Document QJqEVO9keZ65DnBKY7NbMbR5

KKQUKoT TO :-'.0!::;A?iT0 COMPANY KOR r.AiV'IJi QUANTITY OK PRODUCT ^ CONTAINING l'OU'CilUH'UNATED M. i'll EMYE ("PCB") 1. Name 'and address of. organisation making request:__ Dept, of Biochemistry and Biophysics, University of Hawaii 1960 EAst Vest Road, Biomedical Sciences Building Honolulu, Hawaii 96822 .2 PCB product requested:_____ Aroclor 1254 .3 Quantity requested: Reason for request: Inducing enzymes in rat liver to activate compounds to be tested for mutagenic activity. 5. Use to which sample of PCB-contalnlng product will be put: Infection of rata which will be killed'and the liver used for enzyme preparation. 6. Disposition to be made of any unused portion of sample: Delivery to University of Hawaii Cancer Center for disposal with their carcinogenic compounds MONS 096274 -2- .7 Names r.r.d brief do sc rj.pt l.on of educational background and Job responsibility of pcroon(s) who will bo working with sample: Howard F. Mower. Ph.D._________________________ ________________ ________ Profeasor of Biochemistry Project Director The undersigned organizatlon represents that: the foregoing state ments are true; It understands that if Monsanto elects to supply the requested sample of a PCB-containlng product, Monsanto does so In reliance on the truth and accuracy of the foregoing statements; the person(s) designated by the undersigned organization who will be working with the sample Is (are) aware that PCBs have been * Identified a3 a potential hazard to the environment and that regulations concerning their use or disposition are contemplated or may exist; that the label accompanying any sample will be read and cautions and Instructions thereon will be observed; and that care Is required In the disposition of PCB-contalnlng products so as to avoid any adverse effect on human health and the environment. NAMB OF ORGANIZATION: University of Hawaii By-/^ JijczA<g/ ^c. ^Authorized Signature; Title Professor of Biochemistry Date April 1, 1976 1 HONS 096275