Document 93m7rN4Gjq7rNd04naYMbGdOV
Georgia Gulf
ABD00022683
( orp<irmu'it mid iffiluih s
REQUFS1 1 OR USt
ABERDEEN PLAN I CHEMICAL APPROVAL/!!\ZARI) ASSESSMFN I FORM
Product Name
Manufacturer
Status
^ tr1 0
What will the material be used lor'
f":u.ets
Gal-
New
Revision G
What departmcnt(s) will use this material9
r/A'^L-
Invcntoiv Requiiements 0 1 ess than 500 lbs
Category (check appropriate calegorx ) Adhesives & Sealants Catalvsts A. Initiators U Compound - (. olorants Compound - Tillers A I ubneants Compound - Other Ingredients Compound - Plasticizers Compound Stabilizers
500-10 000 lbs
Fuels - Gases or Liquids I leat I ranster Tluids lndustn.il Gases - Pipeline or Cylinder (J 1 aboratory Reagents or Chemicals Landseapmg/Pest Control Lubricants ^Miscellaneous - Not Otherwise Listed
Co fyrcuN D
^Greater than 10,000 lbs
Paintings A Coatings Process Chemicals A Additives Raw Materials Refrigerants Solvents A Cleaners Water 1 reatrnent Chemicals Filter Media'Aids or Absorbents
Requested by
Date
Note PLEASE ATTACH THE MSDS TO 1 HIS I ORM AND FORWARD BOTH TO 1 HE Ill/SAFETY COORDINATOR
SAFETY REVIEW (29 CrR 1910 1200)
Phvsical Hazards (check all appropnate)
Combustible liquid LJ Compiesscd gas Explosive
Flammable gas G 1 lainmable liquid Flammable solid
[J Organic peroxide
Unstable
D Oxidizer
.^TfHV'^ter^reac11 ve
r> \ -P*
G Corrosive
Health Hazards (check all appropriate)
Carcinogen
LI Irritant
Biomodcs of Entrv (check all appiopriate)
Eye
Skin
Is training lequired for this material' (Check one)
Comments
*`CT Sensitizer
Inhalation
G Yes
5^No
Toxic Ingestion
Approved lor use
\y/ c ^
a_ Of'/
Not approved for use
ENVIRONMENTAL REVIEW
Would this chemical impact plant emissions9
(Check one)
Would this chemical produce hazardous waste1
(Check one)
If hazardous it is due to (check all appropriate)
Igmtabihtv
Corrosivits
Reactivity
I oxicity
Reportable under SARA 3 13 under any quantitv } (Check one)
f] Yes
Reportable under SARA 311/3 129
(Check one)
Yes
Is the chemical listed under CFRCI A9 (Check one)
Yes
t^No
Listed as a Hazardous Substance (40 C FR 302 1)
l isted as an Extremely I luzurdous Substance (10 CTR 355 20)
QC Listed in 1 SCA Inventors
Is the chemical regulated undci DO I (19CFR 172) ' Comments
Yes
N^Io
//
/In/iDate
/ o2-
Date
1 1 Yes Yes
pNo )No
A listed waste
11
0
RQ
lbs
Appioved for use
u--7~
Date i/i4/tn-
Not approved for use Entered into DMS b\
Date
Date
Revision Date 5-7-01