HAZARDOUS MATERIALS SURVEY. Note: List ALL virgin stock materials in current and projected inventories LAB NAME: PI: ADDRESS:

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HAZARDOUS MATERIALS SURVEY Note: List ALL virgin stock materials in current and projected inventories LAB NAME: PI: ADDRESS: Please read each definition of the following Hazardous Materials carefully and report any materials that may apply. If you are not certain where a material may apply, please include it and the Office of Environmental Health and Safety will determine its classification. Report materials in units given for liquids (ml), solids (g) or gas (ft 3 ). Pyrophoric - A material that will spontaneously ignite in air at or below a temperature of 130 F (54 C). Example: Silanes Explosive - Any chemical compound, mixture, or device, the primary or common purpose of which is to function by explosion. -The term explosive includes any material classified as an explosive by the Hazardous Material Regulations of DOT 49 CFR. (ml or g) Water Reactive -Class 3: Materials that react explosively with water without requiring heat or confinement. (ml or g) Water Reactive -Class 2: Materials which are capable of forming potentially explosive mixtures with water (ml or g)

Please read each definition of Unstable Reactive Materials and review the examples given. Report any materials that may apply. If you are not certain where a material may apply, please include it and the Office of Environmental Health and Safety will determine its classification. Report materials in units given for liquids (ml), solids (g) or gas (ft 3 ). Unstable Reactive Materials Class 4 -Materials that are capable of detonation or explosive decomposition or explosive reaction at normal temperatures and pressures. This class includes, among others, materials that are sensitive to localized thermal or mechanical shock at normal temperatures and pressures. Examples ammonium perchlorate benzoyl peroxide 3-bromopryopyne t-butylhydroperoxide t-butylperbenzoate t-butyperoxyacetate 1-chloro-2-4-ditrobenzene cumene hydroperoxide diacetylperoxide t-dibutyl peroxide diisoproyl o-dinitrobenzene ethyl methyl ketone peroxide ethyl nitrite peroxyacetic acid peroxyhyrocarbanate picric acid (dry) trinitrobenzene trinitrotoluene Chemical Name and Concentration -Other defined Class 4 reactives Class 3 -Materials that are capable of detonation or explosive decomposition or explosive reaction, but that require a strong initiating source or that must be heated under confinement before initiation. This class includes, among others, materials that are sensitive to thermal or mechanical shock at elevated temperatures and pressures acetyl chloride acrolein ammonium nitrate dinitroacetonitrile hydrazine hydrate nitric amide p-nitroaniline nitromethane n-nitromethylamine nitrourea sodium azide tetranitromethane -Other defined Class 3 reactives

Unstable Reactive Materials Class 2 Materials that readily undergo violent chemical change at elevated temperatures and pressures. This class includes, among others, materials that exhibit an exotherm at temperatures less than or equal to 150 C when tested by differential scanning calorimetry. Examples acetyl chloride benzoyl chloride crotonaldehyde dichlorosilane divinyl ether divinylbenzene ethyl acrylate isoprene3- methoxypropionitrile methacrylic acid methylhydrazine methyl vinyl ketone thionyl chloride Chemical Name and Concentration -Other defined Class 2 reactives Class 1 -Materials are normally stable, but can become unstable at elevated temperatures and pressures. This class includes, among others, materials that change or decompose on exposure to air, light or moisture, and materials that exhibit an exotherm at temperatures greater that 150 C, but less than or equal to 300 C, when tested by differential scanning calorimetry. dicyclopentadiene dimethyldichlorosilane 1,1 dimethylhydrazine p-dioxane hexanol isobutyraldehyde isoprene3- methoxypropionitrile propyltrichlorosilane vinyl chloride -Other defined Class 1 reactives

LIQUIDS: ( 4 liters ) -Flammable---class 1A, 1B, & 1C Ethyl Chloride Ethers Acetone Ethanol Amyl Acetate Xylene Toluene Hexanes Methanol Gasoline Benzene Other Alcohols -Combustible---class II, IIIA Glacial Acetic Acid Kerosene Nitrobenzene Octyl Alcohol -Combustible---class IIIB All Oils -Fuel Oil FLAMMABLE SOLIDS: ( 500 grams ) -Flammable Magnesium Paraformaldehyde Sulfur Powdered Metals

Flammable Solids (Cont d) -Water Reactive Barium Sodium Potassium Calcium Zinc Dust Sodium Borohydride Hydride compounds -Oxidizers: Solids Nitrate Compounds Nitrite Compounds Phosphorus Pentoxide Perchlorates Permanganates -Oxidizers: Liquids Hydrogen Peroxide Nitrate Compounds Nitrite Compounds Nitric Acid >50% Perchoric Acid Perchlorates Permanganates -Organic Peroxides: Solids Peroxidesters Diacyls Peroxydiacarbonates Polystyrene Hydroperoxides Dicumyl Peroxides Benzoyl Peroxides -Organic Peroxides: Liquids Peroxidesters Diacyls Peroxydiacarbonates Polystyrene Hydroperoxides Dicumyl Peroxides Benzoyl Peroxides

TOXICS: ( 4 liter, 500 grams ) -Solids Containing following metals: Arsenic Barium Cadmium Chromium Lead Mercury Selenium Silver Phenols Cyanide Compounds Isocyanate Compounds -Liquids Containing following metals: Arsenic Barium Cadmium Chromium Lead Mercury Selenium Silver Phenols Cyanide Compounds Isocyanate Compounds Halogenated Solvents Containing: Fluorine Chlorine Bromine Iodine Toluidines Hydrofluoric Acid

CORROSIVES: ( 4 liter, 500 grams ) -Solids Stannic Chloride Sulfamic Acid Sodium Hydroxide Potassium Hydroxide Acids Bases -Liquids Sulfuric Acid Hydrochloric Acid Nitric Acid Phosphoric Acid Acetic Acid Ammonium Hydroxide Sodium Hydroxide Potassium Hydroxide Amines Acids Bases CRYOGENICS: (ALL) Gallons Cubic feet -Oxygen (Liquid) -Nitrogen (Liquid) -Helium (Liquid) -Other (liquid gases) Specify:

Equipment List # Name Description 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15