MATERIAL SAFETY DATA SHEET — 9 Sections

SECTION 1 — PRODUCT INFORMATION
Product Identifier Product Use Manufacturer’s Name Street Address City Postal Code Province Emergency Telephone Supplier’s Name Street Address City Postal Code Province Emergency Telephone WHMIS Classification (optional)

SECTION 2 — HAZARDOUS INGREDIENTS
Hazardous Ingredients (specific) % CAS Number LD50 of Ingredient (specify species and route) LC50 of Ingredient (specify species)

SECTION 3 — PHYSICAL DATA
Physical State Specific Gravity Boiling Point (° C) Odour and Appearance Vapour Density (air = 1) Freezing Point (° C) Vapour Pressure (mmHg) pH Odour Threshold (ppm) Evaporation Rate Coefficient of Water/Oil Distribution

SECTION 4 — FIRE AND EXPLOSION DATA
Flammability Means of Extinction Flashpoint (° C) and Method Autoignition Temperature (°C) Hazardous Combustion Products Upper Flammable Limit (% by volume) Explosion Data — Sensitivity to Impact Lower Flammable Limit (% by volume) Explosion Data — Sensitivity to Static Discharge

❐ Yes

❐ No

If yes, under which conditions?

SECTION 5 — REACTIVITY DATA
Chemical Stability

❐ Yes

❐ No ❐ Yes ❐ No

If no, under which conditions? If yes, which ones?

Incompatibility with Other Substances

Reactivity, and under what conditions?

Hazardous Decomposition Products

57M2 (R6/99)

SAMPLE FORMAT PROVIDED BY THE WORKERS’ COMPENSATION BOARD OF BRITISH COLUMBIA

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explain) ❐ No Teratogenicity (if yes. explain) ❐ No Mutagenicity (if yes. explain) ❐ No Synergistic Products (if yes. Department. explain) ❐ No Carcinogenicity (if yes. source. such as ventilation. explain) ❐ Yes ❐ Yes ❐ Yes ❐ Yes ❐ Yes ❐ Yes ❐ Yes Irritancy (if yes. enclosed process) Leak and Spill Procedure Waste Disposal Handling Procedures and Equipment Storage Requirements Special Shipping Information PIN SECTION 8 — FIRST AID MEASURES Inhalation Ingestion Skin Contact Eye Contact SECTION 9 — PREPARATION INFORMATION Prepared by (Group. explain) ❐ No Reproductive Toxicity (if yes.) Telephone Number Preparation Date . date) Sensitization (if yes. etc.Product Identifier SECTION 6 — TOXICOLOGICAL PROPERTIES Route of Entry ❐ Skin Contact ❐ Skin Absorption ❐ Eye Contact ❐ Inhalation ❐ Ingestion Effects of Acute Exposure to Product Effects of Chronic Exposure to Product Exposure Limits (value. explain) ❐ No ❐ No SECTION 7 — PREVENTIVE MEASURES Personal Protective Equipment If checked. specify type ❐ Gloves ❐ Respirator ❐ Eye ❐ Footwear ❐ Clothing ❐ Other Engineering Controls (specify.

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