Document ykBRrypzvvLvKmxv03rXoEbvX
REQUEST FOR SHIPPING
(Check Appropriate Block) TO:. -
Date Mov. 13, 1980 v *> -V
Experimental Station Incinerator E. I: duPont de Nemours & Co. Wilmington, DE
Other Destination . Monroe Wiley Fabrics & Finishes , 3500 Grays Ferry Road,
/ Marshall Laboratory
Haskell * 13 ,163____MR# 354QrOJLL_
CtartalNane
naphthenic acids, lead salts
and/or Description of Shipment
^ 19U6
Type of inner pkg No. of inner pkg _ Outer Container: Type HAZARDOUS MATERIAL
Sample Vol.iwt.
Number.......................................
Total Wt.
YES
(IF YES, COMPLETE CLASSIFICATION BELOW)
. ___
CHECK HAZARD CLASSIFICATION, ASTERISK SECONDARY CLASSIFICATION (SEE REVERSE SIDE FOR DEFINITIONS)
EXPLOSIVES
CLASS A
BO
ETIOLOGIC AGENT
ORGANIC PEROXIDE
RADIOACTIVE MATERIALS .(*)
POISONOUS GAS, CLASS A
POISONOUS LIQUID, CLASS A
FLAMMABLE GAS
NONFLAMMABLE GAS
FLAMMABLE LIQUID (*) (BELOW 100F)
CO O' o o o
} * 0->
*4
(*) FLASH POINT--TAG. C.C.
CARCINOGEN F.
OXIDIZER FLAMMABLE SOLID CORROSIVE MATERIAL (LIQUID) POISONOUS LIQUID, CLASS B POISONOUS .SOLID, CLASS B CORROSIVE MATERIAL (SOLID) IRRITATING MATERIAL COMBUSTIBLE LIQUID^) (BETWEEN 100F & 200) OTHER REGULATED MATERIAL AQ BQ
OSHAQ STRONG O WEAKQ
; . O O o
o
o O
t
(Check Appropriate Block)
h a s k e l l La b o r a t o r y *. v REQUEST FOR SHIPPING - -
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nateNov/ 13, 1980-
.
TO:
Experimental Station Incinerator E. I. du Pont de Nemours & Co.'
{i: Wilmington, DE
Other Destination Monroe. Wiley
'-A
Fabrics & Finishes ,; 3500 Grays Ferry BnsH
/ Marshall Laboratory^ LJLsk>,^ rL. . X914e
13,164
Haskell #..
.MR# 3540-001
Chemical Name _ Fatty acids, tall oil, and/or
' Description of Shipment
lead salts
i ft?i
Type nf inner pkg - . i -j
f.t
Samnle Vol./wt. .______
No. of inner pkg
Outer Container- Typo HAZARDOUS MATERIAL ^KQ
Number
Total Wt.
YES
(IF YES, COMPLETE CLASSIFICATION BELOW)
CHECK HAZARD CLASSIFICATION, ASTERISK SECONDARY CLASSIFICATION (SEE REVERSE SIDE FOR DEFINITIONS)
EXPLOSIVES
CLASS A
B
ETIOLOGIC AGENT
ORGANIC PEROXIDE RADIOACTIVE MATERIALS (**)
POISONOUS GAS, CLASS A
POISONOUS LIQUID, CLASS A
FLAMMABLE GAS
NONFLAMMABLE GAS
FLAMMABLE LIQUID (*) (BELOW 100F)
CD o
OXIDIZER
FLAMMABLE SOLID
CORROSIVE MATERIAL (LIQUID) POISONOUS LIQUID, CLASS B POISONOUS SOLID, CLASS B
CORROSIVE MATERIAL (SOLID)
IRRITATING MATERIAL
COMBUSTIBLE LIQUID (*)
(BETWEEN 100F & 200")
OTHER REGULATED MATERIAL AD B'D CD D
CARCINOGEN OSHAD STRONG WEAK
(*) FLASH POINT--TAG. C.C. -</00 ' F.
(**) SHIPMENT MUST BE APPROVED BY THE RADIOLOGICAL SAFETY OFFICER
MATERIALS WHICH COULD POLYMERIZE OR DECOMPOSE IN TRANSIT ARE PROHIBITED
Basis for Hazard Classification (Rf>ff?rnr!fiK etc:.)
npFniAi in r t r i irrnnNfi
M/Z-
(If none indicate)
*
SIGNED REVIEWED APPROVED
TO BE COMPLETED BY COMMITTEE SHIPPING NAME LIMITED QUANTITY YES Q
NOQ
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