Document JNaKwB8KVqK29X02bb5y6eEzK

G&orgia GulF ('orporuiion and Af/Uiinas REQUEST FOR USE Product Name: ABD00089037 ABERDEEN PLANT CHEMICAL APPROVAL/HAZARD ASSESSMENT FORM Manufacturer: Status: New Revision-!^ What will the material be used for? Pl/c What department(s) will use this material? Inventory Requirements: 0 Less than 500 lbs. Category (check appropriate category) Adhesives & Sealants Catalysts & Initiators Compound - Colorants Compound - Fillers & Lubricants Compound - Other Ingredients Compound - Plasticizers Compound Stabilizers 500-10,000 lbs. --------------------- ---------------------------------------------U"tjreater than 10,000 lbs. Fuels - Gases or Liquids Heat Transfer Fluids Industrial Gases - Pipeline or Cylinder Laboratory Reagents or Chemicals Landscaping/Pest Control Lubricants Miscellaneous - Not Otherwise Listed Paintings & Coatings ^Process Chemicals & Additives Raw Materials Refrigerants Solvents & Cleaners Water Treatment Chemicals Filter Media/Aids or Absorbents Requested by: Date: Note: PLEASE ATTACH THE MSDS TO THIS FORM AND FORWARD BOTH TO THE IH/SAFETY COORDINATOR SAFETY REVIEW (29 CFR 1910.1200) Physical Hazards (check all appropriate) Combustible liquid Compressed gas Explosive Flammable gas Flammable liquid Flammable solid Organic peroxide "Frv/2s:A n *1 . P! Pyrooip`horic ft? ^ ^ Unstable Water-reactive Corrosive HetfltM-Jazards (check all appropriate) Carcinogen Irritant Biomodes of Entry (check all appr Eye T;3T ** *3 *ci Sensitizer ^g^lnhalation __________ ngestion Is training required for this material? (Check one) Comments: Yes Approved for use: \ Dace %/SL Not approved for use: ENVIRONMENTAL REVIEW Would this chemical impact plant emissions? (Check one) Would this chemical produce hazardous waste? (Check one) If hazardous, it is due to: (check all appropriate) Ignitability Corrosivity Reactivity J&Toxicity Reportable under SARA 313 under any quantity? (Check one) 55 Yes Reportable under SARA 311/312? (Check one) ^ Yes Is the chemical listed under CERCLA? (Check one) Yes No "# Listed as a Hazardous Substance (40 CFR 302.4) Listed as an Extremely Hazardous Substance (40 CFR 355.20) j Listed in TSCA Inventory Is the chemical regulated under DOT (49CFR 172) ? )0Yes Comments: No Date: lyYes 'C Yes No No A listed waste No No RQ: lbs. Not approved for use: Entered into DMS by:. JnppS&t Date: Date: Revision Date 5-7-01