P E .A ITIONS TO BE IA KEN IN HANDLING AND STOR NG7
STORE 1N A COOL.WELL-VENTILATED AREA. KEEP AWAY FROM HEAT,SPARKS,AND
FLAME. KEEP CONTAINERS CLOSED. USE ONLY DOT-APPROVED;CONTAINERS, WHEN
TRANSFERRING FOLLOW PROPER GROUNDING PROCEDURES. AVOID BREATHING VAPOR.
AVOID CONTACT WITH EYES,SKIN,AND CLOTHING. WASH CONTAMINATED CLOTHING
THOROUGHLY BEFORE RE-USE. DISCARD CONTAMINATED LEATHER CLOTHING.
t
DQNOT ENTER STORAGE AREA UNLESS ADEQUATELY VENTILATED.
PARAFORMALDEHYDE WILL PRECIPITATE FROM SOLUTIONS WHEN COOLED EXCESSIVELY.
CARE MUST BE TAKEN TO FOLLOW MANUFACTURER'S RECOMMENDATIONS FOR STORAGE AND
SHIPPING CONDITIONS SINCE PARAFORMALDEHYDE DISPOSAL MUST BE ADDRESSED.
INCINERATION IS RECOMMENDED.
CONTAINERS OF THIS MATERIAL MAYBE HAZARDOUS WHEN EMPTIED. "EMPTY"CONTAINERS
RETAIN PRODUCT RESIDUES. OBSERVE ALL HAZARD PRECAUTIONS AS OUTLINED IN THIS
SHEET.
MINIMIZE SKIN CONTACT. WASH WITH SOAP AND WATER BEFORE EATING,DRINKING,
SMOKING OR USING THE TOILET FACILITIES.
NPCA/HMIS HAZARD RATING: NFPA HAZARD RATING:
HEALTH:- -------- -3 HEALTH:-------------- -2
FLAMMABLITY:----2 FLAMMABILITY:-----2
REACTIVITY:-* ----1 REACTIVITY:----------0
SPECIAL PROTECTION-X
MATERIAL SAFETY DATA SHEET
DIROCHEK TEST KIT
-------------------------------------------------------
--------------
SECTION 1 PRODUCT . INFORMATION
----- ----- ------------------- ----------- --------- -- - ------- -
Manufacturer: Synbiotics Corporation
Address: 11011 Via Frontera
San Diego, CA 92127
Emergency Telephone Number: (619) 451-3770
Trade name and synonyms: Canine- Heartworm antigen test ,
4 �
t-k--i t
Chemical name and. synonyms:
Chemical Family:
Formula:
------------------- ------------- ------ --- ----------- --
SECTION 2 HAZARDOUS INGREDIENTS
- -------- ---------------------------- -----
Chemical % TLV Tox. Data CAS#
Dimethyiformamide 2530 mg/m rat(oral)LD50 68- 12- 2
2800 mg/kg
Phenol J 19 mg/m rat(oral)LD50 108 -95-2
414 mg/kg.
Trichloroacetic acid 10 7 mg/m rat(orat)LD50 76-03- 9
. 5000 mg/kg
---- -------------------------------------- ------ -----
SECTION 3 PHYSICAL DATA
..... .. .......................-.............-.................
Dimethylformamide
Boiling Point (*F): 153 F
Vapor Pressure (mm Hg):3.7
Vapor density (air=1):2.5
Solubility in water: Complete
Appearance and odor: Water-white liquid w/ slight
ammonia odor
Specific Gravity(h20=1): .95
Percent volatile by volume(%) -- -
Evaporation rate:NA
Trichloroacetic ; Acid
Boiling Point (*F): . 196 F
E
Vapor Pressure (mm Hg): NA
Vapor density (air=1): NA
Solubility in water: Complete
Appearance and odor: Crystals, faint odor
Specific Gravity(h20=1): 1.63
Percent volatile - by volume(%) --
Evaporation rate: NA
Phenol
]Wlipg Point (*F): 182 F
:.Vapor Pressure (mm Hg): .36
Vapor - density (air=1): 3.24
Solubility in water: Moderate (1 to 10%)
Appearance and odor: Colorless crystals, characteristic odor
Specific Gravity(h20=1): 1.06
. Percent volatile by volume(%) --
Evaporation rate: - 0 -
----- -------- ----------------- ------------- -----------
SECTION 4 FIRE AND EXPLOSION HAZARD DATA
---------------------- ---------------------
Flash Point (method used): --
Flammable Limits: --
Extinguishing media: Any means suitable for extinguishing
surrounding fire.
Special fire fighting procedures: Not considered to be 'a fire
hazard
Unusual fire and explosion hazards: Not considered to be an
explosion hazard.
------------------ -------------------------
SECTION 5 HEALTH HAZARD DATA
-------------------------------------------------------
Threshold limit value: --
Effects of overexposure- . May cause irritation if in contact
with skin and eyes. Irritation may also occur if inhaled. -
Emergency First Aid Procedures.'
Eyes and Skin: Flush with copious amounts of water for at
least 15 minutes,
Inhalation: Remove to fresh air
Ingestion:--
- -------- -
............... -----...............................
SECTION 6 REACTIVITY DATA
Stability: Stable ( x ) Unstable ( )
i
Incompatability( materials to avoid):strong oxidizing
agents, halogenated, hydrocarbons, active nitrogen
compounds, strong bases, water
Hazardous Decomposition Products: aminos, hydrogen
chloride
Hazardous polymerization: Will occur ( )will not occur( x )
Conditions to avoid:Heat, flame, other sources of ignition,
moisture
SECTION 7 SPILL OR LEAK PROCEDURES
--- ----- ------ -. ------ ---- ----------- -
Steps to be taken in case material is released or spilled:
Flush affected area with water
Waste disposal method: Flush to sewer with excess water.
Disposal may be subject to federal, state and local laws.
SECTION 8 SPECIAL PROTECTION INFORMATION
--- ----- -------- ----------- --------
Respiratory protection: Not required
Ventilation: Not required
Protective gloves: --
Eye Protection:--
Other protective equipment: --
------------- -------------------- --
SECTION 9 SPECIAL PRECAUTIONS
-------------------------- ----------
Precautions to be taken in handling and storing: store as
indicated on package insert.
Other precautions: --
NOTE:
THE INFORMATION CONTAINF IN THIS MATERIAL SAFETY
DATA SHEET IS PROVIDED IN GOOD FAITH AND IS ACCURATE
TO THE BET OF OUR KNOWLED GF HOI'IjEVER, THE
MANUFACTURER ASSUMES NO WARRANTIES ,, EITHER
XPRESSED OR IMPLIED. " I SFR OF -TH—ESE-ERMUCTS ARE
ADIVISED TO VERIFY THIS INFORMATION IS SUITABLE TO .
THEIR PA tTICUI-A PIIRPO.SF PRIOR TO THEIR USE OF
THE
f
CARDINAL LABORATUF,'I ES, INC. P'F:u»u�_"f SAFETY INFORMATION
710 AYUN AVENUE
_ ZUSA, CA. '31702
Page 1.
SECTION I
MANUFACTURER S NAME: Cardinal Labor wt,--,r ies, Inc .
EMERGENCY TELEPHONE NUMBER: (Ste) 969-3797
ADDRESS: 710 South Ayon Avenue, AZUSa, Ca. 9170
PRODUET: Q-Jtr..i.l:u:r;. .ShERMPoo FORMULA NUh15F'F:: -NE79
EPA REG. NO. a N/A - EST. REG. NO. : N/A
SECTION II - HAZARDOUS IN►3REDIENTS
D-Limonene C:as Ni_-. 59139-27-S
(4-150propenyl 1-methyl Cyclohwxane)
mxzi�ca�a..�x=�=�a=_=�c==aW.:'�•�cx.-:meccmc�csc^_�=�x==__=_=====c�saxors®m;=-x-_a===._
SECTION Ili - PHYSICAL ..DATA
SOILING; POINT (F is N/A
SPECIFIC GRAVITY (1-120=1 ) v Apprux. 1 . 02
VAPOR PRESSURE (mmHg. ) : Unknown
PERCENT VOLATILE BY VOLUME ('/..1 ; N/A
VAPOR DENSITY (Air l ) ; N/A ..
EVAPORATION PATE ( -1 ) : N/A
SOLUBILITY IN WATER: Freely soluble.
APPEARANCIE AND ODORe Opaque orange. Pleasant orangey fragrance.
SECTIUN IV - FIRE AND EXPLOSION HAZAII:D DATA
FLASH F'U I Nl' Degrees F. (Set a f 1 ash ASTM D-3278-'70)
FLAMMABLE LIMIT 3: Not Established
EXTINGUISHING MEDIA: lJater spray, fac3,11, _ar,br_ni dio,tide gar dry
chemical .
SPEC:I AL. -FIRE F I GHT I N1a P F"'..00EDURE S: Nain e
UNUSUAL -FIRE ANl) EXPLOSION HAZARDS: None "
SECTION V - ,HEALTH HAZARD DATA
THRESHOLD LIMIT VALUEe N,--,t Established.
EFFECTS OF.'. OVEF-:EXF'USUI- E: Ncine knc:,wn. Nco permanent adverse of feCtM
frcim temporary .-clitL with skin
EMER13ENC:Y AND FIRST AID h'R01--:E'DUI;:E::3':
IF` INGESTED: May CaLl5e ebdominal distress. Seel, medical
attent icin if irritation persists.
SENT BY:Xerox Telecopier 7020 ; 7-28-94 2: 13PM ; 5086078499-4 ;# 2 -
• `°- Page 2
IF' ON SM�IrJ: Rinse with plenty of water. Frequent or 'pr�_�1oncluld .
contact may irritate and cause dermatitis.
IF' IN EYES: Flush eyes with ,plenty of water . Call a physi�_ian
if irritation persists.
SECTION VI - REACTIVITY DATA
STABILITY: Stable
CON01,TIONS TO AVOID: Eycerssive heat .
INCOMPATABILITY (Materials to avoid) -. Stru-ing oxidizing agentap
including. clays.
HAZARDOUS DEs_:OMPOSITION PPODUI,TSe Smoke may be acrid and fumes
irritant .
HAZARDOUS POLYMERIZATION: Will not occur
SECT I ON V I I - SPILL OR LEAN; mOC'EDURES
STEPS TO LIE TAI EI\I IN CASE MATERIAL IS RELEASED OF: Sr'I LLED: SOa k 1.1p
with an absorbent material , and rinse area with water .
WASTE DISPOSAL METHOD: Do not reuse empty container . Wrap empty
container and throw in trash collection. Dispose of accr_rrding
to federal , state and local regulations, regarding health, air
and water pollution.
SECTION VIII - SPECIAL PROTECTION INFORMATION
RESPIPATORY PROTECTION (Specify type) : None required.
VENTILATION: LOe::AL EXHAUST- N.".r ma l ventilation
MECHANICAL (General ) : Not required
PROTECTIVE GLOVES: Not required.
EYE PROTECTION: Not required.
=x. _xx=x.^.^..^==x=max:tom"_..'�xx=x=5x��;•�":===Cx.�vm7 va xS7�x====xzfC=2:�x=:_==�o�m:aa��.^x
SECTION IX - SPECIAL PRE.I 'AUT I ONS
PREI_AUT i OIUS TO BE TAk.E:N IN HANDLING AND STORING: Store upright at
room temperature. In order to maintain product q,.tal i't, d,n
ncit - stare near- heat gourr_e or in direct sunlight . (A-
r_esttalyStc such as 'aluminum ch1cirlde?.
OTHER -PRECAUTIONS: Keep rout of reach of children.
_.-----
AlthOUgh the information presented herein is; bel ' > trl.te
and accuratev rt_, warranty or guaranty, express i53 made
regarding the information or the perfot-mance juct . Since
the conditions of use ark beyond Our contra' << .:s Of Lt!!!,� are
taSSU1Mad by the usey . WL4 aSSUMO 110 l iabil _idantal or
consequential or clirect damages. of any Atter what the
L ausU.•
---------------- --------- ---.... -- - - --
MATERIAL SAFETY DATA ,,SHEET
0a' c� � t
1 - PRODUCT IDENTIFICATION
—� el Nov , (9 3 45 -343
ADDRESS: 7101 College Blvd. , Suite 610 INi hts, (314 535+1395
Overland Park KS 6 = -9300
19001424
G p
PRODUCT NAME: IProduct'No.i `9401
-" � ,
1
Synonyms: Aqueous Phenolic Germicidal Soap-
II - HAZARDOUS INGREDIENTS OF MIXTURES
AT RIA (CAS/) 1 X By Wt_ i TLV i PEL
#2-pphenylphenol (90-43-7) 1 1.0 1 N/A.. :; I N/A
/o-benzyl-p-chlorophenol (120-32-1) 1 5.25 1 N/A I N/A
isopropanol (67-63-0) 1 (5 • 1 .400ppm i 400ppm
4 Ingredient sub 'sot to reportingg under Section 313 ( ,
of Title III (SAAA) and 40 CFR 372.
Ili- PHYSICAL DATA
Vapor Pressure, mm Hg: N/A I Vapor Density (Air=1)60=90F: N/A
Evaporation Rate(ether=l) : N/A I % Volatile byiwt ' 0105C/2 hrs. 72
Solubility in H2O: 100% 1 pH ! 1 :32 Solution 10.8
Freezing Point F: 20F I pH as Distributed: 12.2
Boiling Point F: 0147 psigg 20OF 1 Appearance: Green color
Specific Gravity H2O* •25C: 1 .083 1 Odor: Pleasant -poppermint. aroma
IV - FIRE AND EXPLOSION
Flash Point F: 150F (Closed Cup) I Flammable Limi4t. N/A
Extinguishingg Media: Suitable for surrounding fire - water, foam,
dry chemicsl , CO2.
Special Fire Fighting Procedures: N/A
Unusual Fire and Explosion Hazards: N/A :�..,.,.i..
V - REACTIVITY DATA
Stability - Conditions to avoid: None known
Incompatibility: , None known
Hazardous Decomposition Products: Forced ignition of dried residues
may produce CO CO2.
l' •C •!
Conditions Contributing to Hazardous Polymerizstion: : Will not! occu►. .
Icont�d;ort.Osp� 2)
sanoF�
�a :f .
7101 0OUF.6E-"gEVARD-SURE 610
Sanofi Amerce
r �� VI - HEALTH HAIARD'DATA
EFFECTS OF OVEREXPOSURE (Medical Conditions Ag ravited/Target Organ Effects,
A. ACUTE (Primary Route of Exposure) Concentrate causes severe eye and
skin irritation. EYES S SKIN: Use dilution (1:32) allyyhtly Irritating
to eyes. INHALATION: Mists of use solution may irritafe nasal
passages. INGESTION: Oral LD50 (rats) 12.6 ml/kg. Concentrate will
cause upset to gastrointestinal tract.
B. SUBCHRONIC,CHRONIC,OTHER: None known.
VII - EMERGENCY AND FIRST AID PROCEDURES
EYES: In case of contact immediately flush ayes with plenty o water
for at least 15 'minutes.&II a physician.SKIN: In case of contact,
immediately flush skin with plenty of water for at least 15 mihutes.
Remove and wash contaminated clothing before rouse. I NHALAT ION 4. Remove
to fresh air and contact 'a physician. INGESTION: If swallowed,DO NOT
induce vomiting.Drink large quantities of fluid and call a physician
Immediately.
VIII - SPILL OR LEAK PROCEDURES
SpiII Management: Spills may be cleaned up with flowin* water.
Waste Disposal Methods: Waste solutions may be sewered.
IX- - PROTECTION INFORMATION/CONTROL MEASURES
Respiratory: N/A IEye: Sefetj IGlove: .Rubber
I glasses or I.•
I goygl•a I
Other Clothing and Equipment: N/A
Ventilation: Normal room ventilation.
X - SPECIAL PRECAUTIONS
Precautions to be taken in Handling and Storing'. - This product will with-
stand an occasional accidental freezing.
Additional Information: Read and observe labeled use instructions.
Prepared by:D. Godward Revislom..Date:04/10/91
Seller makes no warranty, expressed or implied, concernlhg the,use of this
product other than indicated on the label . Buyer assumes all risk•of-use
and/or handling of this material when such use and/or handling„fe contrary
to label instructions.
While Sol ler •belloves that the informat Ion 'contained herein Is accuiate such
information is offered solely for its customers' consideration and verl#loatlon
under their specific use conditions. Th W information '1s not to,,be deemed a
warranty or representation of any kind for which Sol let essunei legrl.�responsf-
i PAGE 2
3
F
ae•rr a••+wyie
..unrw /
...row ■r•arw `
CUMBERLAND ::�.:�, 1 �,.rK.T..
MATERIAL SAFETY DATA SHEE Q..9
SECTION I. Identity of Material
PRODUCT NAME OR NUMBER %70%-I SOPROPYL,—ALCOHOI,.,RUBB1 NG
SYNONYMS ISOPROPYL ALCOHOL
FORMULA CH3 2CHOH CAS NUMBER M 1 XTURE CHEMICAL FAMILY ALCOHOL
r
SECTION II•A Hazardous ProducUingredient Per 29-CFR 1910r 1200
COMPOSITION CAS NUMBER PERCENT
PRODUCT 70% ISOPROPYL ALCOHOL MIXTURE 100%
1 ISOPROPANOL 67-63-0 70%
THERE ARE: NO OTHER LISTED INGREDIENTS CONSIDERED TO BE HAZARDOUS.
SECTION II•B ACUTE TOXICITY DATA
No. ACUTE ORAL LOSO ACUTE DERMAL LDSO
• ACUTE INHALATION LC50
5840 MG/KG 13000 MG/KG 12000 MG/KG
FOR RATS FOR RABBITS FOR RATS 8 HRS.
' FOR CONCENTRATIONS OF t00%.
SECTION III PHYSICAL DATA
0
11U( G POUR: 1 7 6 F SPECIFIC GRAVITYO 0,8.7 8 VAPOR PRESSURE:' 2 0 0 C(DEG F) M20-1) (DEG F)
(MM HO)
MELTING POINT; 0
1 2 7 F SOLUBILITY: COMPLETE
(OEO VAPOR DENSITY: 1 .6 F) QN WATER)
(AIR-t)
EVAPORATION RATE KBUTYL ACETATE .it 1 .7
APPEARANCE AND ODOR: CLEAR, COLORLESS LIQUID WITH MILD ALCOHOL ODOR.
SECTION IV FIRE AND WLOSION HAZARDS
IYASH-POINT AND METRO 70.50F FU1MMABLELIMRS/%VOLUMEIH�AIR ���
TAG OPEN CUP lowER 2%. UPPER
EXTINGUISHING MEDIA USE WATER FOG, ALCOHOL FOAM, DRY CH041CAL, CO
I
SPECIAL FIREFIGHTING PROCEDURES AND PRECAUTIONS WARN I NG- FLAMMABLE. CLEAR FIRE AREA OF UNPROTECTED.PERSONNEL.
DO NOT ENTER CONFINED FIRE SPACE WITHOUT FULL BUNKER GEAR HELMET WITH FACE SHIELD, BUNKER
COATS,GLOVES,.AND RUBBER BOOTS. INCLUDE A POSITIVE PRESSURE N1OSH APPROVED SELF-CONTAINED
BREATHING APPRATUS. COOL FIRE EXPOSED CONTAINERS WITH WATER.
UNUSUAL FIRE AND EXPLOSION HAZARDS CONTA 1 NERS EXPOSED TO INTENSE HEAT 'FROM FIRES SHOULD BE COOLED WITH
WATER TO PREVEN T VAPOR PRESSURE BUILDUP WHICH COULD RESULT IN CONTAINER RUPTURE. CONTAINER
AREAS EXPOSED TO DIRECT FLAME SHOULD BE COOLED WITH LARGE AMOUNTS OF WATER.
The dab In this M81*ris1 Safety Data Shesl relates only to the specific material designated hereln and does not relate to use In combination with any other material or In arty process.The In-
formation eel forth heroin Is furnished It"of Charge and Is based on technical data that CUM13EALAND believes to be reliable.It Is Intended for use by persons having technical skill and at
emir own dlscrellon and risk.Since conditions of use srs outside out control.we make no warrant,*$,express or Implied,and assume no liability In connection with any us of this Informs.
tlon.Nothing heroin Is to be take as a license to Operate under or a recommendation to Infringe any patents.
t'
SECTION V HEALTH HAZARD INFORMATION
1
OSHA
NO. PELlTWA PEUCEILING ACGIH OTHER
TLVrtWA TLWSTEL
1 400 PPM 400 PPM 3 SOO PPM
3 50% ODOR RECOGNITION
980 MGM
/ 1225 MG/M THRESHOLD IS 7.5 PPM
CARCINOGEN; OSHA-NO, NTP-NO, IARC-NO
INHALATION: MAY CAUSE MILD IRRITATION TO THE: NOSE,THROAT,AND RSRPIRATORY TRACT AND MAY RZSULT
IN CENTRAL NERVOUS SYSTEM DEPRESSION.
SKIN CONTACT: MILDLY I RR I TAT I NG TO THE SKIN.
SKIN ABSORPTION: w '
MILDLY IRRITATING TO THE SKIN.
1
EYE CONTACT: MODERATELY 1 RR i TAT 1 NG TO THE EYES.
INGESTION:
GENERALLY CONSIDERED TO HAVE A LOW ORDER OF ACUTE ORAL TOXICITY.
ACUTE m ACUTE LOCAL - IRRITANT I
ACUTE SYSTEMIC I NJEST I ON 2, i N HAL.AT I ON 2
CHRONIC: O CHRONIC LOCAL NO INFORMATION ON Fil1MA1`LS CONS 1 DERED VALID BY AUTHORS.
CHRONIC SYSTEMIC INJESTION I INHALATION 2
SECTION VI EMERGENCY AND FIRST AID PROCEDURES
EYES: MMEDIATELY FLUSH EYES WITH PLENTY OF WATER FOR AT LEAST 15 MINUTES. OBTAIN
IMMEDIATE MEDI CAL ATTENTION.
JPHYSICIAN:
LUSH SKIN WITH PLENTY OF WATER. IF IRRIATION OCCURS, SEEK MEDICAL ATTENTION.
MOVE VICTIM TO FRESH AIR AND PROV 1 DE OXYGEN IF BREATH 1 NG IS DIFFICULT.
STAIN MEDICAL ATTENTION.
i
NOT GIVE LIQUIDS IF VICTIM IS UNCONSCIOUS OR DROWSY.OTHERWISE GIVE NO MORE THAN
GLASSES OF WATER AND INDUCE VOMITING 13Y GIVING 30CC 2 TABLESPOONS SYRUP OF
iPECAC. OBTAIN MEDICAL ATTENTION;
NF VICTIM 1 S A CHI LD,G 1 VE NO MORE THAN 1 GLASS OF WATER AND 1 5 CC 1 TABLESPOON SYRUF
F IPECAC- IF SYMPTOMS SUCH AS LOSS OF GAG REFLEX,CONVULSIONS,OR UNCONSCIOUSNESS
CUR BEFORE EMESIS, GASTRIC LAVAGE SHOULD BE CONSIDERED FOLLOWING INTUBATION WITH
SECTION VII REACTIVITY
STA8111TY: STABLE HAZARDOUS POLYMERIZATION. W ILL NOT OCCUR
CONOMONS AND MATERIALS TO AVOID: AVO 10 HEAT, SPARKS. FLAME, AND CONTACT W 1 TH OX I D i Z I ONG AGENTS. DO NOT STOF
OR HANDLE IN ALUMINUM CONTAINERS OR EQUIPMENT AT TMAPERATURES ABOVE: 120 F.
HAZARDOUS OECOMPOSRION PRODUCTS CARBON MONOXI DE AND UN I DENT t F 1 ED,.ORGAN I C COMPOUNDS MAY BE FORMED DUR 1 NC
COMBUSTION.
NOTE m TAKEN FROM DANGEROUS PROPERTIES OF HAZARDOUS MATER I ALS,4 TH ED I T I ON,N. I RV I NG SAX
I � -
} SECTION VIII EMPLOYEE PROTECTION
CONTROL MEASURES: EXPLOS 1 ON PROOF VENT I LAT I ON AS REQU I RED TO CONTROL VAPOR CONCENTRAT I ONS.
RESPIRATORY PROTECTION: USE N I OSH APPROVED RESP 1 RATOR TO PREVENT OVER EXPOSURE. 1 N ACCORD W i TH Z 9CFR
• I 1910. 134 USE EITHER AN ATMOSPHERE SUPPLYING RESPIRATOR OR AN AIR PURIFYING
— RESPIRATOR FOR ORGANIC VAPORS.
PROTECTIVE CLOTHING; AVOID CONTACT W 1 TH EYES. WEAR CHEM I CAL GOGGLES I F THERE 1 S A L 1 KEL 1 HOOD OF
CONTACT WITH THE EYES.AVOID REPEATED CONTACT WITH THE SKIN.WEAR CHEMICAL
RESISTIVE GLOVES.
EYE PROTECTION: AVO I D CONTACT W I TH THE EYES, WEAR CHEM I CAL GOGGLES I F .THERE 1 S A L I KEL 1 HOOD
OF CONTACT WITH THE EYES.
SECTION,IX •ENVIRONMENTAL PROTECTION
SPILL OR LEAK PROCEDURES: WARN I NG, FLAMMABLE.EL L M 1 NATE ALL I GN I T 1 ON SOURCES.HANDL 1 NG EQU 1 PMENT MUST
ME PROPERLY GROUNDED TO ELIMINATE SPARKING. FOR LARGE SPILLS,EVACUATE AREA
OF ALL UNAUTHORIZED PERSONNEL.PERSONS ENTERING AFFECTED AREA MUST WEAR
WASTE DISPOSAL PERSONAL- PROTECTIVE CLOTHING AND EQUIPMENT. SHUT OFF SOURCE OF SUPPLY.
UNDER EPA-FcACA 40CFR261 .2j ,PRODUCT BECOMES A WASTE MATERIAL. IT WOULD BE
IGNITABLE AND A HAZARDOUS WASTE. REFER TO EPA OR STATE REGULATIONS FOR DISPOSA
ENVIRONMENTAL HAZARDS: RELEASES TO AIR,LAND,WATER.-MAY BE REPORTABLE. C 1 RCUMSTANCES SURROUND 1 NG RELEAS:
AND CLEANUP DETERMINE REPORTABILITY.
SECTION X SPECIAL PROTECTION INFORMATION
VENTILATION REQUIREMENTS: USE EXPLOSION PROOF VENTLAT I ON AS REQUIRED TO CONTROL VAPOR CONCENTRATIONS.
I
RESPIRATORY(SPECIFY IN DETAIL) SPECIFIC PERSONAL PROTECTIVE EQUIPMENT
REFER TO SECTION VI11 EMPLOYEE PROTECTION
EYE
' REFER TO SECTION V I I I EMPLOYEE PROTECTION GLOVES:
OTHER CLOTHING AND EQUIPMENT:
EYE WASH FOUNTAIN AND SAFETY SHOWER SHOULD BE AVAILABLE FOR EMERGENCY
USE.
SECTION XI TRANSPORTATION DATA
HAZARDOUS CHARACTERISTICS
❑CORROSIVE ❑FLAMMABLE LIQUID
❑FLAMMABLE SOLIDS ❑EXPLOSIVES
❑OXIDIZER POISON ❑MAGNETIC ❑NON—FLAMMABLE GAS
• ❑FLAMMABLE OAS U RAOIOACTIVE ❑NONE
®OTHER CONSL�Eg COMMOD 1 TY-ORM-D
D.O.T.
CLASSIFICATION CONSUMER COMMODITY I FLASH 70.50E
POINT
SECTION XII MANUFACTURER OR SUPPLIER DATA
FIRM'S NAME i MAILING ADDRESS
NAME(PRINT) JAMES R. BEAVER
SIGNATURE
CUMBERLAND-SWAN, INC.
ONE SWAN DRIVE TITLE RISK MANAGER
SMYRNA, TN 37167 DATE 7/10/90
EMERGENCY TELEPHONE NO. 6 1 5 4 5 9-8 9 0 0
i
BE SAFE
READ-OUR PRODUCT
CQFFTY INCr1oII�nTIn�1
i 1�
.. � IPHOTO P ALL ED PRODUCTS CO., INC.
A CPAC t Comp"any
MSDS M.47
DATE: Al." J1
Health
MATERIAL SAFETY DATA SHEET Flammability 0
Reactivity 0
SECTION I - GENERAL INFORMATION personal Protection 8
PRODUCT-NAME: AUTEX FIXER 8 REPLENISHER -
CAT. #-2301d, 23018 -
CHEMICAL FAMILY FORMULA
PHOTOGRAPHIC FIXER AQUEOUS MIXTURE:.
PROPER D.O.T. SHIPPING NAME p•O,T, HAZARD CLASSIFICATION
NOT REGULATED NOT APPLICABLE
MANUFACTURER MANUFACTURERS PHONE NUMBER
ALLIED PHOTO PRODUCTS'CO., INC: (gQq)448-0250
5440-A OAKBROOK PARKWAY CHEMTREC PHONE NUMBER
NORCROSS. GA 30093 � (8p0)424-9300
SECTION 11 • product and Hazardous_In�gredients Information SARA
Fixer Part A #2205 CAS # PERCENT PEL(MA) Rti / TPQ
Ammonium Thiosultate 77831" 40-50 NIA NIA NfA
Sodium Sultite 7757-83-.7 48 WA NIA N►A
Acetic Acid 64-19-7 2-6 10 ppm 5a" WA
Water. 7732-18-5 10-15 WA WA N/A
Fixer Part 8 #2101 WA
Aluminum Sulfate 10043-01-3 2t}.30 NIA
Water 7732.18.5 70 80 WA NIA WA
_SECTION III Physical Data
BOILING POINT: >212• beg.. F. 1000) SPECIFIC GRAVITY (WATER = 1: Approx. 1.335
VAPOR PRESSURE (mmHg): Approx. 17 PERCENT VOLATILE BY WEIGHT: Approx.
_ VAPOR DENSITY (Air : i): Approx.0.6 EVAPORATION BATE: Not Available
SOLUBILITY IN WATER: Complete - Port A pH: Approx. 5.2
APPEARANCE AND ODOR. Colorless liquid frith a slight Part S pH: Approx. 3.00
ammoniacal odor.
SECTION IV - Fire and Explosion Hazard Date... _
Flash Point; None Flammable Limits: !_EL: N/A UEL: NIA
Extinguishing Media: Use method appropriate for surrounding fire.
Special Fire Fighting ProcsdUres: Use protective clothing to prevent contact with skin and eyes,
Unusual Fire and Explosions Hazards: When heated to decomposition, it can emit toxic fumes of SOX and
ammonia.
SECTION V - Health Hazard Data
TLV (ACGIH): Acetic Acid (10 ppm)
Effects of Overexposure:
Inhalation: Low hazard for ordinary industrial handling.
Eyes; Contact may cause Irritation.
Skin: Repeated and prolonged contact may Cause irritatior
Ingestion: Do not take intemally May be-harmtul if swall0
Carcinog4n: NIA * Teratogenicity: WA • Repfoiauctive Toxicity: NIA
.t Mutagenicity:' N/A -• Synergistic Products: N/A
� y
Barnstable Animal Hospital
Name (Last, first) Client Id Provider Date
Address (Street) City/State
New Patient? Yes No Patient's Name Weight
Age Breed Color Sex Fecal? Yes No
Reason for Appointment:
SA-PROF SERVICE/CALL FEES 01 _ DHLPP2 Canine DHLPP Vacc. 2 14.00 _ SFC Feline Castration 45.00
_ DHLPP3 Canine DHLPP Vacc. 3 14.00 _ SFOH Ovariohysterectomy-F 65.00
_ SE Examination 6.00 _ FBLV Feline Leukemia Vacc 14.00 _ SFOH/B Estrus/Pregnant Feli 10.00
_ SHAH Emergency-After Hour 50.00 _'FELV1 Feline Leukemia Vacc 14.00 _ SGD100 Canine-Dental 75-100 93.00
_ SBMBX Emergency Exam 35.00 _ FELV2 Feline Leukemia Vacc 14.00 _ SGD50 Canine-Dental 26-50 73.00
_ SOV Office Visit' 24.00 _ FVRCPI Feline FVRCPC Vacc. 10.00 _ SGD75 Canine-Dental 50-75 83.00
_ SOVIH In-Hospital Exam 24.00 ' _ FVRCP2 Feline FVRCPC Vacc. 10.00 _ SGDF Feline Dental 53.00
_ SOUP Office Visit- Next P 10.00 _ FVRCP3 Feline FVRCPC Vacc. 10.00 _ SL/L Laceration-large 55.00
- SOVR Office Visit Recheck 12.00 _ FVRCPC Feline FVRCPC Vacc A 10.00 _ SL/S Laceration-small 25.00
_ TT Technician Time 5.00 _ KBNN Canine KennelCough V 8.00 _ SMBX Mass Excision .00
_ XMIS1 .00 _ KENN1 Canine Kennel Cough 8.00 _ SRBV Reversal Agent 8.00
_ LYMB Canine Lyme Vaccin A 14.00 _ SS Surgery/.25 Hour 25.00
SA-HOSP CARE/BOARD/GROOM 02 _ LYME1 Canine Lyme Vaccinat 14.00
- LYME2 Canine Lyme Vaccinat 14.00 SA-LAB/RADIOLOGY 07
_ SB/C Board/day-Canine 12.00 _ SCV/A Canine Coronavirus 1 6.00
_ SB/F Board/day-feline 8.00 _ SCV/B Canine Coronavirus 2 6.00 _ SBG Blood Glucose 8.00
_ SH/C Hospitalization-Cani 18,00 _ SCV/C Canine Coronavirus 3 6.00 - SC/SB Culture/sensitivity 38.00
_ SH/F Hospitalization-Feli 12.00 _ SCVI Canine Coronavirus A 6.00 _ SCAR Cardiac Profile 35.00
_ SINC Intensive Care 28.00 - SFRV1 Feline Rabies Vacc-1 10.00 _ SCBC Complete Blood Count 14.00
_ SOUT Outpatient Cage Use 6.00 _ SFRV3 Feline Rabies Vacc-3 10.00 _ SCCH Cbc/chemistry 55.00
_ XMIS2 .00 _ SRV1 Rabies Vaccination-1 10.00 _ SCP Chemical Profile 35.00
_ SRV3 Rabies Vaccination-3 10.00 _ SDMT Dermatophytes Cultur 28.00
SA-EXAM/TREAT/ADM MEDICATION 03 _ TAG Rabies Tag Duplicate .00 _ SBCY Bar Cytology 12.00
_ XMISV .00 _ SEFL Bye Flourescein Stai 6.00
_ SBA Bandage 15.00 _ SBK2 Electrocardiogram BK 25.00
_ SHAG Express Anal Glands 6.00 SA-SURGERY/ANESTHESIA/DENT 05 ___. SBKG Electrocardiogram BK 45.00
_ SECM Bar Cleaning & Medic 8.00 ; _ SF/F Fely/fiv Test 25.00
SIV Fluids Iv /day 24.00 _ SABS Abscess Surgery 35.00 _ SFB Fecal 8.00
_ SIVC Intravenous Catheter 18.00 _ SAUR Aural Hematoma Surge 85.00 _ SHIS Histopathology 48.00
_ SLES 'Lesion Therapy 5.00 _ SBAN Bandage App/change 20,00 _ SEW Heartworm Check 18.00
_ SSBD Sedation 15.00 _ SC/GA General Anesthesia C 40.00 ._ SLYM Lyme Titer 28.00
_ SSQ Fluids-subcutaneous 12.00 _ SCAS• Cast App/change 50.00 _ SPAS Pre-Anesthetic Blood 28.00
_ STNT Toe Nail Trim 4.00 _ SCC Canine Castration 95.00 _ SRBN Renal Profile 45.00
_ XMIS3 .00 _ SCOH/E Bstrus/Pregnant Cani 25.00 _ SSS Skin Scrape-woods La 8.00
_ SCOH/L Ovariohysterectomy-1 130.00 _ SSTT Schirmer Tear Test 6.00
SA IMMUNIZATION/REGOLATORY 04 _ SCOH/M Ovariohysterectomy-m 115.00 - STHY Thyroid Profile 35.00
An _ SCOH/S Ovariohysterectomy-s 95.00 _ SUA Urinalysis 18.00
_ CBRT Duplicate Rabies C 2.00 - SDC2 Declaw Front Paws 75.00 _ SX X-ray First View 28.00
_ DHLPP Canine DHLPP Vacc An 14.00 . ,_ SDG25 Canine-Dental 0-25 1 63.00 _ SX+ X-ray Additional Vie 20.00
_ DHLPPI Canine DHLPP Vacc. 1 14.00 - SF/GA General Anesthesia F 30.00 _ XMIS7 .00
See Back
I
NIA NIA N/A
.ITEM-PT-B 0103
Acetic Acid 64-19-7 55-e0 :10 ppm 5=# N/A
1-Phenyl-3-Pyrazolidone 92-43-3 10-15 N/A NIA NIA
Water '7732.16-5 20-25 NIA NIA N!A
ITEM PT-C #1725
Glutaraldshyde 111-30-8 30.35 0:2 ppm (C) N/A WU
Water 7732-18-5 65 TO NIA N/A NIA
SECTION III - Ph
vslcal Data
BOILING POINT: >212° F—PT,A, B, C VAPOR PRESSURE (mmHg): A 17.0 815.0 C 17.0
VAPOR DENSITY (mmHg): A 0.6 81.01 C 0.6 SOLUBILITY IN WATER: Complete
SPECIFIC GRAVITY! A 1.29 B 1.08 C 1.105 pH: A 1.09 B 2.5: C 3.0
PERCENT VOLATILE BY WEIGHT: 55% EVAPORATION RATE: N/A
APPEARANCE'AND ODOR; A Off white, odorless. B Amber color, vinegar odor. C Clear, aldehyde:odor.
SECTION IV • Fire and Explosion Hazard Data PT'S-A-C
Flash Point: None Flammable Limits: LEL: N/A UEL: NIA
Eztingulshing Media: Use tlnethod appropriate for surrounding fire.
Special Fire Fighting Procedures: Use protective clothing to prevent contact with skin and eyes.
Unusual Pire and fl<xploalons Hazards: When heated to decomposition, it Can emit toxic fumes of SO2-
SECTION IV - Fire and Explosion Hazard Data PT-B ,
Flash Point: 1040 F cc
Flammable Limits: LEL: 143 mg/L a 600 C UEL: 378 mg/L @ 930 C
Extingulshing Media: Water spray, alcohol foam, dry chemical, carbon dioxide.
Special Fire Fighting Procedures: Use protective clothing to prevent contact with skin and eyes. Use'self contained breathing
apparatus.
Unusual Fir* And Explosions Hazards: When heated to decomposition, It can emit toxic fumes. Will produce CO2 and possibly
CO. Reacts vigorously with oxidizing materials.
btk;I IUN vil - ppm Or LeaK rrucewts
Steps to be Taken In Case Material is Released or Spilled: Wear protective clothing as specified in Sectibn VIII.Neutralize with sodium
bi:arbonate. It federal, state and local laws permit, flush to the sewer with large amounts of water.
Waste Disposal: Neutralize with sodium bicarbonate.If federal,state KM/or local laws permit,flush to sewer with large amounts of water.
Otherwise dispose of contaminated product and materials used in cleaning up the spill In a manner approved for this material. Consuh
proper federal, state and/or local regulatory agencies to ascertain proper disposal procedures.
SECTION VIII - Special Protection Information
Respiratory Protection (Specify Type); Should not be necessary under normal conditions. It exposed?to vaimrs that exceed TLV or
PEL, wear.an approved vapor respirator.
Protective Equipment.
Gloves: Impervious gloves.
Eyes: Wear protective goggles. "
Other- As necessary to prevent skin contact. Eyewash facilities in vicinity of use.
SECTION IX - Special Precautions
Precautions to be Taken In Handling and Storage: Do not store or consume food, drink or tobacco in surrounding area. Keep away
from heat or flame. Keep away from alkalis, amines, alcohols, and strong oxidizers. Wash thoroughly after use. ,
The Information contained in this material safety data sheet is furnished without warranty of any kind.The`.user should consider this data
a supplement to other Informatio!-- gathered and must make independent determination of suitability and completeness of Information
from this and other sources to assure proper use and disposal of the materials and the health and safetx of employees and customers.
This statement is incorporated as part of this Material Safety Data Sheet.
R'
Barnstable Animal Hospital
Name (Last, first) Client Id Provider Date
Address (Street) City/State
New Patient? Yes No Patient's Name Weight
Age Breed Color Sex Fecal? Yes No
Reason for Appointment:
SA-PROF SBRVICB/CALL FEES 01 _ DHLPP2 Canine DHLPP Vacc. 2 14.00 _ SFC Feline Castration 45.00
1 _ DHLPP3 Canine DHLPP Vacc. 3 14.00 - SFOH Ovariohysterectomy-F 65.00
- SB Examination 6.00 - FBLV Feline Leukemia Vacc 14.00 _ SFOH/B Estrus/Pregnant Feli 10.00
- SHAH Emergency-After Hour 50.00 -'FELV1 Feline Leukemia Vacc 14.00 _ SGD100 Canine-Dental 75-100 93.00
- SBMEX Emergency Exam 35.00 - FBLV2 Feline Leukemia Vacc 14.00 _ SGD50 Canine-Dental 26-50 73.00
- SOV Office Visit 24.00 - FVRCPI Feline FVRCPC Vacc. 10.00 _ SGD75 Canine-Dental 50-75 83.00
- SOVIH In-Hospital Exam 24.00 ' - FVRCP2 Feline FVRCPC Vacc. 10.00 _ SGDF Feline Dental 53.00
- SOUP Office Visit- Next P 10.00 _ FVRCP3 Feline FVRCPC Vacc. 10.00 - SL/L Laceration-large 55.00
- SOVR Office Visit Recheck 12.00 - FVRCPC Feline FVRCPC Vacc A 10.00 - SL/S Laceration-small 25.00
- TT Technician Time 5.00 _ KENN Canine KennelCough V 8.00 _ SMBX Mass Excision .00
- XMIS1 .00 - KENN1 Canine Kennel Cough 8.00 - SRBV Reversal Agent 8.00
_ LYMB Canine Lyme Vaccin A 14.00 - SS Surgery/.25 Hour 25.00
SA-HOSP CARE/BOARD/GROOM 02 _, LYM81 Canine Lyme Vaccinat 14.00
_ LYM92 Canine Lyme Vaccinat 14.00 SA-LAB/RADIOLOGY 07
- SB/C Board/day-Canine 12.00 - SCV/A Canine Coronavirus 1 6.00
- SB/F Board/day-feline 8.00 - SCV/B Canine Coronavirus 2 6.00 _ SBG Blood Glucose 8.00
- SH/C Hospitalization-Cani 18.00 _ SCV/C Canine Coronavirus 3 6.00 - SC/SB Culture/sensitivity 38.00
- SH/F Hospitalization-Feli 12.00 _ SCV1 Canine Coronavirus A 6.00 _ SCAR Cardiac Profile 35.00
- SINC Intensive Care 28.00 _ SFRV1 . Feline Rabies Vacc-1 10.00 - SCBC Complete Blood Count 14.00
- SOUT Outpatient Cage Use 6.00 - SFRV3 Feline Rabies Vacc-3 10.00 _ SCCH Cbc/chemistry 55.00
- XMIS2 .00 - SRV1 Rabies Vaccination-1 10.00 = SCP Chemical Profile 35.00
- SRV3 Rabies Vaccination-3 10.00 - SDMT Dermatophytes Cultur 28.00
SA-EXAM/TRBAT/ADM MEDICATION 03 - TAG Rabies Tag Duplicate .00 _ SBCY Bar Cytology 12.00
- XMISV .00 - SBFL Bye Flourescein Stai 6.00
- SBA Bandage 15.00 - SBK2 Electrocardiogram BK 25.00
- SHAG Express
Cleaning
Anal Glands 6.00 SA-SURGERY/ANESTHESIA/DENT 05 _ SBKG Electrocardiogram BK 45.00
- SBCM Bar Cleaning Medic 8.00 - SF/F Fely/fiv Test 25.00
- SIV Fluids Iv /day 24.00 - SABS Abscess Surgery 35.00 _ SFB Fecal 8.00
- SIVC Intravenous Catheter ' 18.00 - SAUR Aural Hematoma Surge 85.00 - SHIS Histopathology 48.00
_ SLBS Lesion Therapy 5.00 - SBAN Bandage App/change 20.00 - SAW Heartworm Check 18.00
- SSBD Sedation 15.00 _ SC/GA General Anesthesia C 40.00 _ SLYM Lyme Titer 28.00
_ SSQ Fluids-subcutaneous 12.00 - SCAS Cast App/change 50.00 - SPAS Pre-Anesthetic Blood 28.00
- STNT Toe Nail Trim 4.00 . - SCC Canine Castration 95.00 - SRBN Renal Profile 45.00
- XMIS3 .00 - SCOH/E Estrus/Pregnant Cani 25.00 - SSS Skin Scrape-woods La 8.00
- SCOH/L Ovariohysterectomy-1 130.00 _ SSTT Schirmer Tear Test 6.00
SA-IMMUNIZATION/RHGULATORY 04 - SCOH/M Ovariohysterectomy-m 115.00 - STHY Thyroid Profile 35.00
An - SCOH/S Ovariohysterectomy-s 95.00' - SUA Urinalysis 18.00
- CBRT Duplicate Rabies C .00 - SDC2 Declaw Front Paws 75.00 _ SX X-ray First View 28.00
- DHLPP Canine DHLPP Vacc A 144.00 - SDG25 Canine-Dental 0-25 1 63.00 _ SX+ X-ray Additional Vie 20.00
- DHLPPI Canine DHLPP Vacc. 1 19.00 - SF/GA General Anesthesia F 30.00 XMIS7 .00
See Back -
t:Trt��'r�p-ri�si Aio•r�oceourva: .
Eyes: Flush with large amounts of water for 15 minutes. Seek medical attention.
Skint Wash skin with soap and water. If irritation occurs, seek medical attention.
ingestion: Induce vomiting. Seek medical*attention immediately giving full details of amount ingested and toxicity.
Inhalation: Move to fresh air.
SECTION VI - Reactivity Data
Stability: Stable.
Incompatibility: Strong acids, strong bases.
Hazardous Decomposition Products: When heated to decomposition,it can emit toxic fume!is of SOx and ammonia.Con-
tact with strong acids may release Sulfur Dioxide. Contact with strong bases may release ammonia.
Hazardous Polymerization: Will not occur.
Conditions,,to Avoid: None Known,
SECTION VII - Spill or Leak Procedure
Steps to be Taken In Case Material Is Released or Spilled: Wear protective clothing as specified in Section Vill.Neutralize
with sodium bicarbonate. If federal, state and local laws permit,flush to the sewer with large amounts of water.
Waste Disposal: Neutralize with sodium bicarbonate. If federal,state and/or local laws permit, !lush to sewer with large
amounts of water. Otherwise dispose of contaminated product and materials used in cleanlr� up the spill in a manner ap-
proved for this material. Consult proper federal,state and/or local regulatory agencies to ascertain proper disposal procedures.
SECTION Vill - Special Protection Information
Respiratory Protection (Specify Type): Should not be necessary under normal conditions; If exposed to vapors that ex-
ceed TLV or PEL, wear an approved vapor respirator.
Ventilation: Good local mechanical ventilation should be sufficient.
Protective Equipment:
Gloves: Impervious gloves.
Eyes: Wear protective goggles.
Other: As necessary to prevent skin contact. Eyewash facilities in vicinity of use.
SECTION IX - Special Precautions
Precautions to be Taken In Handling and Storage: Do not store or consume food,drink or tobacco in surrounding area.
Do not store near strong acids or bases. Wash thoroughly after use.
The information contained in this material safety data sheet is furnished without warranty of any kind.The user should con•
sider this data a supplement to other information gathered and must make independent determination of suitability and corn-
pleteness of information from this and other sources to assure proper use and disposal of the materials and the health and
safety of employees and customers. This statement is incorporated as part of this Material Safety Data Sheet.
i
72c:4`
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 3.2.Printers
BOARD OF HEALTH 3.Auto Body Shops
unsatisfactory- 4.Manufacturers
COMPANY Agsy'l,-*14 /�'� O e "Orders") 5.Retail Stores
v � 6.Fuel Suppliers
ADDRESS /d ClasS: 7•Miscellaneous
QUANTITIES AND STORAGE (IN=indoors; OUT=outdoorsl
MAJOR MATERIALS Case lots Drums Above Tanks Underground
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline Jet Fuel (A)
Diesel, Kerosene, #2 (B)
-Heavy Oils:
waste motor oil (C)
new motor oil(C)
transmission/hydraulic .
Synthetic Organics:
degreasers
Miscellaneous-
DISPOSAL/RECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply OV56mir c E dof
ZN Town Sewer )Vublic 00 S'
0 On-site OPrivate
3. Indoor Floor Drains YES NO
0 Holding tank:MDC
0 Catch basin/Dry well ' L4 S
0 On-site system e
4. Outdoor Surface drains:YES_�( NO
0 Holding tank:MDC l &Ll .
Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
1- 0 W8 j
2.
P son (s) Interviewed Inspector Date
Barnstable
Animal Hospital
157 Airport Road
Hyannis, MA 02601
Jonathan H. Leach V.M.D. lip
s. David E. Romeiser D.V.M. (508)778-615
Mark T. Reilly D.V.M. FAX(508)771-0552
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APPOINTMENT
FOR
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TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
Mail To:
NAME OF BUSINESS: L::zad2r=,,TA/k1ee ;7 Board of Health
MAILING ADDRESS: wti/s Town of Barnstable
TELEPHONE NUMBER: P.O. Box 534
Hyannis, MA 02601 �;
CONTACT PERSON: Q
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for
your own use,!in quantities totalli , at any time, more than 50'gallons liquid volume or 25 pounds dry
weight? YES NO
This form must be returned to the Board of Health regardless of a yes or no answer. Use the
enclosed envelope for your convenience.
If you answered YES above, please indicate if the materials are stored at a site other than your
mailing address:
ADDRESS:
TELEPHONE:
C
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health has determined that the following products exhibit toxic or hazardous
characteristics and must be registered -
=eX=gip t. Please put.a check beside each product that you store:
Antifreeze (for gasoline or°coolant systems) Drain cleaners
Automatic transmission fluid ' . _ Toilet cleaners
Engine and radiator flushes Cesspool cleaners
Hydraulic fluid (including brake fluid) _ Disinfectants
Motor oils/waste oils Road Salt (Halite)
Gasoline, Jet fuel Refrigerants
Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides,
Other petroleum products: grease, lubricants rodenticides)
j Degreasers for engines and metal Photochemicals (fixers and developers)
Degreasers for driveways & garages Printing ink
Battery acid (electrolyte) Wood preservatives (creosote)
Rustproofers Swimming pool chlorine
Car wash detergents Lye or caustic soda
Car waxes and polishes Jewelry cleaners
Asphalt & roofing tar Leather dyes
Paints, varnishes, stains, dyes Fertilizers (if stored outdoors)
X Paint & lacquer thinners PCB's
Paint & varnish removers, deglossers Other chlorinated hydrocarbons, j
Paint brush cleaners (inc. carbon tetrachloride) (�
Floor & furniture strippers Any other products with "Poison" labels
Metal polishes (including chloroform ormaldehy e,
_ Laundry soil & stain removers hydrochloric acid, other acids)
(includi leach Other products not listed which you feel may
Spot removers & cleaning fluids be toxic or hazardous (please list): r,i
(dry cleaners) i
Other cleaning solvents
Bug and tar removers �.
Household cleansers, eae4=6�s
White Copy- Health Department/ Canary Copy-Business
.I
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7P,6 3,�6
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
O satisfactory 2.Printers
BOARD OF HEALTH 0 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANY MAr (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS Class: 7.Miscellaneous
ft
Iv f QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MA��RIALS Case lots Drums Above Tanks Underground
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
ne
LDI
WA�e . 'V6
DISPOSAURECLAMATION RE S: R;—f
1. Sanitary Sewage 2. P Pv;rf e ater Supply l�
O Town Sewer Public e oin
On-site OPrivate
S ��
3. Indoor Floor Drains YES NOx_
1 I e
O Holding tank: MDC V
O Catch basin/Dry well UW
O On-site system
4. Outdoor Surface drains:YES NO O ERS: n
) 0 ro
O Holding tank:MDC ael
O Catch basin/Dry well ergL-tw4nia1 1
O On-site system t '
5.Waste Transporter
Name of Hauler Destination Waste Product
�� O e YES NO
1. NJ
2.
Person (s) Interviewed Ins' c /ba`t
CD
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair
nters
BOAR OF HEALTH O satisfactory 3.2.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANY �/`�V ��-�b (see"Orders") 5.Retail Stores
6.Fuel Suppliers
o Class' 7.Miscellaneous
QUANTITIES AND STORAGE (IN= indoors; OUT-outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUTI IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
f
DISPOSAL(RECLAMATION " REMARKS:
1. Sanitary Sewage 2. Water Supply U /�-
O Town Sewer OPublic
li(:On-site OPrivate
3. Indoor Floor Drains YES NO ,A,ry�'
O Holding tank: MDC 6�A vPc&
O Catch basin/Dry well 01j—
O On-site system n 011TWL,
4. Outdoor Surface drains:YES NO ORDERS:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
1.
/2RNr on (s) Inte ed Inspecto a e
r-,
r:
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125:.GIenn Street •- Lawrence, MA 01843 • (508) E88-1300 • .1-800-942-5337 • FAX(508) 688-8416
A Quinlan Company •,Environmentally Safe Management,of;Silver Bearing Materials
-----------
'95 09 18Af1 ------ ----------.----
NOV 28
WASTE WATER ENV. 299 PO4 NOV 27 19 .
Waste Water Environmental
Ma.nagenaent, nc,
' Laboratory AaalyW
Plant dement
(soe)ssz.eoio
FAX(508)692-solo
24itiAg Add►m
7 Eldora.d;o Rd. Lab*ratory Loca4fon
Chelmsford,MA 020Z4 270 Uttl•tah Rd. Unit 3o
Wesford,MA Oiu6
Satetyioid Reclaiming Co.
125 Clann Street
Lawrence MA 01843
Lab Z.D. : 6091
Date received: 11-20�95
Method: EPA 272.1
Completed 11-27-95
Client I.D.
Ag 14DL
mg/1 ZVI
Barnstable animal main
<0.05 0.05
St hen Bad Lab.. AireCtor /VOv l
MA Cart. :#ZSA 077
496
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--------=----------------------
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8arMstabta Animal FlosplLOJ
157 Airpol R60
' Hyannis,MA 02801
.�
Barnstable Jonathan H. Leach V.M.D.
David E. Romeiser D.V.M.
�f Animal Hospital Mark T. Reilly D.V.M.
157 Airport Road
Hyannis,MA 02601
Phone(508)778-6555
Fax(508)771-0552 p
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MAIL TO: COMMONWEALTH OF MASSACHUSETTS
RADIATION CONTROL PROGRAM
RC# 8373 RADIATION CONTROL PROGRAM
BOX 309 INVOICE: 1
BILLING DATE ESSEX STATION REGISTRATION OF RADIATION SOURCE
U.
BOSTON,MA cc FACILITIES
DUE DATE 02lO1l96 02112 RCN 8373
AMOUNT DUE $ 25.00 FACILITY
BARNSTABLE ANIMAL HOSPITAL
Pavment for 1996
FIP,ST NOTICE RADIATION SOURCES
NOTICE 0 1 Pavment for' 1996
BARNSTABLE ANIMAL HOSPITAL = 0 D� l ntal
157 AIRPORT RD N 0 Theraov
HYANNIS MA. 02601 0 Analvtical
a HARM = No
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ATTN: DRS ROMEISER & LEACH DVM o
a BILLING DATE
a DATE DUE
■ ENCLOSE THIS HALF WITH CHECK MADE PAYABLE o
COMMONWELATH OF MASSACHUSETTS AMOUNT DUE (R3 �s. n
1-3
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Z 348 651 083
Receipt for
Certified Mail
No Insurance Coverage Provided.
uwrEu surfs Do not use for International Mail
oosnu sE�
(See Reverse)
0 Sent to No
Z 91ree and No.�
l0
X. P O,State and ZIP Code
o 9� m oaw
� Postage $ 13
M
E Certified Fee I /
O /
LL Special Delivery Fee
C0
ra
FRestricted LDeliveryFFee
FReturnFReceipt�showing r A
to Whom&Date Delivered
Return Receipt Showing toINAZgg, frur
Date,and Addressee's Adctess If
TOTAL Postage
&Fees
Postmark or Date
STICK,POSTAGE'STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIEO,MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front).
1. If you want receipt postmarked,stick the gummed stub to the right of,the return address
leaving the receipt attached and present the article at a'post office service window or hand it to
your rural cirrie'r,lno extra'chargel.' r_ )
IC
2. If you)do not want this receipt postmarked,stick the gummed stub to the right of the return M
address of the article,date;detach and retain the receipt,and mail the article.
3. If you want return receipt,write the certified mail number and your name and address on a
return receipt card,Form 3811,and attach it to the front of the article by means of the gummed
ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT
REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, CO)
endorse RESTRICTED DELIVERY on the front of the article.
t
0
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If N►,
return receipt is requested,check the applicable blocks in item 1 of Form 3811. a
6. Save this receipt and present it if you make inquiry. 105603-93-8-MS
UNITED STATES POSTAL SERVICE �.�ON f Fast-Class-Mailo
��. .�_ _Postage=&=Fees_P_aid
_LISPS
PermitNo G 10
• Print your name, 9 s, and ZIP-Code in'this-box `
y
Health Depert 9d
Town of Barnstable
P.O.Box 534
Hyannis,Massachusetts 02601
Fax(508)775-3344
Phone(508)790-6265
li11111II111III JI11111111111111IIIII III 111111111111111I111111 ;; 1
a; SENDER:
v ■Complete items 1 and/or 2 for additional services. I also wish to receive the
m ■Complete items 3,4a,and 4b. following services(for an
■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. ci
> ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
4) permit.
w ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery y
ra, ■The Return Receipt will show to whom the article was delivered and the date a
o' delivered. Consult postmaster for fee.
m 3.Article Addressed to: 4a.Article Number ate,
Occ
r, 00-u Pore-05er Dav f 1,Z 3 y 8 (�-> ! D S3
E Ba-rn5�,JOJC A rt ,Mom' poop; 4b.Service Type /
u ❑ Registered Certified cc
to /5'7 Ad A/60o r'l— . 11
Cn ❑ Express Mail ❑ Insured c
cya ❑ Retum Receipt for Merchandise ❑ COD
e 7.Date o Deli ery
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M Received By:(Print Name) 8.Addressee's-Address(Only if requested
Lu- and fee is paid)
6.Signa tuj13.qAddressee or Agent)
H I
PS Form 3811, December 1994 Domestic Return Receipt i
Town of Barnstable
Health Department
367 Main Street, Hyannis, MA 02601
i6)P
Office 508-790-6265 Thomas A. McKean
FAX 508-775-3344 Director of Public Health
November 3, 1995
Dr. David E. Romeiser. D.V.M.
Barnstable Animal Hospital
157 Airport Road
Hyannis, MA 02601
Dear Dr. Romeiser,
On October 19, 1995 Donna Miorandi, Health Inspector for the Town of Barnstable
performed an inspection for toxic and hazardous materials.
As a result of the inspection you are required to do the following:
1. Have the effluent from the silver recovery equipment tested by a certified
laboratory for the silver content within five(5) days of receipt of this order.
You must send a copy of the test results to the Public Health Division Office,
P.O. Box 534 Hyannis, MA 02601.
2. You must contact the Radiation Control Program of the Mass. Dept. of Public
Health to obtain a Radiation Control number(RN#). The phone number for
Radiation Control is (617) 727-6214.
Upon receipt of your official Radiation Control number, please notify Health Inspector
Donna Miorandi at (508) 790-6265.
Sincerely Yours,
Thomas A. McKean
Director of Public Health
Enc:
TM/cd
Romeiser/q/wp
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�OF THE TOO.
^� 04OWN OF BARNSTABLE
OFFICE OF
saaasTssLs, =MAe6. BOARD OF HEALTH
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Op i639. 367 MAIN STREET
HYANNIS, MASS. o26o1
November 18, 1987
Mr. David B. H. Martin RE: Preliminary Subdivision Plan of land in Hyannis
Chairman, Planning Board Petitioner: Ray Blackburn
Town of Barnstable Date: November 9, 1987
Hyannis, Ma 02601 Assessor's Map 312, Parcels 16A & 17
Dear Mr. Martin:
The Board of Health has reviewed the Preliminary subdivision plan and makes the following
recommendations:
All buildings shall connect to public sewer.
All buildings shall connect to the public water system.
Gasoline and oil separators shall be provided for all catch basins and a copy of a written
maintenance agreement with a licensed hazardous waste disposal firm furnished to the
Board of Health.
Tree stumps, brush and buildings debris removed when clearing lots or roads must be
disposed of at a licensed solid waste disposal facility. Chipping brush and tree stumps is
an acceptable alternative. Burial on site is prohibited.
The developer must receive an Order of Conditions from the Conservation Commission;if
`applicable.
S%,+jc•
The developer shall have recorded on the deed that underground fuel and chemical storage
tanks cannot be installed of maintained on property within this subdivision.
Very truly yours,
Grover C. M. Farrish, M.D., Chairman
Copy to: Michael D. Ford, Esquire-
* Ann Jane Eshbaugh All Cape Engineering
Hyannis Fire District
Barnstable Water Company
James H. Crocker, Sr. Town Clerk
BOARD OF HEALTH Board of Health
TOWN OF BARNSTABLE
JMK/bs
CC:
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Town of Barnstable
1 Regulatory Services Copy
.
. Thomas F. Geiler,Director
Public Health Division
01 �° Thomas McKean,Director
Hyannis,.MA 02601
200 Main Street,Hy !i
54790-6304
Office: 508-8624644 � �' e
Installer&Desi er Certification Form
U L V4
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Co
nstaller: JJ '
Designer: � 'QL
ddress: PfAddress:
was issued a permit to.install,a
On (date). in ler)
(lIJ based on a d signe drawn.by
at
septic systemad ess)
dated
(desi er) to
'c system referenced above was installed
asllateral substantially
relocation of the
I certify that the septa Y roved changes such
— the design, which may include minor approved
distribution box and/or septic tank' I
r component
Septic (stem referenced above was installed lo a on oioanyhanges (i.e. +
I certify that the sep Yst
greater than 10' lateral relocation of the SAS or any vertical
but in accordance with State &Local Regulations. Plan revision or
of the se 'c system) er to follow.
certifie as-built by design
N OF A14
`r`F9�, '
RW E. yG�,
OKUROYVSKI
CIVIL y
er's Signature
No.41458
FSSIONAL LNG
(Affix Designer's i3`F`-ere)
(Designer's Signature) TH DIVISION. CERTIFICATE ._
EASETN TO BARNSTABLE PUBLIC HEAL
PL NOT BE ISSUED UNTIL BOTB IC HT DSIJXLD ON.
OF COMPLIANCE.WIL STABLE PU
CARD Al2E RECEIVED BY THE BARN
YOU
.�ic.„tirmesipner Certification Form