chemicalinventoryform example
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Chemical Inventory FormPage 1 of 3
Location: B89 Name: Steve Burdin
Department: MRL Date: January 14, 2009
Chemical Name (*),CAS #
Quantity Hazard
Class(es)
NFPA Hazard Codes
LocationDate
ReceivedDate
Removed
Gases
"Forming gas"3% Hydrogen, balance
ArgonCAS # 1333-74-0 (H),
7440-37-1 (Ar)
1x "T" cylinder Compressed gas,Simple asphyxiant (both),
0,0,0 (Ar)
0,4,0 (H >4% conc.)
next to glove box Jan 15, 2008
ArgonCAS # 7440-37-1
2x "T" cylinders Compressed gas,Simple
0,0,0 next to glove box Aug, 2008Nov, 2008
Helium (for leak testing)CAS # 7440-59-7
1x "T" cylinder Compressed gas,Simple asphyxiant
0,0,0 Clamped to work bench
unknown
Helium(for Cryopumps)CAS # 7440-59-7
1x "T" cylinder Compressed gas,Simple asphyxiant
0,0,0 Clamped to bench next to the sink
May, 2003 (est)
Ethane *CAS # 74-84-0
3x Lecture bottles
Compressed gas,Flammable
1,4,0 Fumehood cabinet under its sink
unknown
Liquids
EthanolCAS # 64-17-5
1x one gallon plastic bottle
Flammable 1,3,0 Fumehood "flammables" cabinet
Used & Replaced regularly
Acetone *CAS # 67-64-1
1x one gallon glass bottle
Flammable,Irritant
1,3,0 Fumehood "flammables" cabinet
Used & Replaced regularly
Methanol *CAS # 67-56-1
1x one gallon glass bottle,2x 500ml glass bottles
Flammable,Irritant,Toxic,Reproductive toxin
1,3,0 Fumehood "flammables" cabinet
Used & Replaced regularly
(*) Asterisk identifies a chemical as one of the laboratory’s “Top 20” chemicals (see Section 6 of the CHP Notebook).
Chemical Inventory FormPage 2 of 3
Chemical Name (*),CAS #
Quantity Hazard
Class(es)
NFPA Hazard Codes
LocationDate
ReceivedDate
Removed
2-Propanol(a.k.a. Isopropyl alcohol)
CAS # 67-63-0
1x one gallon glass bottle,1x 500ml glass bottle
Flammable,Irritant
1,3,0 Fumehood "flammables" cabinet
Used & Replaced regularly
Diethyl Carbonate *(DEC)
CAS # 105-58-8
1x 60ml nalgene bottle, bagged
Flammable,Irritant
1,3,1 shelf below the sink
unknown
Solids
Silica gel desiccantCAS # 112926-00-8
Cobalt Chloride (indicator)CAS # 7646-79-9
1x 500g glass jar
CoCl2: carcinogen, irritant
Not publishe
d
CoCl2:
shelf below the sink
unknown
Calcium Sulfate desiccantCaSo4 (Drierite)
CAS # 7778-18-9
1x 1lb glass jar Irritant (dust form)
1,0,0 shelf above the sink
unknown
Graphite powderCAS # 7782-42-5
2x 4oz plastic bottles
irritant 1,1,0 shelf above the sink
unknown
Lithium foil *CAS # 7439-93-2
1x 25 gram pkg. Corrosive,Flammable,Reacts violently with water
3,2,2, W inside the glove box
3-2005
"Consumer" chemicals
"Shiela Shine" metal polish 1 quart can Irritant, shelf above sink unknown
Linseed oilCAS # 8001-26-1
1 quart can 0,1,0 shelf above sink unknown
TurpentineCAS # 8006-64-2
16 oz plastic bottle
Flammable,poison
1,3,0 shelf above sink unknown
Walnut stain 1 quart can shelf above sink unknown
(*) Asterisk identifies a chemical as one of the laboratory’s “Top 20” chemicals (see Section 6 of the CHP Notebook).
Chemical Inventory FormPage 3 of 3
Chemical Name (*),CAS #
Quantity Hazard
Class(es)
NFPA Hazard Codes
LocationDate
ReceivedDate
Removed
Clorox BleachCAS # none
Sodium Hypochlorite (~6%)
CAS # 7681-52-9Sodium Hydroxide (<1%)
CAS # 1310-73-2
1x one gallon plastic bottle
Irritant,Corrosive,Strong oxidizer
none
(x,0,x inferred
)
below the sink unknown
(*) Asterisk identifies a chemical as one of the laboratory’s “Top 20” chemicals (see Section 6 of the CHP Notebook).