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Project Task: <br />Name of Preparer: <br />Describe Evaluation of Alternatives to Chemical Use: <br />Chemicals to be Used for Project: <br />Chemical Name Quantity (indicate units) <br />Names of Staff Using Chemicals During Project: <br />Describe Personal Protection to be Used When Using or Handling Chemicals: <br />Safety Goggles <br />Nitrile Gloves <br />Respirator with cartridges <br />Other: <br />E Portable Eye Wash <br />111 Splash Apron/Coveralls <br />Ill Face Shield <br /> <br />Describe how Chemicals will be Transported and Stored at Project Site: <br />Describe How Used or Leftover Chemicals will be Disposed: <br />Business Unit Health and Safety Manger Approval Signature Date Approved <br />I