Substance Form & Tables

Form 01a (Blank)

Substance Form

Indentification

Physical & Chemical Properties

Form 01a (Blank)

Substance Form

Indentification

Physical & Chemical Properties

Overall Airborne Exposure Potential = 4

Rating
4

Boiling Point

50 ≤ 150

Rating
4

Flash Point

50 ≤ 100 °F

Rating
3

Vapor Pressure

10 ≤ 28 mm/Hg

Rating
3

Evaporation Rate

12 to 30 hrs

Rating
1

VHR

1 ≤ 25

Rating
1

Particle Size

Super Coarse

(>100 µm, Non-friable solids, Pellets)

Overall Dermal Contact Potential = 5

Rating
5

Evaporation Rate

>50 hrs

Rating
5

Vapor Pressure

< 1 mm/Hg

Rating
4

Solubility

Very Small (<1 micron in size)

Semi-Soluble (Some lipid/water solubility)

Rating
3

Molecular Weight

100 ≤ 150 g/mol

Table Style 02 (Target Organ Effects)

Target Organ Effects (Select All That Apply)

Specific Concern (Select All That Apply)

Table Style 03

Chemical Health Hazards

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