COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

i tericycle' i Fnvirnmm�n�al Selueinnrt Work Order# Reviewed by: Date: Approval#: Dess-Martin Periodinane Generator Name: Generator Code: Generator Address: Contact Name: Generator Phone: Contact Phone: Important! Upon discovering an item requiring evaluation,do not remove it from the storage location. Only handle the container if necessary to gain access to the labeling information. You should make every attempt not to handle the container(s). If you need to handle the container to gain information,do so with extreme care. Virgin/Sealed Material? or Spent? has the container ever been opened?(confirm with customer) Yes No If Yes,enter the date opened: Is the material stabilized? Yes No If yes,describe: *Stabilizer is a chemical that would be added to the compound to help prevent the decomposition of the material. The decomposition of this material may alter its stability and self-accelerating decomposition temperature(SADT). Is there evidence of impurities;cloudiness,wisp-like structures,ice-like structures,solid masses or any other indication of contamination? Yes No If yes,describe: Has water,or any aqueous solution ever been added to the contents? Yes No Has the container been under pressure,bulging,etc.?(confirm with customer) Yes No Container information Is the product in the original manufacturer's container? Yes No Manufacturer: Purchase Date: Lot Number: Expiration Date: Container Size: Volume/Weight remaining in container: Container type Glass Plastic Metal Other Cap Type: Glass Plastic Metal Other Cork Condition of the container: Rusted Bulging Dented Other Storage Conditions(confirm with customer) Was the material... Subjected to fire? Yes No Unknown Stored in a refrigerator? Yes No Unknown Subject to direct sunlight? Yes No Unknown Subject to fluctuations in humidity? Yes No Unknown Subject to thermal or physical shock? Yes No Unknown Subject to fluctuations in temperature? Yes No Unknown Stored indoors? Yes No Unknown Stored outdoors? Yes No Unknown For approval,contact Technical Services: