Chemical Name _____ Health Hazard 4-Deadly, 3-Extreme Danger, 2-Hazardous, 1-Slightly Hazardous, 0-Normal Material, Fire Hazard Flash Points 4-Below 73°F, 3-Below 100°F, 2-Above 100°F Not Exceeding 200°F, 1-Above 200°F, 0-Will Not Burn, Specific Hazard ACID Acid, ALK Alkali, COR Corrosive, OXY Oxidizer, Radioactive, Use No Water, Instability Hazard 4-May Detonate, 3-Shock & Heat May Detonate, 2-Violent Chemical Change, 1-Unstable If Heated, 0-Stable Route Of Entry _Inhalation, _Ingestion, _Absorption Through Skin, Health Hazard _Corrosive, _No Health Hazard, _Toxic, _Highly Toxic, _Carcinogen, _Irritant, _Sensitizer, Chemical Manufacturer's/Importer Name _____, Address _____, Emergency Phone _____, Personal Protection (Mark Appropriate Protection Required) _Safety Glasses, _Apron, _Respirator, _Face Shield & Eye Protection, _Boots, _Self Contained Air Respirator, _Gloves, _Splash Goggles, _Full Protection Suit, _Other___, _Other___, _Other___, Target Organs _Skin, _Lungs, _Cardiovascular System, _Eyes, _Kidneys, _Central Nervous System, _Blood, _Liver, _Autonomic Nervous System, _Heart, _Respiratory System, _Reproductive System