HAZARDOUS MATERIALS REQUEST FOR DISPOSAL FORM

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SPILL KIT
ORDER FORM
Date:
Requested by:
Telephone:
Email:
Location:
Department:
Spill Kits
Price
General Purpose Spill Kit – solvents or toxic liquids
Quantity
Ordered
Cost
$34.49
See back for spill kit description and contents
Mercury Spill Kit
$43.90
See back for spill kit description and contents
Hydrofluoric Acid Spill Kit
$126.68
See back for spill kit description and contents
Acid Spill Kit
$69.85
See back for spill kit description and contents
Base Spill Kit
$77.52
See back for spill kit description and contents
Spill kit restocking items
General Purpose Absorbent Pads – absorb solvents, toxic liquids
$0.58
Absorbent Socks – isolate, absorb and prevent spreading
$4.16
MagicSorb Universal Absorbent (1 lb) – powder to absorb solvents,
toxic liquids
Dry Acid Neutralizer (1 lb) – powder to neutralize and absorb acids
*Do not use with hydrofluoric acid*
Dry Base Neutralizer (1 lb) – powder to neutralize and absorb bases
$0.27
Dry Hydrofluoric Acid neutralizer (1 lb) – color changing powder,
can be used for any acid.
Calcium Gluconate – first aid ointment for HF burns.
*You must also seek immediate medical attention*
Disposable vinyl apron
$18.10
Disposable sleeve
$1.50
Reusable goggles
$4.56
pH paper
$16.25
Small disposal bag – for used spill cleanup materials.
$0.27
Container to hold new spill materials
$5.74
$7.27
$14.09
$37.05
$3.85
Please generate a campus order payable to the Environmental Health and
Safety department for the total cost of your order and return to your EHS
Specialist or send to the address below. The kit will be delivered to you.
Environmental Health and Safety
Building 605 581-6590 Fax: 585-7240
http://www.ehs.utah.edu
TOTAL
COST
$
General Purpose Spill Kit - solvents or toxic liquids
General purpose absorbent pads - to absorb solvents or toxic liquids.
Ex: acetone, hexanes chloroform, formaldehyde, etc.
Absorbent socks – to isolate, absorb and prevent spreading.
MagicSorb Universal Absorbent (2 lbs.) – to absorb solvents or toxic materials
Disposable vinyl apron, disposable sleeves, small disposal bag
Reusable goggles
Acid Spill Kit
Dry Acid Neutralizer (2 lbs.) - Powder to neutralize and absorb acids.
Ex: hydrochloric acid, sulfuric acid etc. *Do not use with hydrofluoric acid*
Absorbent socks – to isolate, absorb and prevent spreading
Disposable vinyl aprons, disposable sleeves, neoprene gloves
Reusable goggles
pH paper
Mercury Spill Kit – mercury only
Contains a scoop, small dust pan, safety glasses, small disposal bag, plastic gloves, HG absorb,
metal shavings for amalgamating and sponge with metal shavings for amalgamation if the
sponge is desired. Includes instructions.
Disposable vinyl aprons, disposable sleeves, small disposal bag
Hydrofluoric Acid Spill Kit
SpillFyter Dry HF Neutralizer (2 lbs.)
Calcium Gluconate Gel 30g tube – used as a first aid ointment on HF burns.
*You must still seek immediate medical attention*
General purpose absorbent pads
Absorbent socks – to isolate, absorb and prevent spreading
Disposable vinyl aprons, disposable sleeves, small disposal bag
Neoprene gloves
pH paper
1 pair of goggles
Base Spill Kit
Dry Base Neutralizer (2 lbs.) – powder to neutralize and absorb basic materials.
Ex: sodium hydroxide, ammonium hydroxide, etc.
Absorbent socks – to isolate, absorb and prevent spreading
Disposable vinyl aprons, disposable sleeves, small disposal bag
Reusable goggles
Neoprene gloves
L:/forms/SpillKitOrderForm.doc
Updated: January 5th, 2016
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