Safety Facility Equipment Identification Catalog Page 205 Safety Signs

205 Custom Signs Additional Sign Content: DOT Class: DOT ID #: CAS #: Reach Authorization #: Internal Reference #: Chemical Manufacturer Name: Chemical Manufacturer Address: Emergency Contact Phone #: Confined Space Entry Permit Required? q Yes q No Sign Specifications Sign Content (Use sections 1-3 of your chemical SDS) Sign Material q B-120 Fiberglass q B-302 Self-Sticking q B-401 Rigid Plastic Size and Quantity (H x W) q 10" x 7" Qty. q 14" x 10" Qty. q 20" x 14" Qty. Pictograms: Located on your Safety Data Sheet, indicate pictogram number below: 1 Minimum / Maximum 4 Diamond 1: Diamond 2: Diamond 3: Diamond 4: Tank #: Chemical Name: Signal Word: (DANGER or WARNING) Hazard Statements: Located on your Safety Data Sheet, please include H-Code if available. i.e. H100 Precautionary Statements/First Aid: Located on your Safety Data Sheet, please include P-Code if available. i.e. P100 q Format 1 q Format 2 q Format 3 NFPA Rating: Health Fire Instability Specific HMIG Rating: Health Fire Instability Specific Sign Format Protective Equipment Required Pictograms: Choose up to 6 icons. PPE 1: PPE 2: PPE 3: PPE 4: PPE 5: PPE 6: A. Safety Glasses G. Rubber Boots C. Face Shield I. Respirator E. S.C.B.A K. Boots/ Gloves B. Rubber Gloves H. Apron D. Chemical Goggles J. Chemical Suit F. Dust Mask L. Eyewash/ Shower 1-888-272-3946 Custom Tank & Vessel Signs Order Form Please have a Safety Data Sheet (SDS) in hand to fill in the form. The SDS, supplied from your chemical manufacturer, must be up-to-date with GHS elements. All required label elements needed to fill this form out are found in sections 1-3 in your chemical SDS. Once complete, return this form to or fax to 1-800-292-2289. (A proof will be provided.) Customer Information Company Name: Name: Address1: Phone #: Address2: Fax #: City: State: Zip: Email: Distributor Information Distributor: Contact Name: Account: Fax #: Phone #: 3. Explosive 8. Gas Pressure 6. Acute Toxic 4. Flammable 1. Corrosive 9. Health 7. Oxidizing 2. Severe Toxic 5. Environmental

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