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Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
LIQUID
Revision date: 2015/01/27 Page: 1 /11
Version: 3.0 (30605571/SDS GENUS/EN)
1. Identification
Product identifier used on the label
MasterSeal SL 18OLIQ also GOLD LABEL LOOP
SEALANT LIQUID
Recommended use of the chemical and restriction on use
Recommended use': for industrial and professional users
* The "Recommended use' identified for this product is provided solely to comply with a US Federal requirement and is not
part of the seller's published specification. The terms of this Safety Data Sheet (SDS) do not create or infer any warranty,
express or implied, including by incorporation into or reference in the seller's sales agreement.
Details of the supplier of the safety data sheet
Company:
BASF CORPORATION
100 Park Avenue
Florham Park, NJ 07932, USA
Telephone: +1 973 245 -6000
Emergency telephone number
C H E M T R E C: 1 -800- 424 -9300
BASF HOTLINE: 1 -800- 832 -HELP (4357)
Other means of identification
Chemical family: No data available.
2. Hazards Identification
According to Regulation 2012 OSHA Hazard Communication Standard, 29 CFR Part 1910 1200
Classification of the product
Asp. Tox. 1
Flam. Liq. 3
Skin Carr. /Irrit. 2
Eye Dam. /Irrit. 2A
STOT SE 3 (irritating to
respiratory system)
Aspiration hazard
Flammable liquids
Skin corrosion /irritation
Serious eye damage /eye irritation
Specific target organ toxicity — single exposure
Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
STOT RE 1 Specific target organ toxicity — repeated
exposure
Aquatic Acute 2 Hazardous to the aquatic environment - acute
Aquatic Chronic 3 Hazardous to the aquatic environment - chronic
Label elements
Pictogram:
O'
Signal Word:
Danger
Hazard Statement
H226
Flammable liquid and vapour.
H319
Causes serious eye irritation.
H315
Causes skin irritation.
H304
May be fatal if swallowed and enters airways.
H335
May cause respiratory irritation.
H372
Causes damage to organs (Auditory organ) through prolonged or
P243
repeated exposure.
H412
Harmful to aquatic life with long lasting effects.
H401
Toxic to aquatic life.
Precautionary Statements (Prevention)
P280
Wear protective gloves and eye /face protection.
P271
Use only outdoors or in a well - ventilated area.
P210
Keep away from heat, hot surfaces, sparks, open flames and other
ignition sources. No smoking.
P273
Avoid release to the environment.
P260
Do not breathe dust/gas /mist/vapours.
P243
Take precautionary measures against static discharge.
P241
Use explosion -proof electrical/ ventilating /lighting /equipment.
P270
Do not eat, drink or smoke when using this product.
P264
Wash with plenty of water and soap thoroughly after handling.
P240
Ground /bond container and receiving equipment.
P242
Use only non - sparking tools.
Precautionary Statements (Response):
Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
P312
Call a POISON CENTER or doctor /physician if you feel unwell.
P305+ P351+ P338
IF IN EYES: Rinse cautiously with water for several minutes. Remove
contact lenses, if present and easy to do. Continue rinsing.
P314
Get medical advice /attention if you feel unwell.
P301+ P310
IF SWALLOWED: Immediately call a POISON CENTER or
doctor /physician.
P303+ P361 + P353
IF ON SKIN (or hair): Take off immediately all contaminated clothing.
Rinse skin with water /shower.
P304 +P340
IF INHALED: Remove person to fresh air and keep comfortable for
breathing.
P332+ P313
If skin irritation occurs: Get medical advice /attention.
P331
Do NOT induce vomiting.
P337+ P311
If eye irritation persists: Call a POISON CENTER or doctor /physician.
P362+ P364
Take off contaminated clothing and wash before reuse.
P370+ P378
In case of fire: Use... to extinguish.
Precautionary Statements (Storage):
P233
Keep container tightly closed.
P403+ P235
Store in a well - ventilated place. Keep cool.
P405
Store locked up.
Precautionary Statements
(Disposal):
P501
Dispose of contents /container to hazardous or special waste collection
point.
Hazards not otherwise classified
If.applicable information is provided in this section on other hazards which do not result in
classification but which may contribute to the overall hazards of the substance or mixture.
According to Regulation 1994 OSHA Hazard Communication Standard, 29 CFR Part 19101200
Emergency overview
WARNING:
FLAMMABLE LIQUID AND VAPOR.
MAY CAUSE EYE, SKIN AND RESPIRATORY TRACT IRRITATION.
MAY BE HARMFUL IF SWALLOWED.
REPORTS HAVE ASSOCIATED REPEATED AND PROLONGED OCCUPATIONAL
OVEREXPOSURE TO SOLVENTS WITH PERMANENT BRAIN AND NERVOUS SYSTEM
DAMAGE.
Overexposure may cause CNS depression including headache, dizziness, nausea and loss of
consciousness.
CONTAINS MATERIAL WHICH CAN CAUSE CANCER.
Keep container tightly closed.
Avoid all sources of ignition: heat, sparks, open flame.
3. Composition / Information on Ingredients
According to Regulation 2012 OSHA Hazard Communication Standard: 29 CFR Part 1910 1200
CAS Number Content (WNW) Chemical name
100 -42 -5 >= 25.0 - < 50.0 % Styrene
According to Regulation 1994 OSHA Hazard Communication Standard; 29 CFR Part 1910 1200
Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
CAS Number Content (WIW) Chemical name
100 -42 -5 >= 15.0 - <= 40.0 % Styrene
4. First -Aid Measures
Description of first aid measures
General advice:
First aid personnel should pay attention to their own safety. Immediately remove contaminated
clothing.
If inhaled:
If difficulties occur after vapour /aerosol has been inhaled, remove to fresh air and seek medical
attention.
If on skin:
After contact with skin, wash immediately with plenty of water and soap. Under no circumstances
should organic solvent be used. If irritation develops, seek medical attention.
If in eyes:
Wash affected eyes for at least 15 minutes under running water with eyelids held open, consult an
eye specialist.
If swallowed:
Rinse mouth immediately and then drink plenty of water, seek medical attention. Do not induce
vomiting unless told to by a poison control center or doctor.
Most important symptoms and effects, both acute and delayed
Symptoms: The most important known symptoms and effects are described in the labelling (see
section 2) and /or in section 11.
Hazards: No applicable information available.
Indication of any immediate medical attention and special treatment needed
Note to physician
Treatment: Treat according to symptoms (decontamination, vital functions), no
known specific antidote.
5. Fire - Fighting Measures
Extinguishing media
Suitable extinguishing media:
foam, water spray, dry powder, carbon dioxide
Unsuitable extinguishing media for safety reasons:
water jet
Special hazards arising from the substance or mixture
Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
LIQUID
Revision date: 2015/01/27 Page: 5/11
Version: 3.0 (30605571/SDS GEN US /EN)
Hazards during fire- fighting:
carbon dioxide, carbon monoxide, harmful vapours, nitrogen oxides, fumes /smoke, carbon black
Advice for fire - fighters
Protective equipment for fire- fighting:
Wear a self- contained breathing apparatus.
Further information:
The degree of risk is governed by the burning substance and the fire conditions. If exposed to fire,
keep containers cool by spraying with water. Collect contaminated extinguishing water separately, do
not allow to reach sewage or effluent systems. Contaminated extinguishing water must be disposed
of in accordance with official regulations.
6. Accidental release measures
Personal precautions, protective equipment and emergency procedures
Do not breathe vapour /aerosol /spray mists. Wear eye /face protection. If exposed to high vapour
concentration, leave area immediately. Use personal protective clothing. Handle in accordance with
good building materials hygiene and safety practice.
Environmental precautions
Contain contaminated water /firefighting water. Do not discharge into drains /surface
waters /groundwater.
Methods and material for containment and cleaning up
For small amounts: Pick up with inert absorbent material (e.g. sand, earth etc.). Dispose of
contaminated material as prescribed.
For large amounts: Pump off product.
7. Handling and Storage
Precautions for safe handling
Avoid aerosol formation. Avoid inhalation of mists /vapours. Avoid skin contact. No special measures
necessary provided product is used correctly.
Conditions for safe storage, including any incompatibilities
No applicable information available.
Suitable materials for containers: tinned carbon steel (Tinplate)
Further information on storage conditions: Keep only in the original container in a cool, dry, well -
ventilated place away from ignition sources, heat or flame. Protect from direct sunlight.
Protect from temperatures below: 0 °C
The packed product must be protected from temperatures below the indicated one.
8. Exposure Controls /Personal Protection
Components with occupational exposure limits
Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
LIQUID
Revision date : 2015/01/27 Page: 6/11
Version: 3.0 (30605571/SDS GENUS/EN)
Styrene OSHA PEL TWA value 100 ppm ; CLV 200 ppm ;max.
conc. 600 ppm ; STEL value 100 ppm 425
mg /m3 ; TWA value 50 ppm 215 mg /m3 ;
ACGIH TLV TWA value 20 ppm ; STEL value 40 ppm ;
Advice on system design:
No applicable information available.
Personal protective equipment
Respiratory protection:
Wear a NIOSH- certified (or equivalent) respirator as necessary.
Hand protection:
Wear chemical resistant protective gloves., Manufacturer's directions for use should be observed
because of great diversity of types.
Eye protection:
Safety glasses with side - shields.
Body protection:
Impermeable protective clothing
General safety and hygiene measures:
Do not inhale gases /vapours /aerosols. Avoid contact with the skin, eyes and clothing. Avoid
exposure - obtain special instructions before use. Handle in accordance with good building materials
hygiene and safety practice. Wearing of closed work clothing is recommended. When using, do not
eat, drink or smoke. Hands and /or face should be washed before breaks and at the end of the shift.
At the end of the shift the skin should be cleaned and skin -care agents applied. Gloves must be
inspected regularly and prior to each use. Replace if necessary (e.g. pinhole leaks).
9. Physical and Chemical Properties
Form:
liquid
Odour:
pungent odour
Odour threshold:
No data available.
Colour:
Purple
pH value:
not applicable
Melting point:
No applicable information available.
Boiling point:
No applicable information available.
Information on: Styrene
Boiling point:
----------------------------------
145'C
( 1,013 hPa) Literature data.
Sublimation point:
No applicable information available.
Flash point:
32 °C
(ASTM D3278)
Flammability:
No applicable
information
available.
Lower explosion limit:
No applicable information available.
Upper explosion limit:
No applicable information available.
Autoignition:
490'C
Information on: Styrene
Autoignition:
490'C
Literature data.
Vapour pressure: No applicable information available
Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
LIQUID
Version: 3.0 (30605571/SDS GEN US /EN)
Information on: Styrene
Vapour pressure:
----------------------------------
6.67 hPa ( 20 °C) (measured) Literature data.
Density:
approx. 1.13 ( 25 °C)
g /cm3
Relative density:
No applicable information available.
Bulk density:
not applicable
Vapour density:
No applicable information available.
Partitioning coefficient n-
No data available.
octanol /water (log Pow):
Thermal decomposition:
No decomposition if stored and handled as
prescribed /indicated.
Viscosity, dynamic:
No applicable information available.
Viscosity, kinematic:
No applicable information available.
Solubility (quantitative):
No applicable information available.
Solubility (qualitative):
No applicable information available.
Evaporation rate:
No applicable information available.
Other Information:
If necessary, information on other physical and chemical
parameters is indicated in this section.
10. Stability and Reactivity
Reactivity
No hazardous reactions if stored and handled as prescribed /indicated.
Oxidizing properties:
Based on its structural properties the product is not classified as oxidizing.
Chemical stability
The product is stable if stored and handled as prescribed /indicated.
Possibility of hazardous reactions
The product is stable if stored and handled as prescribed /indicated.
Risk of polymerization.
Conditions to avoid
See MSDS section 7 - Handling and storage.
Incompatible materials
strong acids, strong bases, strong oxidizing agents, strong reducing agents
Hazardous decomposition products
Decomposition products:
No hazardous decomposition products if stored and handled as prescribed /indicated.
Thermal decomposition:
No decomposition if stored and handled as prescribed /indicated.
11. Toxicological information
Primary routes of exposure
Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
mevision uate : wi oioi iz r Page: 8/11
Version: 3.0 (30605571/SDS GEN US /EN)
Routes of entry for solids and liquids are ingestion and inhalation, but may include eye or skin
contact. Routes of entry for gases include inhalation and eye contact. Skin contact may be a route
of entry for liquefied gases.
Acute Toxicity /Effects
Acute toxicity
Assessment of acute toxicity: No applicable information available.
Oral
No applicable information available
Inhalation
No applicable information available
Dermal
No applicable information available
Assessment other acute effects
Assessment of STOT single:
Causes temporary irritation of the respiratory tract.
Irritation / corrosion
Assessment of irritating effects: Eye contact causes irritation. Skin contact causes irritation.
Aspiration Hazard
May also damage the lung at swallowing (aspiration hazard).
Chronic Toxicity /Effects
Repeated dose toxicitv
Assessment of repeated dose toxicity: Repeated exposure to small quantities may affect certain
organs.
Carcinogenicity
Information on: Styrene
Assessment of carcinogenicity: IARC (International Agency for Research on Cancer) has classified
this substance as group 28 (The agent is possibly carcinogenic to humans). NTP listed as
reasonably anticipated to be a human carcinogen.
Other Information
The product has not been tested. The statement has been derived from the properties of the
individual components.
Symptoms of Exposure
The most important known symptoms and effects are described in the labelling (see section 2)
and /or in section 11.
Safety Data Sheet
MasterSeal SL 18OLIQ also GOLD LABEL LOOP SEALANT
Version: 3.0 (30605571/SDS GEN US /EN)
12. Ecological Information
Toxicity
Aquatic toxicity
Assessment of aquatic toxicity:
Acutely harmful for aquatic organisms. May cause long -term adverse effects in the aquatic
environment.
Aquatic toxicity
Information on: Styrene
Assessment of aquatic toxicity:
Acutely toxic for aquatic organisms. Harmful to aquatic organisms based on long -term (chronic)
toxicity study data.
Toxicity to fish
Information on: Styrene
LC50 (96 h) 4.02 mo, Pimephales promelas (other, Flow through.)
Literature data.
Aquatic invertebrates
Information on: Styrene
EC50 (48 h) 4.7 mo, Daphnia magna (OECD Guideline 202, part 1, Flow through.)
Literature data.
Aquatic plants
Information on: Styrene
EC50 (72 h) 4.9 mo (growth rate), Selenastrum capricornutum (other)
Literature data.
EC10 (96 h) 0.28 mg1l (growth rate), Desmodesmus subspicatus (other)
Microorganisms /Effect on activated sludge
Toxicity to microorganisms
Information on: Styrene
OECD Guideline 209 aquatic
activated sludge /EC20 (30 min): 140 mg11
Additional information
Other ecotoxicological advice:
Do not discharge product into the environment without control. The product has not been tested. The
statements on ecotoxicology have been derived from the properties of the individual components.
Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
LIQUID
Revision date: 2015/01/27 Page: 10/11
Version: 3.0 (30605571/SDS GEN US /EN)
13. Disposal considerations
Waste disposal of substance:
Dispose of in accordance with national, state and local regulations. Residues should be disposed of
in the same manner as the substance /product. Do not discharge into drains /surface
waters /groundwater.
Container disposal:
Contaminated packaging should be emptied as far as possible; then it can be passed on for
recycling after being thoroughly cleaned.
14. Transport Information
Land transport
USDOT
Hazard class:
Packing group:
ID number:
Hazard label:
Proper shipping name:
Sea transport
IMDG
Hazard class:
Packing group:
ID number:
Hazard label:
Marine pollutant:
Proper shipping name:
Air transport
IATA/ICAO
Hazard class:
Packing group:
ID number:
Hazard label:
Proper shipping name:
15. Regulatory Information
Federal Regulations
3
III
UN 1866
3
RESIN SOLUTION
3
UN 1866
3
NO
RESIN SOLUTION
3
III
UN 1866
3
RESIN SOLUTION
Registration status:
Chemical TSCA, US released / listed
EPCRA 311/312 (Hazard categories): Reactivity; Acute; Chronic; Fire
Safety Data Sheet
MasterSeal SL 180LIQ also GOLD LABEL LOOP SEALANT
EPCRA 313:
CAS Number Chemical name
100 -42 -5 Styrene
CERCLA RQ CAS Number Chemical name
1000 LBS 100 -42 -5 Styrene
State regulations
State RTK CAS Number Chemical name
MA, NJ, PA 100 -42 -5 Styrene
NFPA Hazard codes:
Health: 2 Fire: 3 Reactivity: 1 Special:
HMIS III rating
Health: 2 Flammability: 3 Physical hazard:1
16. Other Information
SDS Prepared by:
BASF NA Product Regulations
SIDS Prepared on: 2015/01/27
We support worldwide Responsible Care(D initiatives. We value the health and safety of our
employees, customers, suppliers and neighbors, and the protection of the environment. Our
commitment to Responsible Care is integral to conducting our business and operating our facilities in
a safe and environmentally responsible fashion, supporting our customers and suppliers in ensuring
the safe and environmentally sound handling of our products, and minimizing the impact of our
operations on society and the environment during production, storage, transport, use and disposal of
our products.
IMPORTANT: WHILE THE DESCRIPTIONS, DESIGNS, DATA AND INFORMATION CONTAINED
HEREIN ARE PRESENTED IN GOOD FAITH AND BELIEVED TO BE ACCURATE, IT IS
PROVIDED FOR YOUR GUIDANCE ONLY. BECAUSE MANY FACTORS MAY AFFECT
PROCESSING OR APPLICATION /USE, WE RECOMMEND THAT YOU MAKE TESTS TO
DETERMINE THE SUITABILITY OF A PRODUCT FOR YOUR PARTICULAR PURPOSE PRIOR
TO USE. NO WARRANTIES OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, ARE
MADE REGARDING PRODUCTS DESCRIBED OR DESIGNS, DATA OR INFORMATION SET
FORTH, OR THAT THE PRODUCTS, DESIGNS, DATA OR INFORMATION MAY BE USED
WITHOUT INFRINGING THE INTELLECTUAL PROPERTY RIGHTS OF OTHERS. IN NO CASE
SHALL THE DESCRIPTIONS, INFORMATION, DATA OR DESIGNS PROVIDED BE CONSIDERED
A PART OF OUR TERMS AND CONDITIONS OF SALE. FURTHER, YOU EXPRESSLY
UNDERSTAND AND AGREE THAT THE DESCRIPTIONS, DESIGNS, DATA, AND INFORMATION
FURNISHED BY OUR COMPANY HEREUNDER ARE GIVEN GRATIS AND WE ASSUME NO
OBLIGATION OR LIABILITY FOR THE DESCRIPTION, DESIGNS, DATA AND INFORMATION
GIVEN OR RESULTS OBTAINED, ALL SUCH BEING GIVEN AND ACCEPTED AT YOUR RISK.
END OF DATA SHEET
Material Safety Data Sheet
BASF
The Chemical Company
GOLD LABEL ALL SEASON LOOP SEALANT POWDER
Version 1.4
06128/2006
1. PRODUCT AND COMPANY INFORMATION
Company
BASF Building Systems
546 -93 -0
889 Valley Park Drive
1317 -61 -9
Shakopee, MN 55379
Telephone
952- 496 -6000
Emergency telephone number
(800) 424 -9300
(703) 527 -3887 (Outside Continental US)
Product name
GOLD LABEL ALL SEASON LOOP SEALANT POWDER
MSDS ID No.
10183
TSCA Inventory
All components of this product are included, or are exempt from inclusion, in the EPA
Toxic Substances Control Act (TSCA) Chemical Substance Inventory.
Canadian DSL
All components of this product are included, or are exempt from inclusion, in the
Canadian Domestic Substance List (DSL).
Product Use Description
Sealant
2. HAZARDOUS INGREDIENTS
Chemical
CAS No.
LIMESTONE
1317 -65 -3
MAGNESIUM CARBONATE
546 -93 -0
IRON OXIDE
1317 -61 -9
SILICA, CRYSTALLINE QUARTZ
14808 -60 -7
3. HAZARDS IDENTIFICATION
HMIS® Rating
WHMIS Class
Primary Routes of Entry
Effects of Overexposure
Inhalation
Skin
HEALTH
2-
D2B
E
TLV
STEL
5 mg /m3
N.E.
10 mg /m3
N.E.
3 mg /m3
N.E.
0.05 mg /m3
N.E.
Ingestion
Inhalation
Eye contact
Skin contact
FLAMMABILITY
0
PEL
CEIL
5 mg /m3
N.E.
5 mg /m3
N.E.
N.E.
N.E.
0.1 mg /m3 N.E
PHYSICAL
HAZARD
1
Wei ht %
60.00 - 100.00 %
1.00-5.00%
1.00-5.00%
0.10-1.00%
Inhalation of dust can cause coughing and labored breathing and possible temporary but
reversible irritation on mucous membranes and respiratory tract.
Can cause slight to moderate irritation due to abrasive action. In combination with
Page 1 of 7
Material Safety Data Sheet
BASF
The Chemical Company
GOLD LABEL ALL SEASON LOOP SEALANT POWDER
Version 1.4
06/28/2006
Flush eyes with water, lifting upper and lower lids occasionally for 15 minutes. Seek
water, repeated or prolonged dermal exposure can cause moderate to severe alkali
medical attention.
burns.
Eyes
Can cause severe irritation, redness, tearing and blurred vision. Prolonged or repeated
water. Seek medical advice.
contact can cause burns and possibly corneal injury.
Ingestion
Irritating to mouth, throat and stomach.
Chronic exposure
This product contains Crystalline (quartz) Silica which has been listed as a human
person vomits, place him /her in the recovery position.
carcinogen by NTP (Group 1) and IARC (Human Carcinogen) and a Suspected Human
Remove victim from exposure. If difficulty with breathing, administer oxygen. If breathing
Carcinogen by ACGIH (category A2). Repeated or prolonged over exposure to free
has stopped administer artificial respiration, preferably mouth -to- mouth. Seek immediate
respirable Crystalline (quartz) silica can cause silicosis or other delayed and serious lung
medical attention.
injury. Repeated or prolonged overexposure to free respirable silica can cause silicosis
or other delayed and serious lung injury.
Carcinogenicity
ACGIH IARC NTP OSHA
- -- _ _
; LIMESTONE
_ _ - -_... — - - --
'. N.E. TN.E �, N E. ' N.E.
_ _ ___ _
MAGNESIUM CARBONATE
_ _
� N.E. ! N.E N.E. N.E. i
-
IRON OXIDE_ __
-- - - - - - -- - - - -- - - --- - -- - _.._..---- r- - - - - -- -,.
N. E. N.E.
SILICA, CRYSTALLINE QUARTZ
_
Suspected human Human carcinogen N.E.
carcinogen.
4. FIRST AID MEASURES
Eye contact
Flush eyes with water, lifting upper and lower lids occasionally for 15 minutes. Seek
medical attention.
Skin contact
Take off contaminated clothing and shoes immediately. Wash off with soap and plenty of
water. Seek medical advice.
Ingestion
Do not induce vomiting without medical advice. If conscious, drink plenty of water. Call a
physician immediately. Never give anything by mouth to an unconscious person. If a
person vomits, place him /her in the recovery position.
Inhalation
Remove victim from exposure. If difficulty with breathing, administer oxygen. If breathing
has stopped administer artificial respiration, preferably mouth -to- mouth. Seek immediate
medical attention.
5. FIRE - FIGHTING MEASURES
Flash point
Autoignition temperature
Lower explosion limit
Upper explosion limit
Suitable extinguishing media
Not combustible.
Not combustible.
not applicable
not applicable
water fog
carbon dioxide (CO2)
dry chemical
alcohol- resistant foam
Page 2 of 7
Material Safety Data Sheet
GOLD LABEL ALL SEASON LOOP SEALANT POWDER
Version 1.4
Fire and Explosion Hazards
Special Fire - fighting Procedures
BASF
The Chemical Company
06/28/2006
This product is alkaline and releases considerable heat on contact with small amounts of
water. Avoid contact between resulting hot alkaline paste and metallic aluminum. Such
contact could generate hydrogen gas.
As in any fire, wear pressure demand self- contained breathing apparatus ( NIOSH
approved or equivalent) and full protective gear.
6. ACCIDENTAL RELEASE MEASURES
Methods for cleaning up
Clean up promptly by sweeping or vacuum. Clean thoroughly. After cleaning, flush away
traces with water. Keep in suitable, closed containers for disposal. Wear personal
protective equipment (refer to section 8).
7. HANDLING AND STORAGE
Handling
Use only in area provided with appropriate ventilation. Keep out of reach of children.
Avoid exceeding of the given occupational exposure limits (see section 2). Avoid
formation of respirable particles.
Storage
Keep container tightly closed.
8. EXPOSURE CONTROLS / PERSONAL PROTECTION
Eye protection
Wear as appropriate:
safety glasses with side - shields
face - shield
goggles
Hand protection
Wear as appropriate:
impervious gloves
Body Protection
Wear as appropriate:
preventive skin protection
impervious clothing
Respiratory protection
In case of insufficient ventilation wear suitable respiratory equipment. When workers are
facing concentrations above the exposure limit they must use NIOSH approved
respirators.
Hygienic Practices
Avoid contact with skin, eyes and clothing. Ensure adequate ventilation, especially in
confined areas. Handle in accordance with good industrial hygiene and safety practice.
Wash hands before breaks and at the end of workday. When using, do not eat, drink or
smoke.
Engineering Controls
Local exhaust ventilation can be necessary to control any air contaminants to within their
TLVs during the use of this product.
9. PHYSICAL AND CHEMICAL
PROPERTIES
Color . gray
Page 3 of 7
Material Safety Data Sheet
GOLD LABEL ALL SEASON LOOP SEALANT POWDER
Version 1.4
Physical State
powder
Odor
No information available.
pH (at 100 %)
not applicable
Odor Threshold
no data available
Vapor Pressure
not applicable
Vapor Density
not applicable
Boiling point/range
no data available
Freeze Point
no data available
Water solubility
slightly soluble
Specific Gravity
2.6
Viscosity
no data available
Evaporation rate
i
no data available
Partition coefficient (n-
no data available
octanol /water)
VOC Concentration as applied
0 g/1
(less water and exempt
solvents)
10. STABILITY AND REACTIVITY
Stability
Conditions to avoid
Materials to avoid
Hazardous decomposition
products
Hazardous polymerization
Stable under recommended storage conditions.
no data available
strong acids and strong bases
strong oxidizing agents
. no data available
Will not occur under normal conditions.
BASF
The Chemical Company
06/28/2006
11. TOXICOLOGICAL INFORMATION
Acute inhalation toxicity
Tvpe Value Species Exposure time
Product LC50 no data available
Component
Page 4 of 7
Material Safety Data Sheet
BASF
The Chemical Company
GOLD LABEL ALL SEASON LOOP SEALANT POWDER
Version 1.4
LIMESTONE
MAGNESIUM CARBONATE
IRON OXIDE
SILICA, CRYSTALLINE QUARTZ
Acute oral toxicity
Product
Comoonent
LIMESTONE
MAGNESIUM CARBONATE
IRON OXIDE
SILICA, CRYSTALLINE QUARTZ
Acute dermal toxicity
Product
Component
LIMESTONE
MAGNESIUM CARBONATE
IRON OXIDE
SILICA, CRYSTALLINE QUARTZ
12. ECOLOGICAL INFORMATION
LC50 no data available
LC50 no data available
LC50 no data available
LC50 no data available
TVDe Value Species
LD50 (Oral) no data available
LD50 (Oral)
6,450 mg /kg rat
LD50 (Oral)
no data available
LD50 (Oral)
no data available
LD50 (Oral)
1,300 mg /kg
Type Value Species
LD50 (Dermal) no data available
LD50 (Dermal) no data available
LD50 (Dermal) no data available
LD50 (Dermal) no data available
LD50 (Dermal) no data available
Ecotoxicological Information : There is no data available for this product.
13. DISPOSAL CONSIDERATIONS
Recommendations: Use excess product in an alternate beneficial application. Handle disposal of waste
material in manner which complies with local, state, province and federal regulation.
14. TRANSPORT INFORMATION
DOT Proper shipping name Not regulated
IATA Proper shipping name Not regulated
Page 5 of 7
06/28/2006
Material Safety Data Sheet
The Chemical Company
GOLD LABEL ALL SEASON LOOP SEALANT POWDER
Version 1.4 06/28/2006
15. REGULATORY INFORMATION
SARA 311/312 (RTK)
This product has been reviewed according to the EPA'Hazard Categories' promulgated under Sections 311 and 312 of the
Superfund Amendments and Reauthorization Act of 1986 (SARA Title III) and is considered, under applicable definitions, to
meet the following categories:
IMMEDIATE (ACUTE) HEALTH HAZARD DELAYED (CHRONIC) HEALTH HAZARD
SARA 313
This product contains the following substances subject to the reporting requirements of Section 313 of Title III of the
Superfund Amendments and Reauthorization Act of 1986 and 40 CFR Part 372:
Weight % CAS No. Chemical Name
This product contains no chemicals subject to the SARA 313 supplier notification requirements.
CERCLA
CERCLA section 103(a) specifically requires the person in charge of a vessel orfacility to report immediately to the National
Response Center (NRC) a release of a hazardous substance whose amount equals or exceeds the assigned RQ. The
following hazardous substances are contained in this product.
RQ CAS No. Chemical Name
No CERCLA chemicals exist in this product above reportable concentrations.
TSCA Section 12(b) Export Notification
This product contains the following chemical substances subject to the reporting requirements of TSCA 12(b) if exported from
the United States:
CAS No. Chemical Name
There are no TSCA 12(b) Chemicals in this product.
California Proposition 65
The chemical(s) noted below and contained in this product, are known to the state of California to cause cancer, birth defects
or other reproductive harm. Unless otherwise specified in Section 2 of this MSDS, these chemicals are present at < 0.1 %:
CAS No.
Chemical Name
14808 -60 -7
SILICA, CRYSTALLINE QUARTZ
7439 -97 -6
MERCURY
7439 -92 -1
INORGANIC LEAD
7440 -38 -2 ARSENIC
7440 -43 -9 CADMIUM
7440 -02 -0 NICKEL
16. OTHER INFORMATION
Legend N.E. -Not Established
TLV - Threshold Limit Value
STEL - Short Term Exposure Limit
Page 6 of 7
Material Safety Data Sheet
GOLD LABEL ALL SEASON LOOP SEALANT POWDER
Version 1.4
PEL - Permissible Exposure Limit
CEIL - Ceiling
Prepared By . Environment, Health and Safety Department
7-1, 1 BASF
The Chemical Company
This information is furnished without warranty, representation, or license of any kind, except that this information is accurate to the
best of the manufacturer's knowledge, or is obtained from sources believed by the manufacturer to be accurate and is not intended
to be all inclusive. No warranty is expressed or implied regarding the accuracy of this information or the results to be obtained from
its use thereof. The manufacturer assumes no responsibility for injuries proximately caused by use of the Material if reasonable
safety procedures are not followed as stipulated in this Data Sheet. Additionally, the manufacturer assumes no responsibility for
injuries proximately caused by abnormal use of the Material even if reasonable safety procedures are followed. Buyer assumes the
risk in its use of the Material.
End of MSDS.
Page 7 of 7
MATERIAL SAFETY DATA SHEET FOR ODORIZED PROPANE
1. Chemical Product and Company Identification
Product Name: Odorized Commercial Propane Name & Address:
Chemical Name: Propane AmeriGas Propane, L.P.
Chemical Family: Paraffinic Hydrocarbon P. O. Box 965
Formula: C3He Valley Forge, PA. 19482
Synonyms: Dimethylm ethane, LP -Gas, Liquefied Petroleum Gas (LPG), Propane, Propyl Hydride
Transportation Emergency Number: For General Information, Call:
CHEMTREC 1- 800 - 424 -9300 I- a1n- as7 -1nnn c.Fe+., no...
2. Composition / Information on Ingredients i
INGREDIENT NAME /CAS NUMBER
Propane / 74 -98 -6 ........ ...............................
Ethane / 74 -84 -0 .......... ...............................
Propylene / 115 -07 -1 .... ...............................
Butanes / 106 -97 -8 ....... ...............................
Ethyl Mercaptan / 75- 08- 1 ..............................
PERCENTAGE
.87.5 -100
13-7.0
0-5.0
0 -2.5-
0 - 50 ppm
OSHA PEL ACGIH TLV
Simple asphyxiant
1,000 ppm Simple asphyxiant
Simple asphyxiant
Simple asphyxiant
0.5 ppm 0.5 ppm
WARNING: The intensity of the chemical odorant (e.g., ethyl mercaptan) may "fade" or diminish due to chemical oxidation,
adsorption or absorption. Individuals with nasal perception problems may not be able to smell the odorant. Leaking propane from
underground gas lines may lose its odor as it passes through certain soils. No odorant is effective 100% of the time. Therefore,
circumstances can exist when individuals are in the presence of leaking propane and not be alerted by the smell. Contact AmeriGas
for more information about odor, propane gas detectors and other safety considerations associated with the handling, storage and
use of propane.
3. Hazards Identification
DANGER! Flammable liquefied gas under pressure. Keep
away from heat, sparks, flame, and all other ignition
sources. Vapor replaces oxygen available for breathing and
may cause suffocation in confined spaces. Use only with
adequate ventilation. Reliance upon detection of odor may
not provide adequate warning of potentially hazardous
concentrations. Vapor is heavier than air; may collect at
low levels. Liquid can cause freeze burn similar to frostbite.
Do not get liquid in eyes, on skin, or on clothing. Avoid
breathing vapor. Keep service valve closed when not in use.
FIRE HAZARD
(Red)
HEALTH HAZARD <8> REACTIVITY
(Blue) (Yellow)
SPECIAL HAZARDS*
Minimal 0 Moderate 2 Severe 4
Slight 1 Serious 3 *(Ref. NFPA 704)
POTENTIAL HEALTH EFFECTS INFORMATION
ROUTES OF EXPOSURE:
Inhalation: Asphyxiation. Before suffocation could occur, the tower flammability limit of propane in air would be exceeded,
possibly causing both an oxygen- deficient and explosive atmosphere. Exposure to concentrations >10% may cause
dizziness. Exposure to atmospheres containing 19% or less oxygen will bring about unconsciousness without warning.
Lack of sufficient oxygen may cause serious injury or death.
Eye Contact: Contact with liquid can cause freezing of tissue.
Skin Contact: Contact with liquid can cause frostbite.
Skin Absorption: None.
Ingestion: Ingestion is not expected to occur in normal use. However, liquid can cause freeze burn similar to frostbite.
CHRONIC EFFECTS: None. CARCINOGENICITY: Propane is not listed by NTP, OSHA or ARC.
4. First Aid Measures
INHALATION: Individuals suffering from lack of oxygen should be removed to fresh air. If victim is not breathing, administer artificial
respiration. If breathing is difficult, administer oxygen. Obtain immediate medical assistance.
EYE CONTACT: Gently flush eyes with lukewarm water. Obtain immediate medical assistance.
SKIN CONTACT: Remove saturated clothes, shoes and jewelry. Immerse affected area in lukewarm water not exceeding 105° F.
Keep immersed. Obtain immediate medical assistance.
INGESTION: If swallowed, obtain immediate medical assistance.
5. Fire - Fighting Measures
FLASH POINT: -156 °F (- 104 °C) AUTOIGNITION: 842 -F (432 °C)
IGNITION TEMPERATURE IN AIR: 920 °F to 1120 °F (493 °C to 549 °C)
FLAMMABLE LIMITS IN AIR (% by volume): Lower: 2.15% Upper: 9.6%
EXTINGUISHING MEDIA: Dry chemical, CO2, water spray or fog for surrounding area. Do not attempt to extinguish fire
until propane source is isolated.
SPECIAL FIRE - FIGHTING INSTRUCTIONS: Evacuate all unnecessary personnel from the area. Allow only properly
trained and protected emergency response personnel in area. A NIOSH approved self- contained breathing apparatus
may be required. If gas flow cannot be shut off, do not attempt to extinguish fire. Allow fire to burn itself out. Use high
volume water supply to cool exposed pressure containers and nearby equipment. Approach a flame - enveloped container
from the sides, never from the ends. Use extreme caution when applying water to a container that has been exposed to
heat or flame for more than a short time. For uncontrollable fires and /or when flame is impinging on container, withdraw
all personnel and evacuate vicinity immediately.
UNUSUAL FIRE AND EXPLOSION HAZARDS: Propane is heavier than air and can collect in low areas. Flash back
along a vapor trail is possible. Pressure in a container can build up due to heat; and, container may rupture suddenly and
violently without warning if pressure relief devices fail to function properly. If flames are against the container, withdraw
immediately on hearing a rising sound, if venting increases in volume or intensity or if there is discoloration of the
container due to fire. Propane released from a properly functioning relief valve on an overheated container can also
become ignited.
HAZARDOUS COMBUSTION PRODUCTS: None.
6. Accidental Release Measures
IF MATERIAL IS RELEASED OR SPILLED: Evacuate the immediate area. Eliminate any possible sources of ignition
and provide maximum ventilation. Shut off source of propane, if possible. If leaking from container or valve, contact
your supplier or AmeriGas immediately.
7. Handling and Storage
HANDLING PRECAUTIONS: Propane vapor is heavier than air and can collect in low areas that are without sufficient
ventilation. Conduct system checks for leaks with a leak detector or solution, never with flame. Make certain the
container service valve is shut off prior to connecting or disconnecting. If container valve does not operate properly,
discontinue use and contact AmeriGas. Never insert an object (e.g., wrench, screwdriver, pry bar, etc.) into pressure
relief valve or cylinder valve cap openings. Do not drop or abuse cylinders. Never strike an arc on a gas container or
make a container part of an electrical circuit. See Section 16, "OTHER INFORMATION ", for additional precautions.
STORAGE PRECAUTIONS: Store in a safe, authorized location (outside, detached storage is preferred) with adequate
ventilation. Specific requirements are listed in NFPA 58, LP -GAS CODE. Isolate from heat and ignition sources.
Containers should never be allowed to reach temperature exceeding 125 °F (52 °C). Isolate from combustible materials.
Provide separate storage locations for other compressed and flammable gases. Propane containers should be separated
from oxygen cylinders or other oxidizers by a minimum distance of 20 feet, or by a barrier of non - combustible material at
least 5 feet high having a fire rating of at least 1/2 hour. Full and empty cylinders should be segregated. Keep cylinders
in an upright position at all times so that each pressure relief valve communicates with the vapor space. Keep container
valve closed and plugged or capped when not in use. Install protective caps when cylinders are not connected for use.
Empty containers retain some residue and should be treated as if they were full.
8. Exposure Control / Personal Protection
ENGINEERING CONTROLS
Ventilation: Provide ventilation adequate to ensure propane does not reach a flammable mixture.
RESPIRATORY PROTECTION
General Use: None.
Emergency Use: If concentrations are high enough to warrant supplied -air or NIOSH self- contained breathing
apparatus, then the atmosphere may be flammable (See Section 5). Appropriate precautions must be taken
regarding flammability.
PROTECTIVE CLOTHING: Avoid skin contact with liquid propane because of possibility of freeze burn. Wear gloves
and protective clothing that are impervious to the product for the duration of the anticipated exposure.
EYE PROTECTION: Safety glasses, goggles or face shields are recommended when handling cylinders.
OTHER PROTECTIVE EQUIPMENT: Safety shoes are recommended when handling cylinders.
2
9. Physical and Chemical Properties
BOILING POINT: @ 14.7 psia = -44° F ( @1.00 atm.pressure = -42 °C)
SPECIFIC GRAVITY OF VAPOR (Air = 1) at 60° F (15.56 °C): 1.50
SPECIFIC GRAVITY OF LIQUID (Water = 1) at 60° F: 0.504
VAPOR PRESSURE: @ 70° F (20 °C) = 127 psig; @ 105° F (45 °C) = 210 psig; @ 130 °F (55 °C) = 287 psig
EXPANSION RATIO (From liquid to gas @ 14.7 psia): 1 to 270
SOLUBILITY IN WATER: Slight, 0.1 to 1.0%
APPEARANCE AND ODOR: A colorless and tasteless gas at normal temperature and pressure. An odorant (ethyl
mercaptan) is added to provide a strong unpleasant odor. Should a propane -air mixture reach the lower limits of
flammability, the ethyl mercaptan concentration will be approximately 0.5 ppm in air.
ODORANT WARNING: Odorant is added to aid in the detection of leaks. One common odorant is ethyl mercaptan, CAS
No. 75 -08 -1. Odorant has a foul smell. The ability of people to detect odors varies widely. Also, the odor level can be
reduced by certain chemical reactions with material in the propane system or when fugitive propane gas from
underground leaks passes through certain soils. No odorant will be 100% effective in all circumstances. If the presence
of the odorant is not obvious, notify AmeriGas immediately.
10. Stability and Reactivity
STABILITY: Stable.
Conditions to Avoid: Keep away from high heat, strong oxidizing agents and sources of ignition.
REACTIVITY:
Hazardous Decomposition Products: Under fire conditions, fumes, smoke, carbon monoxide, aldehydes and
other decomposition products. In most applications where there is inadequate venting to the outside air,
incomplete combustion will produce carbon monoxide (a toxic gas) and potentially develop concentrations that
can create a serious health hazard.
Hazardous Polymerization: Will not occur.
11. Toxicological Information
Propane is non -toxic and is a simple asphyxiant. It has slight anesthetic properties. Higher concentrations may cause
dizziness.
IRRITANCY OF MATERIAL: None. SENSITIZATION TO MATERIAL: None
REPRODUCTIVE EFFECTS: None MUTAGENICITY: None
TERATOGENICITY: None SYNERGISTIC MATERIALS: None
12. Ecological Information
No adverse ecological effects are expected. Propane does not contain any Class I or Class II ozone - depleting chemicals
(40 CFR Part 82). Propane is not listed as a marine pollutant by DOT (49 CFR Part 171).
13. Disposal Considerations
WASTE DISPOSAL METHOD: Do not attempt to dispose of residual or unused product in the container; return it to your
supplier or contact AmeriGas for safe disposal. Residual product within a process system may be burned at a controlled
rate if a suitable burning unit is available on site, and is done in accordance with federal, state and local regulations.
14. Transport Information
DOT SHIPPING NAME: Liquefied Petroleum Gas
IDENTIFICATION NUMBER: UN 1075
IMO SHIPPING NAME: Propane
IMO IDENTIFICATION NUMBER: UN 1978
HAZARD CLASS: 2.1 (Flammable Gas)
PRODUCT RQ: None
SHIPPING LABEL (S): Flammable Gas
PLACARD (WHEN REQUIRED): Flammable Gas
SPECIAL SHIPPING INFORMATION: Container must be
transported in a well - ventilated vehicle, secured, and in a
position such that the pressure relief device is in communication
with the vapor space.
3
15. Regulatory Information
The following information concerns U.S. Federal regulatory requirements potentially applicable to this product. Not all
such requirements are identified. Users of this product are responsible for their own regulatory compliance on a federal,
state [provincial] and local level.
U.S. FEDERAL REGULATIONS
Environmental Protection Agency (EPA)
Comprehensive Environmental Response, Compensation and Liability Act of 1980 (CERCLA) - 40 CFR Parts 117 and
302
Reportable Quantity (RQ): None
Superfund Amendment and Reauthorization Act (SARA)
• Sections 302/304: Relates to emergency planning on threshold planning quantities (TPQ) and release
reporting based on reportable quantities (RQ) of EPA's extremely hazardous substances (40 CFR Part 355).
Extremely Hazardous Substances: None Threshold Planning Quantity (TPQ): None
Sections 311/312: Relates to submission of material safety data sheets (MSDSs) and chemical inventory
reporting with identification of EPA - defined hazard classes (40 CFR Part 370). The hazard classes for this
product are:
IMMEDIATE: No PRESSURE: Yes DELAYED: No REACTIVITY: No FLAMMABLE: Yes
• Section 313: Relates to submission of annual reports of release of toxic chemicals that appear in 40 CFR
Part 372. Propane does not require reporting under Section 313.
Toxic Substance Control Act (TSCA)
Propane is listed on the TSCA inventory.
Occupational Safety and Health Administration (OSHA)
The following 29 CFR Parts may apply to propane:
29 CFR 1910.110: Storage and Handling of Liquefied Petroleum Gases
29 CFR 1910.119: Process Safety Management of Highly Hazardous Chemicals
29 CFR 1910.1200: Hazardous Communications
Food and Drug Administration (FDA)
21 CFR 184.1655: Generally recognized as safe (GRAS) as a direct human food ingredient when used as a
propellant, aerating agent and gas.
16. Other Information
SPECIAL PRECAUTIONS: Use piping and equipment adequately designed to withstand pressure to be encountered.
NFPA 58, LP -GAS CODE and OSHA 29 CFR 1910.10 require that all persons employed in handling LP -gases be trained
in proper handling and operating procedures, which the employer shall document. Contact your propane supplier or
AmeriGas to arrange for the required training. Allow only trained and qualified persons to install and service propane
containers and systems.
ISSUE INFORMATION
Issue Date: December 2002
Issued By: Director of Safety
Supersedes Date: April 2002
Phone Number: 1- 610 - 337 -7000
This material safety data sheet and the information it contains is offered to you in good faith as accurate. This Supplier
does not manufacture this product, but is a supplier of the product that is independently produced by others. Much of the
information contained in this data sheet was received from sources outside our Company. To the best of our knowledge
this information is accurate, but this Supplier does not guarantee its accuracy or completeness. Health and safety
precautions in this data sheet may not be adequate for all individuals and /or situations. It is the user's obligation to
evaluate and use this product safely, comply with all applicable laws and regulations and to assume the risks involved in
the use of this product.
NO WARRANTY OR MERCHANTABILITY, FITNESS FOR ANY PARTICULAR PURPOSES, OR ANY OTHER
WARRANTY IS EXPRESSED OR IS TO BE IMPLIED REGARDING THE ACCURACY OF COMPLETENESS OF THIS
INFORMATION, THE RESULTS TO BE OBTAINED FROM THE USE OF THIS INFORMATION OR THE PRODUCT,
THE SAFETY OF THIS PRODUCT, OR THE HAZARDS RELATED TO ITS USE.
• Material Safety Data Sheet
The information presenh5d intheseforms is believed to be correct and sufficient to meet the requirements of OSHA Hazard Communication standard
(29 CFR 1910.1200) concerning workers right to know.
This MSDS covers the following Aervoe aerosol product.
PRODUCT NAME: 200 Clear Marking Coat
SECTION I - MANUFACTURER IDENTIFICATION S'
,MANUFACTURER'S NAME: Aervoe Industries Inc. ADDRESS: 1198 Mark Circle, Gardnerville, NV 894J,Q
INFORMATION PHONE: 775- 782 -0100 EMERGENCYPHONE:1- 800 -424 -9300
= DATE REVISED: January 22, 2007 REASON REVISED: Updated
SECTION II - HAZARDOUS INGREDIENTS I SARA III INFORMATION
OCCUPATIONAL EXPOSURE LIMITS
HAZARDOUS WEIGHT OSHA ACG,IH LD50 SPECIES LC50 SPECIES
COMPONENTS PERCENT PEL TLV & ROUTE & ROUTE\
(CAS 67 -64 -1)
Hydrocarbon Propellant
1000 ppm
1000 ppm
N I AV
N / AV.
(CAS68476 -86 -8) 10 -30
Aliphatic Petroleum Distillates
NIAV
300ppm
N /AV 9
N /AV
(CAS 64742 -89 -8) 5-10
} ,
Propylene Glycol Methyl Ether Acetate
. N 1 AV
N ! AV
N I AV
N I AV
(CAS108 -65 -6) 1-5
EthylAcetate
400ppm
400ppm
N I AV
N I AV
(CAS 141 -78 -6) 1 - 5
Methyl Ethyl Ketone
200 ppm
200 ppm
N / AV
N /AV
(CAS 78 -93 -3) 1 -5
n- ButylAcetate
150ppm
150 ppm -,
N I AV
N I AV
(CAS 123 -86 -4) 1-5
'Indicates toxic chemical(s) subjectto the
reporting requirements
of section 313 of Title I I I and of 40 CFR 372
NOTE: N I AP = Not Applicable N 1 AV
= Not Available
j
N
l� 0 t -333
TEXAS SALES AND USE TAX RESALE CERTIFICATE
I, the purchaser named above, claim the right to make a non - taxable purchase (for resale of the taxable items
described below or on the attached order or invoice) from:
Seller:
Street address:
City, State, ZIP
Description of items to be purchased on the attached order or invoice:
Description of the type of business activity generally engaged in or type of items normally sold by the purchaser:
The taxable items described above, or on the attached order or invoice, will be resold, rented or leased by me within the geographical
limits of the United States of America, its territories and possessions or within the geographical limits of the United I'Vlexican States, in
their present form or attached to other taxable items to be sold.
I understand that if I make any use of the items other than retention, demonstration ordisplaywhile holding them forsale, lease or rental,
I must pay sales tax on the items at the time of use based upon either the purchase price or the fair market rental value for the period
of time used.
I understand that it is a criminal offense to give a resale certificate to the seller for taxable items that 1 know, at the time of purchase, are
purchased for use rather than for the purpose of resale, lease or rental, and depending on the amount of tax evaded, the offense may
range from a Class C misdemeanor to a felony of the second degree.
Purchas r____ Title
Date
sign e �� /f President
/6 - /9 -zo ft —
This certificate should be furnished to the supplier. Do not send the completed certificate to the �f P,,hii, a........