HAZWOPER Refresher Exercise #1 Submittal Form


Copyright 2003 by T.R. Consulting, Inc.


Please fill out the following information and press the SUBMIT button

name
company
address1
address2
city
state
zip
email
telephone
chemical name
trade name/synonym
PEL
REL
TLV
STEL
Immediately Dangerous to Life & Health
Liquid, solid or gas at ambient temperature
Flammable, yes or no
If flammable, LEL/LFL
If flammable, flash point
Solubility (A,B,C,D or E)
Specific gravity indicates (A,B, or C)
Vapor density indicates (A,B, or C)
Respirator at 1ppm exposure
Respirator at 10 ppm exposure
Respirator at 100 ppm exposure
Respirator at 500 ppm exposure
Respiratory exposure route (yes or no)
Skin exposure route (yes or no)
Eye Contact exposure route (yes or no)
Ingestion exposure route (yes or no)
List symptoms of exposure
comments