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