Document KGELzRgykm86Xzb7VGXrOvego
Haskell Number
HASKELL LABORATORY FOR TOXICOLOGY AND INDUSTRIAL MEDICINE
SAMPLE SUBMITTED FOR TOXICITY EVALUATION
Department *~P p? "pi - '
Division
_______ Location
Systematic Name of Chemical:
----- ----~
Synonym, Product Name and/or Designations:
Formula:
Sample: Code No.
Lot 3<s~z~r// Amount /
Grade
Color
Form
Mol. Wt.
Special Handling Requirements
_____________________________ ,
Is it explosive in air?
in oxygen?If so, at what concentrations?_
Active Ingredient___________________
$>
Composition, if a mixture (are percentages by weight or volume?)
Impurities (identity and amounts; are percentages by weight or volume?)
Properties: MP
25C_______ BP_VP
@ Max. Process ..Temp.,
_
(Attach VP ` curve if
....available)
Sp.Gr.
pH
Vapor Density (air s l) _______ ______________
Flash Point (Open cup)
(Closed cup)
Solubility (Quantitative, if possible) in water
Acetone
EthanolVegetable oilOther Solvents
Proposed Use:
Present Stage of Development: Research
--------- ----
---- ----- -
Semivorks
Mfg.
-Sales (OVER) DUP040000429
Haskell Number
7-r
HASKELL LABORATORY FOR TOXICOLOGY AND INDUSTRIAL MEDICINE
SAMPLE SUBMITTED FOR TOXICITY EVALUATION
Department f/-~ p(
Division.
Location
Systematic Name of Chemical:
Synonym, 'Product Name and/or Designations:
Formula:
Sample: Code No.
Lot No.^> 3 S~Z~S~// Amount'
/
Grade
Color
Form
Mol. Wt,
Special Handling Requirements
Is it explosive in air?
in oxygen?If so, at what concentrations?_
Active Ingredient
_______
$
Composition, if a mixture (are percentages by weight or volume?)
Impurities (Identity and amounts; are percentages by weight or volume?)
MP BP
0
@ 25C VP "" "
Max* Process Temp.^_____
(Attach VP curve if available)
Sp.GrpHVapor Density (air = l)
Flash Point (Open cup) , (Closed cup)
'Solubility (Quantitative, if possible) in water
Acetone
EthanolVegetable oil
Other Solvents
Proposed Use:
Present Stage of Development Research
Semiworks
Mfg.
vSales
'DUP040000430
Haskell Humber
' ' ' - r HASKEtlT i^
TOXICOLOGY AHD IHDUSTEIAL MEDICINE
.. ..
Department
' SAMPLE SUMITTED FOR TOXICITY EVALUATION
v
______ :>CT!
yi y "JR _
Division
; Location
Systematic Hame of Chemical:
:'"v^
Synonym, Product Hame and/or Designations;
Z7//
"Tifyslrvi-i 4sr ~
Formula:.................
* ....
Sample; Code No._Loi Hot JD *7 <4/Amount /
Grade
, , Color
Form
Mol, Wt.^
Special Handling Requirements_____________________________________ Is it explosive in air?in oxygen?______If so, at what concentrations?_
Active Ingredient_______________________
Composition, if a mixture (are percentages by weight or volume?)
Impurities (Identity and amounts; are percentages by weight or volume?)
Properties: MP
@ 25C BP______ VP
Max, Process Temp,
,..._______ _
(Attach VP curve if
available)
Sp.Gr,pH
Vapor Density (air s l)
Flash Point (Open cup)
(Closed cup)
Solubility (Quantitative, if possible) in water
Acetone
_______ _
Ethanol
Vegetable oil .
Other Solvents
Proposed Use:
Present Stage of Development; Research
..........-
-
Semtvorks
Mtg.
Sales (OVER) DUP040000431