010.06.10 APPENDIX A. TO SAFETY CODE NO. 12.
AR ADC 010.06.10 APPENDIX AArkansas Administrative Code
Ark. Admin. Code 010.06.10 APPENDIX A
010.06.10 APPENDIX A. TO SAFETY CODE NO. 12.
ARKANSAS WORKPLACE CHEMICAL LIST
NAME OF EMPLOYER:
CONTACT PERSON:
__________
PHONE:
WORKPLACE LOCATION:
MAILING ADDRESS:
CITY AND ZIP CODE:
List below each hazardous chemical used, generated, or stored in the workplace in an amounnt equal to or greater than fifty-five (55) gallons or five hundred (500) pounds. Fill in the appropriate information in each of the listed columns. If you have any questions contact the Arkansas Department of Labor at 682-4526 or 682-4522.
Chemical Name or Common Name Used on the MSDS or the Container Label | CAS Number (if on the MSDS) | Location of the Chemical in the Workplace | Amount Present | |
|---|---|---|---|---|
1. | ||||
2. | ||||
3. | ||||
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10. | ||||
(If more space is needed use an additional form.) | ||||
Return the completed list to: | Clark Thomas |
Arkansas Department of Labor | |
Public Employee Right To Know | |
10421 West Markham | |
Little Rock, Arkansas 72205 |
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 010.06.10 APPENDIX A, AR ADC 010.06.10 APPENDIX A
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