Please give the name of all materials that will be brought.

List the Quantity of each material

Give the Chemical Abstracts number (CAS#) if it is known.

Indicate the hazard class for any hazardous materials.

Hazard Class Definitions

Hazard:

Any existing or possible condition that, by itself or through interaction with other conditions, has the capacity to cause death, injury, illness, property damage, unacceptable environmental impact, or other losses.

Risk:

A quantitative measure (or estimate) of the product of the probability that a hazard will result in ill-effect and the consequence of an ill-effect.

Toxic:

Having the capacity to cause death, illness, or diminished function. A material that meets one or more of the following criteria should be considered toxic:

• Has a published LD50 (Lethal Dose 50%) equal to or less than 0.5 g/kg of body weight.
• Has a published LC50 (Lethal Concentration 50%) equal to or less than 1000 ppm.
• Has an OSHA permissible exposure limit (PEL) or ACGIH Threshold Limit Value (TLV) equal to or less than 5000 PPM
• Has an OSHA PEL or ACGIH TLV equal to or less than 10 mg/m^3.

Biohazard:

An agent of biological origin (e.g., all infectious organisms, their toxins, allergens of biological origin, and genetic fragments) that has the capacity to cause ill-effects in humans.

Flammable:

Susceptible to ignition during storage, normal handling, or use. The term includes, but is not necessarily limited to:

• All materials that ignite spontaneously when exposed to air.
• All gases easily ignited in atmospheres containing approximately 21% oxygen.
• All liquids having a flashpoint below 100°F (38°C).
• All combustible solids and liquids having a physical form that makes them easily ignitable if dispersed into ambient atmospheres.

Radioactive:

Any material having a measurable specific activity above background. While on the ANL site, materials with a specific activity >= 2 nCi/g must be transported by the ANL Special Materials Group. APS must be notified of any shipment of radioactive materials to/from the site.

Other:

Can include oxidizers, corrosives, carcinogens, explosives, and any other hazard not listed. These hazards should be described in the comments section

Check "Dispose at ANL" if you plan to dispose of the material at ANL, as either waste or effluent, at the end of the experiment.