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i <br /> _ HEALTH AND SAFE a7Y EVALUATION - CHEMICAL HAZARDS <br /> [�N/A D NSA <br /> Chemical Contaminants of Concern identify hazardous materials used or on site and attach Material Safety Data Sheets for all <br /> reagent type chemicals,solutions,or other identified materials that in normal use in <br /> Viovide the data requested for chemical contaminants on HASP Form 33HASP 3941 or attach performing tasks related to this project could produce hazardous substances Ensure that all <br /> data sheets from an acceptable sources such as NIOSH pocket guide,condensed chemical subcontractors and other parties working nearby are informed cf the presence of these <br /> dictionary,ACGIH TLV booklet,etc List chemical and concentration below and locale data chemicals and the location of MSDS's Obtain from subcontractors and other parties lists of <br /> sheets In Appendix A of this HASP �I the hazardous materials they use or have on site and Identify location of MSDS's here List <br /> chemicals and quantities below and locate MSDS in Appendix B of this HASP <br /> Chemical Name Concentration(d known) Chemical Name If Quantity <br /> 5ms -ZJ0' .n 4 6,060pe <br /> 2"t ffb 5"d <br /> -T�iv� �t� S�ppb Sir � <br /> �I <br /> � I be/Iz&'rye 3 ppb it <br /> 1 e ✓i e <br /> rpm <br /> c „rllm ite Health&afety Paget <br /> �tASP 394 <br />