1$9$,5 ±±±±
35(23(5$7,21$/ &+(&./,67
)/8,' 6(59,&,1* 81,7 +<'5$8/,&
)/8,'
02'(/ 308(
3$57 180%(5 ±
*'+%
7KLV FKHFNOLVW VXSHUVHGHV 1$9$,5
±±±± GDWHG  2FWREHU 
7+,6 CHECKLIST ,1&25325$7(6 ,5$&  
',675,%87,21 67$7(0(17 & 'LVWULEXWLRQ
DXWKRUL]HG WR 86 *RYHUQPHQW DJHQFLHV DQG
WKHLU FRQWUDFWRUV WR SURWHFW SXEOLFDWLRQV UHTXLUHG
IRU RI¿FLDO XVH RU IRU DGPLQLVWUDWLYH RU RSHUDWLRQDO
SXUSRVHV RQO\ GHWHUPLQHG RQ  2FWREHU 
2WKHU UHTXHVWV IRU WKLV GRFXPHQW VKDOO EH UHIHUUHG WR
&RPPDQGLQJ 2I¿FHU 1DYDO $LU 6\VWHPV &RPPDQG
30$  %XVH 5G 3DWX[HQW 5LYHU 0'

'(6758&7,21 127,&(  )RU XQFODVVL¿HG OLPLWHG
GRFXPHQWV GHVWUR\ E\ DQ\ PHWKRG WKDW ZLOO SUHYHQW
GLVFORVXUH RI FRQWHQWV RU UHFRQVWUXFWLRQ RI WKH
GRFXPHQW
38%/,6+(' %< ',5(&7,21 2) 7+(
&200$1'(5 1$9$/ $,5 6<67(06
&200$1'
 $XJXVW 
1$9$,5 ±±±±
,1752'8&7,21 +D]DUGRXV 0DWHULDOV /LVW $+0/ WR DVVLVW SHUVRQ
7KLV FKHFNOLVW FRQWDLQV LQVSHFWLRQ UHTXLUHPHQWV WKDW
DUH QHFHVVDU\ WR HQVXUH LQWHJULW\ RI HTXLSPHQW IRU RS
HUDWLRQ DQG WR GHWHUPLQH QHHG IRU VHUYLFLQJ 7LPH UH
TXLUHG WR SHUIRUP 6XSSRUW (TXLSPHQW 6( WDVNV LV
DSSUR[LPDWHO\  KRXU (07 $ FRPSUHKHQVLYH LQ
WURGXFWLRQ IRU WKLV HTXLSPHQW LV FRQWDLQHG LQ
1$9$,5 ±±.
:$51,1*6&$87,216 $33/,&$%/( 72
+$=$5'286 0$7(5,$/6
:DUQLQJV IRU KD]DUGRXV PDWHULDOV OLVWHG LQ WKLV
PDQXDO DUH GHVLJQHG WR ZDUQ SHUVRQQHO RI KD]DUGV
DVVRFLDWHG ZLWK VXFK LWHPV ZKHQ WKH\ FRPH LQ FRQWDFW
ZLWK WKHP E\ DFWXDO XVH $GGLWLRQDO LQIRUPDWLRQ
UHODWHG WR KD]DUGRXV PDWHULDOV LV SURYLGHG LQ 'R'
 +D]DUG &RPPXQLFDWLRQ 3URJUDP 23
1$9,167  6DIHW\ 2FFXSDWLRQDO +HDOWK
62+ 3URJUDP 0DQXDO DQG 231$9,167  +DQGOH 6HFXULW\
62+ IRU )RUFHV $ÀRDW DQG 231$9,167 
(QYLURQPHQWDO 5HDGLQHVV 0DQXDO )RU HDFK KD]
DUGRXV PDWHULDO XVHG ZLWKLQ WKH 1DY\ DQG 0DULQH
&RUSV D 6DIHW\ 'DWD 6KHHW 6'6 PXVW EH DYDLODEOH
IRU UHYLHZ E\ XVHUV LQ +D]DUGRXV 0DWHULDOV
,QIRUPDWLRQ 5HVRXUFH 6\VWHP +0,56  &RQVXOW
\RXU ORFDO VDIHW\ DQG KHDOWK VWDII FRQFHUQLQJ DQ\
TXHVWLRQV UHJDUGLQJ KD]DUGRXV PDWHULDOV 6'6V
SHUVRQDO SURWHFWLYH HTXLSPHQW UHTXLUHPHQWV DQG
DSSURSULDWH KDQGOLQJ DQG HPHUJHQF\ SURFHGXUHV DQG
GLVSRVDO JXLGDQFH 1$9$,5 PDLQWDLQV WKH $YLDWLRQ
L LL
1$9$,5 ±±±± 1$9$,5 ±±±±
QHO LQ VHOHFWLQJ 161V IRU +0V OLVWHG LQ WHFKQLFDO 67$7,& ,163(&7,21
SXEOLFDWLRQV $// +0V UHTXLUHG IRU PDLQWHQDQFH  8QLW &OHDQOLQHVV
PXVW EH LGHQWL¿HG LQ WKH $+0/ 5HIHU WR WKH $+0/
&RUURVLRQ2EYLRXV
PRGXOH LQ WKH 6KLS6KRUH$LUERUQH $YLDWLRQ 5H 'DPDJH/HDNDJH
TXLUHPHQWV 66$5 ZHEVLWH IRU WKH FXUUHQW OLVWLQJ
6HFXULW\
KWWSVVVDUQVZFQDY\PLO'HIDXOWDVS[
$33/,&$7,21  /DEHOV3ODFDUGV  /HJLELOLW\6HFXULW\
3UHRSHUDWLRQDO FKHFNOLVW PDLQWHQDQFH UHTXLUHPHQWV
VKDOO EH DFFRPSOLVKHG SULRU WR HDFK XVH  5HVHUYRLU +RXVLQJ /HDNDJH+ROHV&XWV
3UHVHQFH RI 
ZHDU LQGLFDWRUV
127( +\GUDXOLF IOXLG DQDO\VLV LV UHTXLUHG DIWHU ILOO
LQJKRXVLQJZLWKQHZFDQ V RIIOXLGWKURXJK DORQJ HGJHV RQ
WKHILOOHUEUHDWKHUFDS ERWWRP RI KRXVLQJ
 6FUHZV)LWWLQJV6WUDSV DQG
5HOLHI 9DOYH RQ &DUU\LQJ
 /HYHO ,QGLFDWRU 6LJKW
*ODVV &UDFNV&ODULW\
127( 6HUYLFH XQLW RQO\ ZLWK 0,/35) If
using Bulk Dispensing Unit (BDU),
inspect BDU for damage/cracks/leaks
and check filter condition IAW NA
19-1-96 prior to use.

 1$9$,5 ±±±±
 +RXVLQJ 5HVHUYRLU 3URSHU /HYHO HQVXUH
DW OHDVW RQH 
JDOORQ RI ÀXLG
 )LOOHU%UHDWKHU &DS &RQGLWLRQ6HFXULW\
 %OHHG 9DOYH 6HW WR %/(('
23(1
 3UHVVXUH *DXJH &UDFNV%URNHQ
*ODVV/HDNV=HUR
 ,QGLFDWLRQ
 +RVH $VVHPEO\  'HWHULRUDWLRQ
 3XPS +DQGOH $VVHPEO\ 'LVWRUWLRQ6HFXULW\
 3XPS 9HQW )LOWHU 6HFXULW\
 
1$9$,5 ±±±± 1$9$,5 ±±±± 1$9$,5 ±±±±
)81&7,21$/ &+(&. )81&7,21$/ &+(&. &217
 5HFLUFXODWH ÀXLG LQ VHUYLFLQJ KRVH DW OHDVW WHQ
 8QFRLO KRVH DVVHPEO\ IURP VWRUDJH SURQJV RQ  IXOO SXPS VWURNHV WR HQVXUH VHUYLFLQJ KRVH
FDUU\LQJ KDQGOH DQG DWWDFK KRVH DVVHPEO\ HQG LV IXOO RI ÀXLG DQG SXUJHG RI DLU SULRU WR VHUYLFLQJ
¿WWLQJ WR TXLFN ¿OO DGDSWHU DQ DLUFUDIW RU SHUIRUPLQJ D ÀXLG DQDO\VLV
 2Q KDQGOH DVVHPEO\ UHPRYH ORFNLQJ SLQ H[WHQG  7DNH VDPSOH RI K\GUDXOLF ÀXLG IURP HQG RI
KDQGOH DVVHPEO\ DQG UHLQVHUW ORFNLQJ SLQ KRVH DVVHPEO\ DQG SHUIRUP ÀXLG DQDO\VLV LQ
DFFRUGDQFH ZLWK 1$9$,5 $
 6HW EOHHG YDOYH WR %/((' &/26(' SRVLWLRQ
 3XPS XQLW WHQ  IXOO VWURNHV
 5HPRYH KRVH DVVHPEO\ IURP TXLFN ¿OO DGDSWHU
DQG FDS HQG RI KRVH
 2EVHUYH SUHVVXUH JDXJH UHDGV  36,   36,
ZKHQ SXPSLQJ XQLW
 6HW EOHHG YDOYH WR %/((' 23(1 DQG SUHVVXUH
JDJH VKDOO KDYH ]HUR  LQGLFDWLRQ ZLWKLQ IRXU
VHFRQGV
 8QFDS HQG RI KRVH DQG DWWDFKHG LW WR TXLFN ¿OO
DGDSWHU
EODQN