[share-ebook]EHS use only REQUEST FOR CHEMICAL REMOVAL Environmental Health Safety Certification I hereby declare that the identification description of chemicals is accurate and complete


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EHS use only

date picked up:  
picked up by: 

  
REQUEST FOR Chemical REMOVAL 
[Please print or type]		 Environmental Health & Safety  
120 Physical Plant Services Bldg. 
(Ofc: 744-7241)   (FAX: 744-7148) 
(EMAIL:  juanita.phelan@ okstate.edu)
Date:   
Dept.:   
Responsible Faculty/Staff Person: 
  
Pick-up No.: 		Contact Person:  

Phone:   
Bldg. & Room #:   
  

 Location of Chemicals:

Bldg. & Room #:   
 

Does EHS need to call to schedule pickup?  
 ¦Yes       ¦No
EHS 
USE 
ONLY		  
IDENTIFICATION/DESCRIPTION of ChemicalS 
(Do not submit unknowns)		 PHYS. 
STATE		 NUMBER, SIZE & TYPE OF CONTAINER VOLUME or WEIGHT in CONTAINER  
pH		  
HAZARDS
  #___          
 
 		            
  #___          
 
 		            
  #___          
 
 		            
  #___          
 
 		            
  #___          
 
 		            
Special Notes or Handling Instructions: 
      Certification: "I hereby declare that the identification/description of Chemicals is accurate and complete to the best of my knowledge and that I have made a reasonable effort to neutralize, detoxify and/or recycle this material."  
 
(Department Head Signature): 		 
Date: (Only one certification is needed per request.)

[

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<< Calx a metal oxide calcination the oxidation of a metal New theory of the nature of chemical elements Searching for a chemical that would dissolve gallstones came across

Appendix D of the UF Chemical Hygiene Plan the UF Chemical Hygiene Plan. >>




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    EHS use only REQUEST FOR CHEMICAL REMOVAL Environmental Health Safety Certification I hereby declare that the identification description of chemicals is accurate and complete

    EHS use only

    date picked up:  
    picked up by: 

    		  
    REQUEST FOR Chemical REMOVAL 
    [Please print or type]    		 Environmental Health & Safety  
    120 Physical Plant Services Bldg. 
    (Ofc: 744-7241)   (FAX: 744-7148) 
    (EMAIL:  j    uanita.phelan@ okstate.edu)
    Date:   
    Dept.:   
    Responsible Faculty/Staff Person: 
      
    Pick-up No.:     		Contact Person:  

    Phone:   
    Bldg. & Room #:       
      

    		 Location of Chemicals:

    Bldg. & Room #:   
     

    Does EHS need to call to schedule pickup?  
         ¦Yes       ¦No
    EHS 
    USE 
    ONLY    		  
    IDENTIFICATION/DESCRIPTION of ChemicalS 
    (Do not submit unknowns)    		 PHYS. 
    STATE    		 NUMBER, SIZE & TYPE OF CONTAINER VOLUME or WEIGHT in CONTAINER  
    pH    		  
    HAZARDS
      #___          
     
         		            
      #___          
     
         		            
      #___          
     
         		            
      #___          
     
         		            
      #___          
     
         		            
    Special Notes or Handling Instructions: 
        Certification: "I hereby declare that the identification/description of Chemicals is accurate and complete to the best of my knowledge and that I have made a reasonable effort to neutralize, detoxify and/or recycle this material."  
     
    (Department Head Signature):     		 
    Date: (Only one certification is needed per request.)

    [
    12NextPage
    << Calx a metal oxide calcination the oxidation of a metal New theory of the nature of chemical elements Searching for a chemical that would dissolve gallstones came acrossAppendix D of the UF Chemical Hygiene Plan the UF Chemical Hygiene Plan. >>