Laserfiche WebLink
u <br /> S.alY JOAQLZY C0L7VTY E-247TUR,0VNfE-N MAL F-=aLTH DIV75i0N <br /> SIT., r=.kL,T'r; Ai\fD SA.-ts PLS <br /> ?ART I <br /> PAR:,-a <br /> CzVE{�1I SIT Z(FORMIAMON EVALAA=ION OF PCI-- IIAL F-AZARDS <br /> 1. Sire dame l L Che^_icals F=3--tis <br /> Address: _ [T Car✓^ages <br /> Conrac P_rs a Phone Na. (I Cacasives• <br /> SWe•_7s Numeer. [I Dasa: <br /> ?-goosed Cate ofavesc;acaa/iasoecaa -a/�-9ln (j -iosivrss: <br /> C I F rai==tiles: <br /> ? Cescpdon and brief a=mdve of msoewoa ac=vic7: [ j [acro nic Cases: <br /> [ I LNew GST [:sm!lacon C I UAR!aveS=SXcaa XMeJr <br /> C I Tank C:osnre in?!ace C I T aak/?loe .3=w [j 0 diz_-s: <br /> ( I Tank/PtDe Re=oval C 13e-=Mc acoa (j ACS'S: <br /> ( I tasmlladon of Bcrnm blcai oring Weis <br /> L-i NAz uJASre- <�AE;eUi5Rtf1-6k -NSFk-77 ??RTII <br /> 3. Soer..ec Sire -for_adac: CLVQU= P;-MMN.A.L PR0'1==1 <br /> Tank No. Tana Capacvr. _QU[P YT <br /> -ank Contents. -a_k?�_ <br /> Other. ��1 /� 1. Xonznr^g =�taenc Croce: Mo=arn,- <br /> • YP JV_Le 1'R..1G �.IIQ LL •-••••c M:.Sr 'oe aced car as ooe_ratons <br /> ? e oe OPer_doe rP�d� Mess aporooram--=onaie or-esc=cons are <br /> provides <br /> 5. RA-.ease :3story: [ I Cacbuydible Gas/Ox7gge^ Mer_ <br /> Thence or leaks/scil Mnraminario= C j MS C T NO C I Ce--=r Tubes (Sar�y) <br /> Oocune=rad GroundwarC Mnr'ammar*on: ( 1 'M [I NO (I ?�miani�dan 7ere r <br /> 3accaround and a =' '— of any?tevicus avesagadon [j Cr.-m=Vaeor mzr7z.r <br /> or acde=c° sped <br /> U2a4 6t 92 AF-I If"m* ,rig am aoc used, <br /> -Socaie or acvirr/u--a res=ctocs: <br /> 5. Pocenr+ar -eaich and Sa[ecy <br /> PL-/ncai Canc=n (secs ail =at aooiy& deserve) <br /> C I -ear or Ccid Sum= o' Oip astir <br /> 15 ',iaise Sotec_ 2 ?e=Maai ?-oM=-7e E--I mets <br /> C I Ca7g= =`car Level of 9=ace=on: C I.� C IB C IC C 11) <br /> C I E==arns: (fills, rens Aduc m cm-=) N/Z/wd hat <br /> C I Handling and Transfer of a raaardow Sub �afec7 rasses/;ogPes <br /> (fir., emiosions, ere) [I Sm med/s ars shoes or boots <br /> C l Congaed Soar_ ems/: (emissions) ( j :lame rem-+arr coveralls <br /> C ] ^•`=°7 ==vivme=t CPaysi=i jury g x-u= resin tg C I .mag prom^_oa <br /> cram moving e n^"n-^r) 9'T <br /> [ I =Us?samr, .^mac ?PAZ or SC3A <br /> [ 1 Order, sne=ry :V? c.=dl- <br /> C I Suer, vesc <br /> 7. Aadcaared 3iologict ^az=r. C I TAm-way Mmm=mi+ r;an <br /> [ I Saakes C I t=eas C 1 Rodena C 1 Poisonous ?Sana <br /> [ I Or=er/Gn:=own Csgec[y): ?ART iV <br /> PI-01 APPROVAL <br /> 9_ Yar_.cave (provide ail i'oracoa wbic% could Pae: !tr L r & <br /> and Sue y. Dower L s, xreYt of daces, c_•--si~ �c): Ram ?^_fid ry Cate: <br /> Arca Aoaraved hy�_ ]aa:,��[ <br /> -=081 (2/7/92) <br />