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EYE CONTACT
RABBITS
SKIN CONTACT.
RABBITS
PATCH TIME
CONCENTRATION
RABBITS
PROPYLENE GLYCOL WATER _____'
DOWANOL PM WATER
i-r.100
10%
1%
100%
;10%
1%
OTHER.
*C tp-
READY TO IBM
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_ ___DICTATED L_ _ _ Z___
fom C>MM NlltU l U.t.A *7-M
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DO 130195 OONHDFNTTAl
REOU
THE DOW CHEMICAL COMPANY
NING R APPLICATION TESTING bat*-
K-NUM0ER NAME (CRI APPROVCO)
|b. c. file no.
f\ r. R, NO.
IcZ.SO-Jjrs\ /
OTHER CODE NO.
sH- /S?~
O-f-
MOLECULAR FORMULA
M.W.
STRUCTURAL FORMULA (on Give cotertTuCNT* cr- mixture* and polymer*)
K-Gtn
CuSC-/O0
70
SUBMITTED BY;
Tee.
"
"
%
SOURCE CHEMIST (ir OTHER Than urmiTTER
/
-
9/?0i?
LAS. NAME AND LAS. REFERENCE
PREPARATION DATE
SOURCE OUTSIDE OF DOW
s% /?%
REPORT RESULTS TO: FIRST LITERATURE REFERENCE
PATENT NUMBER
CASE NUMBER
DISCLOSURE NUMBE
STOCK ON HAND
ESTIMATED MFG. COST
AMOUNT SENT TO:
MIDLAND RIO A AG CHEM,
SEAL REACH
LAKE JACKSON
INTRA-RED
{ LB. OTHERS (NAME. SUCK AS ORGANIC PROD DfVtLO* . AROMATIC*. T A IB GIVE LOCATION)
BEST KNOWN THIS
SAMPLE
MELTING POINT BOILING POINT A IN
DENSITY
PLASH POINT
FIRE POINT
P ae
C AT MM
lu *.
APPEARANCE. PHYSICAL STATE. COLOP R.l
STABILITY (TO AH CHANGE. HEAT. LIGHT, ETC.)
t0t
a. i MELTING POINT BOILING POINT
DENSITY
FLASH POINT
FIRE POINT
5
VI flC AT MM >- APPEARANCE, PHYSICAL STATE, COLOR P. 1. XA.
STABILITY (TO pH CHANGE. HEAT. LIGHT. CTC.l
EST. PURITY VISCOSITY EST.PURITY VISCOSITY
SAMPLE
pj^UUL l STATE
.
_____
(CHEMICAL STAGE SYSTEM CHECK ONE)
Bs
SPECIAL PROPERTIES: CHEMICAL REACTIVITY, TOXIC EFFECTS iSusetCTED OR experienced) OTHERS
S. S R NO
SOLUBILITY' AT ROC}M TEMl*EA*YulSE---------(DETERMINE WMER l POSSIBL-E OTHEB WISE ESI IMATE)
<i% 1-10% 10-25% >25% ACETONE ETHANOL, 95% GASOLINE. REG. KEROSENE NoOH. 1% OIL, SA E. NEUTRAL WATER XYLENE
TESTS REQUESTED OENEHAL SCREi GENERAL SCREENING
SPECIFIC TESTS:
,,
S' v
RlOCfttMlCAL GENERAL SCREENING
.
u (J v
NAME: (LUGE OR PLASTICS AOOfTfVK*, SURFACTANT, PHARMACEUTICAL* RE AS SPECIFIC AS POSStSLK)
ft ,, >
y.
*T,
fat
1 L-'ftoxlci TOXICOLOGY TESTS (SEE REVERSE. ATTACH ANOTHER RAGE FOR OTHER INFORMATION IF SPACE AROVE is NOT SUFFICIENT PROCESS:
FORM C-1111 PRINTED IN U.s,A, f-U
no 130196 CONF TDFNTT Al