Attachment 11 Chemical Waste Tag.pdf

Attachment 11

NlH CHEMICAL WASTE TAG Print Name/Service Request#: ---------,---------- Building & Room#: ________ � lnstitute�---------

-Accumulation Start.Date: ________________ - •Dispose of all wastes within 60 day�. from accumuliltion start date

Chemical Waste Identification:

If a �(,-<a> � <§> box is. checked below-. you: muet check the hazardous waste box;. yes·.

Flammable Corrosive

Reactive T,-ic Oxidizer

Hazardous Waste? YES O NO 0

Waste Generation Process:

Briefly describe the procedure or process(es) that generated this waste:

Are potentially Infectious agents present? YES 0 NO □

. Identify agent(sl-----------'--------ldentify any disinfectant(s) added, down below' untjer Cti�micals Does this waste contain ;adloactive mB.ter!als? YES D NO D If yes, also complete and attach a Radioactive Waste Pickup Receipt (NIH Form 88,35) to the container.

Revised 4/20 � FRONT """'-'Natrona! Institutes of Health IIMll'/' -,ot.,,,nwy"'1o-

Use of This Tag:

Use this tag to identify the contents of chemical and niixedwaste. containers;

1. Drums, solveilt safety cans,.carboys·,. boxes and. other bUlk containers;

2. Chemlca_l mixtures,and radioactive.mixed wastes;

3. Items missing the original manufacturer's label; and

4, Items containing chemicals other than those staled on the original manufacturer's label. (In th.ls case place a double "JOC' through the original labeQ.

Instructions:· 1.Completely and accuratelylill outthe lnformation on the fronnifthis tag and: use wire tie· or tape to attS:ch tag· to the ·container.

2. Call 301-496-4710 for chemical waste removal service .. If this waste also contains radioactive materials,. call ;301-496-4451.

Plctograms:. �. � ·�· �

.Mark the box for each hazard that applies to the contents of the chemical. or mixed waste:

· 1 .. Flammable for Ignitable liquids, gases and solids:

a. e.g., Methanol, Acetonltrlle, Xylene, Butane, Magnesium (alloys)

2. Corrosive. causes.skin- _bur.n,s, eye damage, or de�troys.metal:

a. e.g., fnorgSnic acids, Inorganic. bases, Amines,_. Organic acids (Formic acid, Trlch/oroacet/c acid, TNf/uoroacetlc acid, Acetic acid}

3. Reactive for the substance, solid or liquid, capable of a chemical reaction:

a. Water ReaCtive· e.g., Sodium borohydride, Sodium, Dichlorosilane

b. Spontaneously Combustible e.g., Carbon> Olly rags, Phosphorus

c. Organic peroxides e.g., Methyl Ethyl Ketone peroxide

d. Explosives e.g., P/crlc acid (solid}, Nitroglycerin, most 01/TN·nltro compounds; Lead azide, · 1 H-Tetrazole, Hydroxyf:Jenzotriazo/a

4. Toxic f�r.the substances that are poisonous including:

a. Poisonous by Inhalation e.g., Phosgene, Hydrogen cyanide

b. Toxic e.g., Phenol, Aery/amide, Chloroform, Methylene chloride, Sodium cyanide, Potassium cyanide, Ethidium bromide .

5, Oxidizers ior the substance, solid or liquid, that yields oxygen and readily reacts to promote combustion:

a. e.g., Hydrogen peroxide over 8%, Ammonium perchlorate, Chromic acid, nitric acid, ·perchloric aci�, potassium chtofate

For assistance call Division of Environmental Protection, Waste _and Resource Recovery Branch at 301·496•7990.

Re""8d 4120 • SACK http:/fwasteguide,nih,gov

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