College of Liberal Arts and Sciences
Department of Chemistry
F ORM SHEET TO ACCOMPANY SHIPMENT OF mg- QUANTITIES OF RESEARCH SAMPLES OF NOVEL COMPOUNDS
FOR ANALYSIS / TESTING ONLY ! (O NE SDS PER COMPOUND OR COMPOUND CLASS )
SAFETY DATA SHEET (SDS)
SECTION 1 — CHEMICAL PRODUCT AND COMPANY IDENTIFICATION
Product Identifier Used on Label:
Product Use: For Research/Analysis Only
Compound Prepared by:
Research Group:
Address: Department of Chemistry, University of Connecticut, 55 N. Eagleville Rd., Storrs, CT 06269-3060, USA
Emergency Telephone/Contact Person:
SECTION 2 — HAZARDS IDENTIFICATION
Hazards Have Not Been Established:
Oxidizer:
Likely Hazard Class(es):
Flammable:
Corrosive:
Irritant:
Acute Toxicity:
Carcinogen:
Other Likely Hazards:
SECTION 3 — COMPOSITION/INFORMATION ON INGREDIENTS
Novel Compounds, CAS Numbers Not Established:
See Attached Sheet of Structures/Compositions:
Sample Number/Code
Chemical Name or Common Name
Chemical Formula or % Composition
SECTION 4 — FIRST AID MEASURES
First Aid Measures Have Not Been Established:
Recommended Advice on Eye Contact: Through flushing with water
Inhalation:
Ingestion:
SECTION 5 — FIRE FIGHTING MEASURES
Fire Fighting Measures Have Not Been Established:
Advice on Specific Hazards:
See reverse, Page 1/2
Skin Contact: Through flushing with water
SECTION 6 — ACCIDENTAL RELEASE MEASURES
Accidental Release Measures Have Not Been Established:
SECTION 7 — HANDLING AND STORAGE
General Chemical Hygiene Standards Apply:
Special Storage Requirements: Keep Cold (~5°C)
Keep Frozen (<-15°C)
Keep out of Light
Keep Dry
Other Special Storage Requirements:
SECTION 8 — EXPOSURE CONTROL / PERSONAL PROTECTION
OSHA Permissible Exposure Limits (PELs), ACGHI Threshold Limits (TLVs) are not known:
Suggested Exposure Engineering Controls: Handling in Fume Hood
Recommended Personal Protective Equipment (PPE): Nitrile Gloves
Any Special Requirements for the PPE:
SECTION 9 — PHYSICAL AND CHEMICAL PROPERTIES
Physical State:
Odor:
Boiling Point (°C):
Appearance:
Freezing Point (°C):
More Physical/Chemical Properties are Not Known:
More Physical/Chemical Properties are Known:
Specific Gravity (g/mL):
pH:
Vapor Pressure:
n-Octanol/Water P (log P):
Decomposition Temperature (°C):
Solubility in Water (g/L):
Other:
SECTION 10 — STABILITY AND REACTIVITY
Chemical Stability Data Available (for this compound or representative compound class): Ye s
If Yes, Chemical Stability: Yes
No
If No, Under Which Conditions?
No
Incompatibility With Other Substance: Ye s
If Yes, Which Ones?
No
SECTION 11 — TOXICOLOGICAL INFORMATION
Toxicological Data Available: Yes
Likely Route of Exposure:
I n ha l at i on
No
I ng es t i on
Sk in C o nt a c t
E ye C on t ac t
If toxicological data available, list immediate/long-term effects from long-/short-term exposure, numerical measures
of toxicity, symptom description, and whether the compound is found to be a potential carcinogen by OSHA:
SECTION 16 — OTHER INFORMATION
Form by Departmental Safety Committee 9/2015, along the minimal SDS information required according to OSHA Standard
1910.1200 App D; all non-mandatory sections omitted:
https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=10103.
Preparer of SDS:
Date of SDS:
Page 2/2
v. 9/2/2015 cb