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Product Name: __________________________ ý Missing or incorrect information [ ] Optional Information SECTION 1 - Chemical Product and Company Identification q Product Identifier q [WHMIS Classification] q Product Use Manufacturer’s Name q Street address City, Province/State, Postal/Zip Code q Emergency Telephone Number q [Fax Number] Supplier’s Name q Street Address
City, Province/State, Postal/Zip Code q Emergency Telephone Number q [Fax Number] q Preparation date of MSDS q MSDS Prepared By q Phone Number of Preparer SECTION 2 – Composition/Information on Ingredients Hazardous % CAS# LD50 Ingredients (specific)
q q q q q q q q q
identify under which conditions q Means of Extinction q Flashpoint (° C) and Method (oc or cc) q Upper Flammable Limit (% by volume) q Lower Flammable Limit (% by volume) q Autoignition Temperature (° C) q Explosion Data .Accidental Release Measures q Leak and Spill Procedures q SECTION 7 .Sensitivity to Static Discharge q Hazardous Combustion Products [NFPA] SECTION 6 .Fire Fighting Measures Flammable q No q Yes .Handling and Storage q Handling Procedures and Equipment q Storage Requirements .SECTION 3 – Hazards Identification Route of entry: q Skin contact q Skin absorption q Eye contact q Inhalation q Ingestion q [Emergency Overview] q COMMENTS [WHMIS Symbols] q [Potential Health Effects] SECTION 4 – First Aid Measures q Skin Contact q q q Eye Contact Inhalation Ingestion SECTION 5 .Sensitivity to Impact q Explosion Data .
SECTION 8 .Stability and Reactivity Chemical Stability? q Yes q No – Identify under which conditions Incompatibility with other substances q Yes – Identify which ones COMMENTS q q Reactivity. and under what conditions? Hazardous Decomposition Products .Exposure Control/Personal Protection Exposure Limits q ACGIH TLV q OSHA PEL q Other (specify) Engineering Controls (specific) q General q Local Exhaust q Other (specify) Personal Protective Equipment (specific) q Gloves q Respirator q Eye q Footwear q Clothing q Other SECTION 9 – Physical and Chemical Properties q Physical State q Odour and Appearance q Odour Threshold (ppm) q Specific Gravity q Vapour Density (air=1) q Vapour Pressure (mmHg) q Evaporation Rate q Boiling Point (° C) q Freezing Point (° C) q pH q Coefficient of Water/Oil Distribution q [Solubility in Water] SECTION 10 .
A2 or A3) q Reproductive Toxicity q Teratogenicity q Embryotoxicity q Mutagenicity q Name of Synergistic Products/Effects SECTION 12 – Ecological Information q [Aquatic Toxicity] q SECTION 13 – Disposal Considerations q Waste Disposal SECTION 14 – Transport Information q Special Shipping Information q PIN q TDG q [DOT] q [IMO] q [ICAO] SECTION 15 – Regulatory Information q [WHMIS CLASSIFICATION] q [OSHA] q [SERA] q [TSCA] SECTION 16 – Other Information q This product has been classified in accordance with the hazard criteria of the Controlled Products Regulations (CPR) and the MSDS contains all of the information required by CPR. .Toxicological Information q Effects of Acute Exposure COMMENTS q Effects of Chronic Exposure Irritancy of Product q Skin Sensitization q Respiratory Sensitization Carcinogencity q IARC ((1. 2A or 2B) q ACGIH (A1.SECTION 11 .