Hazardous Chemical Warning Label Form
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1
2HAZARDOUS CHEMICAL WARNING LABEL
1.
CHEMICAL/COMMON
NAME
2.
HAZARD
CODE
3.
NSN/LSN
4.
PART NUMBER
5.
ITEM
NAME
(2)
(1) ACUTE (Immediate)
6.
HAZARDS
CHRONIC
(X all that apply)
NONE
SLIGHT
MODERATE
SEVERE
(Delayed)
a.
HEALTH
b. CONTACT
c.
FIRE
d. REACTIVITY
7.
SPECIFIC
HAZARDS AND PRECAUTIONS
(Including target organ
effects) (See MSDS for further information.)
8.
PROTECT
EYES
SKIN
RESPIRATORY
(X all that apply)
9.
CONTACT
a.
COMPANY
NAME
b. ADDRESS (Street, P.O. Box, City, State, ZIP Code, Country)
c.
EMERGENCY TELEPHONE NUMBER
(Include Area Code)
10. PROCUREMENT YEAR FOR HAZARDOUS CHEMICAL
DD FORM 2522, OCT 2000
PREVIOUS EDITION
MAY BE USED.
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Parent category: Life