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Appendix J

Chemical Storage Sign Request Form

Instructions

All chemical storage cabinets located in hallways must be adequately placarded to permit the identification of the cabinets contents and owner. The principal investigator is responsible for assuring that appropriate warning information is included on this sign.
Click here for an example of a Chemical Storage sign.

Please complete this form, print it and return to the Office of Environmental Health and Radiation Safety, 3160 Chestnut Street, Suite 400, 6287. Signs will be returned in 6 to 8 weeks.

Please list the department name and room number exactly as you wish it to appear below:

List the names and room numbers of the researchers responsible for the cabinet.

Please provide information concerning the contents of the cabinet below. Check all that apply.

BIOHAZARDS LIQUID REAGENTS
CARCINOGENS SOLVENTS
REPRODUCTIVE HAZARDS OXIDIZERS
ACUTELY TOXIC MATERIALS DRY REAGENTS
RADIOACTIVE MATERIALS COMPRESSED GASES
ACIDS FLAMMABLES
BASES WATER REACTIVES
other (list) NO CHEMICALS

Submitted by:
School/depart.:
Room/mail code:


table of contents Appendix I Appendix K


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