Hazardous Materials Information Sheet (HMIS) Business Name Mailing Address Las Vegas, Nevada 89xxx. Chemical Inventory Summary Table
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1 NFPA 7 () Dynamite () Black Powder () Blasting Caps ().G Fireworks (5).G Fireworks (6) Propellants (7) Anfo (8) Fuel & Oxidizer Mixtures Used for Blasting Reference Material Safety Data Sheet (MSDS) for U.S. DOT Label Requirements. High Explosives: () Dynamite () Black Powder () Blasting Caps Low Explosives: ().G Fireworks (5).G Fireworks (6) Propellants Blasting Agents: (7) Anfo (8) Fuel & Oxidizer Mixtures Used for Blasting () Lbs () Lbs () Lbs Sub-Total () Lbs (5) Lbs (6) Lbs Sub-Total (7) Lbs (8) Lbs or Tons Sub-Total Stored in accordance with Table 77.-A Types of Magazines Required for Storage of Explosive Materials. Stored in accordance with Article 78 Fireworks and Pyrotechnic Special Effects, Section 78. Storage. Incompatible Materials: Corrosives. Conditions to avoid: Keep away from heat, flame, ignition sources, strong shock, Do not attempt to disassemble. U.S. DOT Class.,.,.,.5 or.6; Class A or B.; Class C & Blasting Agents: 8.5 Exempt See Table 8.5-A Required Detached Storage, Table 8.-B may apply. 8. Explosives and Blasting Agents. Storage of explosives and blasting agents shall be in accordance with Article 77. Storage of fireworks shall be in accordance with Article 78. N/A N/A N/A N/A Revision: January, 6 Page of 7
2 NFPA 7 () Acetylene () Hydrogen () Oxygen () Nitric Oxide (5) Ammonia (6) Chlorine (7) Hydrogen Chloride (8) Fluorine (9) Hydrogen Fluoride () Hydrogen Sulfide () Argon () Nitrogen () Neon () Helium (5) Diborane (6) Refrigerants (7) Silane (8) Vinyl Chloride NOTE: The NFPA 7 COMPRESSED GASES Flammable: (), (), (), (8) Oxidizing: (), (), (6), (8) Corrosive: (), (5), (6), (7), (8), (9) Highly Toxic: (8) Toxic: (6), (9), (), (5) Inert: (), (), (), () Pyrophoric: (5), (7) Unstable: (8) OHH: (6) Cubic Feet measured at Normal Temperature and Pressure (NTP) Sub-Total for each Type of Compresse d Gas. Stored in Gas Room, Gas Cabinets, ous Materials Storage Cabinets, or Outdoors Total calculated Ft of Gas at NTP does or Tables: 8.5-A, 8.5-B, 8.5-C, or 8.5-D. Table 79.5-B 8. Toxic and Highly Toxic Compressed Gases. 8.5 Flammable Solids and Flammable Gases. 8.6 Oxidizers 8.8 Pyrophoric Materials 8. Corrosives 8.5 Carcinogen, Irritants, Sensitizers and Other Health Solids Liquids and Gases. Revision: January, 6 Page of 7
3 () Pentane () Gasoline () Turpentine () Epoxy Coatings (5) Acrolein - Inhibited (6) Acrylonrile - Inhibited (7) Benzene (8) Vinyl Chloride NOTE: The NFPA 7 Article 79 Flammability Class () Class I-A () Class I-B () Class I-C () Class I-C (5) Class I-B (6) Class I-B (7) Class I-A (8) Class I-A Combined Amount Class IA, IB, & IC () Gal () Gal () Gal () Gal (5) Gal (6) Gal (7) Gal (8) Gal Sub-Total Gallons () Can, Stored in Fire Cabinet () Steel Drum, in Fire Cabinet () Steel Drum, in Fire Cabinet () Cans, Stored in Fire Cabinets (5) & (6) Metal Cans, Stored in ous Materials Storage Cabinet Total calculated volume of Class I Liquids exceeds or does not exempt amounts. Table 79.5-A Exempt Amounts Per Control Area. Table 79.5-B A Liquid Storage Room or Control Areas is or is not required. Secondary containment is or is not necessary. NFPA 7 Sprinklers are or are not required for Occupancy. Revision: January, 6 Page of 7
4 () Diesel Fuel () D - Bulk Sub-Total NOTE: The NFPA 7 Article 79 Flammability Class () Class II () Class II () Gal () Gal XX Gal Cans, Stored in Fire Cabinets Can, Stored in Fire Cabinet Total calculated volume of Class II Liquids exceeds or does not exempt amounts. Table 79.5-A Exempt Amounts Per Control Area. Table 79.5-B A Liquid Storage Room or Control Areas is or is not required. NFPA 7 Secondary containment is or is not necessary. Sprinklers are or are not required for Occupancy. Revision: January, 6 Page of 7
5 () Cutting Oil () Transmission Fluid Sub-Total NOTE: The NFPA 7 Article 79 Flammability Class ()Class III-B () Class III-B Class III () Gal () Gal XXX Gal Plastic Bottles or Jugs, Stored on Shelf Plastic Non-Metal Drum, Stored in Fire Cabinet Total calculated volume of ClassIII Liquids exceeds or does not exempt amounts. Table 79.5-A Exempt Amounts Per Control Area. Table 79.5-B A Liquid Storage Room or Control Areas is or is not required. NFPA 7 Secondary containment is or is not necessary. Sprinklers are or are not required for Occupancy. Revision: January, 6 Page 5 of 7
6 NFPA 7 () Nitrocellouse (wet) () Sulfur () Magnesium () Plastics (5) ood Sawdust (6) Coal (7) Powdered Metals NOTE: The NFPA 7 FLAMMABLE SOLIDS Organic Solids: () Inorganic Solids: () Combustible Metals: () Combustible Dusts & Powders: (), (5), (6), (7) () Lbs () Lbs () Lbs () Lbs (5) Lbs (6) Lbs (7) Lbs Sub-Total Stored in ous Materials Storage Cabinets, or Outdoors 8.5 Exempt Tables: 8.5-A, 8.5-C. Table 79.5-B 8.5 Flammable Solids and Flammable Gases. 8. ater Reactive Solids and Liquids Revision: January, 6 Page 6 of 7
7 NFPA 7 () Hydrogen Peroxide Solutions (>9 %) () Nitric Acid >86 % () Nitric Acid > % () Ammonium Nitrate (5) Ammonium Perchlorate (> 5 Micron) (6) Pool s (7) Cal-Hypochlorate (> 5 w/o) (8) Hydrogen Peroxide Solutions 5 to 9% (9) Hydrogen Peroxide Solutions 7.5 to 5% () Hydrogen Peroxide Solutions >8 to 7.5 % () Oxygen - LOX NOTE: The NFPA 7 OXIDIZERS Gases: See Compressed Gases Liquids Class : () Class : (), (6), (8) Class : (), (6), (9), () Class : (6), () Solids: Class : (5) Class : (), (6), ( 7) Class : (6) Class : (), (6) Liquids: Lbs or Gallons Solids: Lbs Stored in ous Materials Storage Cabinets, or Outdoors 8.5 Exempt Tables: 8.5-A, 8.5-C. Table 79.5-B 8..5 Required Detached Storage, Table 8.-B may apply. 8.6 Oxidizers Revision: January, 6 Page 7 of 7
8 NFPA 7 () Trigonix () Tert Butyl Peroxide () Peroxyacetic Acid () Esperox (5) Benzoyl Peroxide (7 %) (6) Benzoyl Peroxide (5 %) (7) Benzoyl Peroxide (78 %) NOTE: The NFPA 7 ORGANIC PEROXIDES Liquids, Pastes, or Solids Unclassified See Article 77 Explosives Class I: ( ) Class II (), ( ) Class III: ( ) Class IV: ( 5 ) Class V: ( 6 ) Liquids, Pastes, or Solids: Lbs Stored in ous Materials Storage Cabinets, or Outdoors 8.5 Exempt Tables: 8.5-A, 8.5-C Required Detached Storage, Table 8.-B may apply. Table 79.5-B 8.7 Organic Peroxides Revision: January, 6 Page 8 of 7
9 NFPA 7 () Diborane () Silane () hite Phosphorous () Yellow Phosphorous (5) Sodium Metal (6)Tri-MethylAluminum NOTE: The NFPA 7 PYROPHORIC MATERIALS Gases: See Compressed Gases Liquids: (6) Solids: (), (), (5) Liquids: Lbs or Gallons Solids: Lbs Stored in ous Materials Storage Cabinets, or Outdoors 8.5 Exempt Tables: 8.5-A, 8.5-C Required Detached Storage, Table 8.-B may apply. Table 79.5-B 8.8 Pyrophoric Materials Revision: January, 6 Page 9 of 7
10 NFPA 7 () Peroxyacetic Acid (dry) () Picric Acid (dry) () Styrene () Hydrogen Peroxide Solutions (>5 %) (5) Hydrogen Peroxide Solutions (5 to 5 %) NOTE: The NFPA 7 UNSTABLE REACTIVE MATERIALS Class : (), () Class : () Class : () Class : (5) Liquids: Lbs or Gallons Solids: Lbs Stored in ous Materials Storage Cabinets, or Outdoors 8.5 Exempt Tables: 8.5-A, 8.5-C Required Detached Storage, Table 8.-B may apply. Table 79.5-B 8.9 Unstable (Reactive) Materials. Revision: January, 6 Page of 7
11 NFPA 7 () Aluminum Alkyls () Calcium Carbide () Sodium Metal () Sulfuric Acid (5) Sodium Hydroxide (6) Titanium Tetrachloride (7) Fluorine NOTE: The NFPA 7 ATER REACTIVE MATERIALS Class : () Class : (), (), (), (7) Class : (5), (6) Sub-Total: Lbs Stored in Approved ous Materials Storage Cabinets 8.5 Exempt Tables: 8.5-A, 8.5-C Required Detached Storage, Table 8.-B may apply. Table 79.5-B 8. ater Reactive Solids and Liquids Revision: January, 6 Page of 7
12 NFPA 7 () Hydrogen () Methane () Fluorine () Nitric Oxide (5) Oxygen LOX (6) Argon (7) Helium (8) Nitrogen Note: All of the Cryogens listed will exist as a Compressed Gas when stored at ambient temperatures. CRYOGENIC FLUIDS Flammable: (), () Oxidizing: (), (), (5) Corrosive: (), () Inert: (6), (7), (8) Highly Toxic: (), () Sub-Total: Lbs Stored and dispensed from an insulated cylinder mounted on a skid with an integrated cooling unit from the manufacturer. Refrigerated Liquid Cryogenic Liquid. 8.5 Exempt Tables: 8.5-A. Table 79.5-B 8. Cryogenic Fluids. NOTE: The NFPA 7 Revision: January, 6 Page of 7
13 NFPA 7 () Fluorine () Acrolein - Inhibited () Methyl Parathion () hite Phosphorus NOTE: The NFPA 7 HIGHLY TOXIC MATERIALS Gases: () Liquids: () Solids: (), () Sub-Total: Lbs Stored in Compressed Gas Cylinders. Cylinders are stored in a Storage Cabinet. 8.5 Exempt Tables: 8.5-B, 8.5-D. Table 79.5-B 8. Highly Toxic and Toxic Solids and Liquids. Revision: January, 6 Page of 7
14 NFPA 7 () Chlorine () Hydroquinon () Boron Trichloride () Acrylonitrile TOXIC MATERIALS Gases: (), () Sub-Total: Lbs Stored in Compressed Gas storage cabinet. Stored in ous Materials Storage Cabinet. 8.5 Exempt Tables: 8.5-B, 8.5-D. NOTE: The NFPA 7 Liquids: () Solids: () Table 79.5-B 8. Highly Toxic and Toxic Solids and Liquids. Revision: January, 6 Page of 7
15 NFPA 7 () Americium- () Cesium- () Cobalt-57 () Potassium- (5) Plutonium-8 NOTE: The NFPA 7 RADIOACTIVE MATERIALS Common Radiation Source Materials: (), (), (), () Fissile Materials: (5) Sub-Total: Lbs Sealed sources stored in a ous Materials Storage Cabinet. 8.5 Exempt Tables: 8.5-B, 8.5-D. Table 79.5-B 8. Radioactive Materials. Revision: January, 6 Page 5 of 7
16 () Hydrochloric Acid >5 % () Hydrofluoric Acid () Nitric Acid >6 % () Sulfuric Acid > % (5) Pool Treatment s (6) Bromine (7) Ammonium Hydroxide (> %) (8) Janitorial Supplies (9) Sodium Hydroxide > % () Ammonia () Chlorine NOTE: The NFPA 7 ROSIVES Acids: (), (), (), (), (5), (8) Bases: (7), (8), (9) Others: (6), (), () Sub-Total: Lbs Stored in plastic bottles having a capacity below ½ Gallon. Stored in 55 Gallon Plastic Drums on Secondary Containment Pallets. Stored in Tanks with Secondary Containment. Compressed gas cylinders stored in gas cabinet. (See Compressed Gases) 8.5 Exempt Tables: 8.5-B, 8.5-D. Table 79.5-B 8. Corrosives. NFPA 7 Revision: January, 6 Page 6 of 7
17 NFPA 7 () Asbestos () Benzene () Carbon Tetrachloride () PCB s (5) Vinyl Chloride (6) Mercury (7) Lead (8) Sodium Salt (9) Magnesium Chloride Hexahydrate () Menthol () Calcium Selenate () Carbon Dioxide Liquified NOTE: The NFPA 7 CARCINOGENS: (), (), (), (), (5) IRRITANTS: (8), (9) SENSITIZERS: (), () OTHER HEALTH HAZARDS: (5), (6), (7), () Sub-Total: Lbs Materials are stored in containers having a capacity less than ½ Gallon or 5 lbs. Materials are stored in a approved hazardous materials storage cabinet. 8.5 Exempt Tables: 8.5-B, 8.5-D. Table 79.5-B 8.5 Carcinogens, Irritants, Sensitizers and Other Health Solids and Liquids and Gases. Revision: January, 6 Page 7 of 7
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