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Submitters Name<br />
Check items that you have in room<br />
DHS <strong>Chemical</strong> <strong>Survey</strong><br />
Building<br />
1,1,3,3,3-pentafluoro-2-(trifluoromethyl)-1-propene Qty.<br />
1,1-Dimethylhydrazine<br />
11,2-bis(2-chloroethylthio)ethane<br />
1,3-bis(2-chloroethylthio)-n-propane<br />
1,3-Butadiene<br />
1,3-Pentadiene<br />
1,4-bis(2-chloroethylthio)-n-butane<br />
1,5-bis(2-chloroethylthio)-n-pentane<br />
1-Butene<br />
1-Chloropropylene<br />
1H-Tetrazole<br />
1-Pentane<br />
2,2-Dimethylpropane<br />
2-Butene<br />
2-Butene-cis<br />
2-Butene-trans<br />
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2-chloroethylchloromethylsulfide<br />
2-Chloropropylene<br />
2-Chlorovinyldichloroarsine<br />
2-Methyl-1-butene<br />
2-Methylpropene<br />
2-Pentene, (Z)-<br />
2-Pentene,(E)-<br />
3,3-dimethyl-2-butanol<br />
3-Methyl-1-butene<br />
3-Quinuclidinyl benzilate (BZ)<br />
5-Nitrobenzotriazol<br />
Acetaldehyde (Ingredient in Deadline Bullets) Bait<br />
Acetone (
Acrylonitrile<br />
Acrylyl chloride<br />
Allyl alcohol<br />
Allylamine<br />
Allyltrichlorosilane, stabilized<br />
Aluminum bromide, anhydrous<br />
Aluminum chloride, anhydrous<br />
Aluminum phosphide (Phostoxin, Weevil-Cide) Grain<br />
fumigant<br />
Ammonia (anhydrous) Fertilizer, Disinfectant<br />
Ammonia (conc. 20% or greater) Fertilizer<br />
Ammonium nitrate (nitrogen concentration of 28%34%)<br />
Fertilizer<br />
Ammonium perchlorate<br />
Ammonium picrate<br />
Amyltrichlorosilane<br />
Antimony pentafluoride<br />
Arsenous trichloride<br />
Arsine<br />
Barium azide<br />
bis(2-chloroethyl)ethylamine<br />
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is(2-chloroethyl)methylamine<br />
bis(2-chloroethyl)sulfide<br />
bis(2-chloroethylthio)methane<br />
bis(2-chloroethylthioethyl)ether<br />
bis(2-chloroethylthiomethyl)ether<br />
bis(2-chlorovinyl)chloroarsine<br />
Boron tribromide<br />
Boron trichloride<br />
Boron triflouride<br />
Boron triflouride compound with methyl ether (1:1)<br />
Bromine<br />
Bromine chloride<br />
Bromine pentafluoride<br />
Bromine trifluoride<br />
Bromotrifluorethylene<br />
Butane<br />
Butene<br />
Butyltrichlorosilane<br />
Calcium dithionite<br />
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Calcium hydrosulfite<br />
Calcium phosphide<br />
Carbon disulfide<br />
Carbon monoxide<br />
Carbon oxysulfide<br />
Carbonyl fluoride<br />
Carbonyl sulfide<br />
Chlorine<br />
Chlorine dioxide<br />
Chlorine monoxide<br />
Chlorine pentafluoride<br />
Chlorine trifluoride<br />
Chloroacetyl chloride<br />
Chloroform<br />
Chloromethyl ether<br />
Chloromethyl methyl ether<br />
Chloropicrin (Telone, Chlor-O-Pic) Soil Fumigant<br />
Chlorosulfonic acid<br />
Chromium oxychloride<br />
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Crotonaldehyde<br />
Crotonaldehyde, (E)-<br />
Cyanogen<br />
Cyanogen chloride<br />
Cyclohexylamine<br />
Cyclohexyltrichlorosilane<br />
Cyclotetramethylenetetranitramine<br />
Diazodinitrophenol<br />
Diborane<br />
Dichlorosilane<br />
Diethyl ethylphosphonate<br />
Diethyl N,N-dimethylphosphoramidate<br />
Diethyl phosphate<br />
Diethyldichlorosilane<br />
Diethyleneglycol dinitrate,<br />
Difluoroethane<br />
Dimethyl ethylphosphonate<br />
Dimethyl methylphosphonate<br />
Dimethyl phosphate<br />
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Dimethylamine (Banvel, Savage, 2,4-DB 200) Herbicide<br />
Dimethyldichlorosilane<br />
Dimethylphosphoramidodichloridate<br />
Dinitrogen tetroxide<br />
Dinitroglycoluril<br />
Dinitrophenol<br />
Dinitroresorcinol<br />
Dinitrosobenzene<br />
Diphenyl-2-hydroxyacetic acid (aka benzilic acid)<br />
Diphenyldichlorosilane<br />
Dipicryl sulfide<br />
Dodecyltrichlorosilane<br />
Epichlorohydrin<br />
Ethane (Color Ripe) Obsolete<br />
Ethyl acetylene<br />
Ethyl chloride<br />
Ethyl ether<br />
Ethyl mercaptan<br />
Ethyl nitrite<br />
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Ethyl phosphonyl dichloride<br />
Ethyl phosphonyl difluoride<br />
Ethylamine<br />
Ethyldiethanolamine<br />
Ethylene (Color Ripe) Obsolete<br />
Ethylene oxide (Sterilant)<br />
Ethylenediamine<br />
Ethyleneimine<br />
Ethyltrichlorosilane<br />
Fluorine<br />
Fluorosulfonic acid<br />
<strong>Form</strong>aldehyde (solution) (Pyramin FL, Termin 8)<br />
Furan<br />
Germane<br />
Germanium tetrafluoride<br />
Guanyl nitrosaminoguanylidene hydrazine<br />
Guanyl nitrosaminoguanyltetrazene<br />
Hexaethyl tetraphosphate and compressed gas mixtures<br />
Hexafluoroacetone<br />
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Hexanitrodiphenylamine<br />
Hexanitrostilbene<br />
Hexolite<br />
Hexotonal<br />
Hexyltrichlorosilane<br />
Hydrazine<br />
Hydrochloric acid (conc. 37% or greater)(Muriatic Acid<br />
is 31%)<br />
Hydrocyanic acid<br />
Hydrogen<br />
Hydrogen bromide, anhydrous<br />
Hydrogen chloride (anhydrous)<br />
Hydrogen cyanide<br />
Hydrogen fluoride/Hydrofluoric acid (conc. 50% or<br />
greater)<br />
Hydrogen iodide, anhydrous<br />
Hydrogen peroxide (concentration of at least 30%)<br />
Hydrogen selenide<br />
Hydrogen sulfide<br />
Iodine pentafluoride<br />
Iron, pentacarbonyl-<br />
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Isobutane<br />
Isobutyronitrile<br />
Isopentane<br />
Isoprene<br />
Isopropyl chloride<br />
Isopropyl chloroformate<br />
Isopropylamine (Stalker, Chopper, Hasten) Herbicide<br />
Lead azide<br />
Lead styphnate<br />
Lithium amide<br />
Lithium nitride<br />
Magnesium aluminum phosphide<br />
Magnesium diamide<br />
Magnesium phosphide (MagnaTox, Fumi-Cell)<br />
Fumigant<br />
Mannitol hexanitrate, wetted<br />
Mercury fulminate<br />
Methacrylonitrile<br />
Methane (Color Ripe) Obsolete<br />
Methyl bromide (Brom-O-Gas) Soil Fumigant<br />
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Methyl chloride (0.2% ingredient in Methyl Bromide)<br />
Methyl chloroformate<br />
Methyl ether (0.2% ingredient in Methyl Bromide)<br />
Methyl formate<br />
Methyl hydrazine<br />
Methyl isocyanate (Vorlex) Soil Fumigant - Obsolete<br />
Methyl mercaptan<br />
Methyl phosphonyl dichloride<br />
Methyl phosphonyl difluoride<br />
Methyl thiocyanate<br />
Methylamine<br />
Methylchlorosilane<br />
Methyldichlorosilane<br />
Methyldiethanolamine<br />
Methylphenyldichlorosilane<br />
Methyltrichlorosilane<br />
N,N-diisopropyl-2-aminoethyl chloride hydrochloride<br />
N,N-diisopropyl-β-aminoethanol<br />
N,N-diisopropyl-β-aminoethyl chloride<br />
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Nickel Carbonyl<br />
Nitric acid (Fertilizer related)<br />
Nitric oxide<br />
Nitro urea<br />
Nitrocellulose<br />
Nitrogen trioxide<br />
Nitroglycerine<br />
Nitroguanidine<br />
Nitromethane<br />
Nitrostarch<br />
Nitrosyl chloride<br />
Nitrotriazolone<br />
Nonyltrichlorosilane<br />
o,o-diethyl S-[2-(diethylamino)ethyl] phosphorothiolate<br />
Octadecyltrichlorosilane<br />
Octolite<br />
Octonal<br />
Octyltrichlorosilane<br />
o-ethyl-N,N-dimethylphosphoramido-cyanidate<br />
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o-ethyl-o-2-diisopropylaminoethyl methylphosphonite<br />
o-ethyl-S-2-diisopropylaminoethyl methyl<br />
phosphonothiolate<br />
o-isopropyl methylphosphonochloridate<br />
o-isopropyl methylphosphonofluoridate<br />
Oleum (Fuming Sulfuric acid)<br />
o-pinacolyl methylphosphonochloridate<br />
o-pinacolyl methylphosphonofluoridate<br />
Oxygen difluoride<br />
Pentaerythrite tetranitrate or PETN<br />
Pentane<br />
Pentolite<br />
Peracetic acid<br />
Perchloromethylmercaptan<br />
Perchloryl fluoride<br />
Phenyltrichlorosilane<br />
Phosgene (Pro-Gibb, Promalin) Plant Growth Regulator<br />
Phosphine<br />
Phosphorus<br />
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Phosphorus oxychloride<br />
Phosphorus pentachloride<br />
Phosphorus pentasulfide<br />
Phosphorus trichloride<br />
Piperidine<br />
Potassium chlorate<br />
Potassium cyanide<br />
Potassium nitrate (Fertilizer)<br />
Potassium perchlorate<br />
Potassium phosphide<br />
Propadiene<br />
Propane (Fuel)<br />
Propionitrile<br />
Propyl chlorofromate<br />
Propylene<br />
Propylene oxide<br />
Propyleneimine<br />
Propyltrichlorosilane<br />
Propyne<br />
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Quinuclidine-3-ol<br />
RDX and HMX mixtures<br />
Selenium hexafluoride<br />
Silane<br />
Silicon tetrachloride<br />
Silicon tetrafluoride<br />
Sodium chlorate (Dessicant, Herbicide)<br />
Sodium cyanide<br />
Sodium dinitro-o-cresolate<br />
Sodium dithionite<br />
Sodium hydrosulfite<br />
Sodium nitrate (Fertilizer)<br />
Sodium phosphide<br />
Sodium picramate<br />
Stibine<br />
Strontium phosphide<br />
Sulfur dichloride<br />
Sulfur dioxide (anhydrous)<br />
Sulfur monochloride<br />
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Sulfur trioxide<br />
Sulfuryl chloride<br />
Sulfuryl fluoride<br />
Tellurium hexafluoride<br />
Tetrafluoroethylene<br />
Tetramethyllead<br />
Tetramethylsilane<br />
Tetranitroaniline<br />
Tetranitromethane<br />
Tetrazol-1-acetic acid<br />
Thiodiglycol<br />
Thionyl chloride<br />
Titanium tetrachloride<br />
Toluene 2,4-diisocyanate<br />
Toluene 2,6-diisocyanate<br />
Toluene diisocyanate (unspecified isomer)<br />
Trichlorosilane<br />
Triethanolamine (Cutrine Plus) Aquatic Use<br />
Triethanolamine hydrochloride<br />
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Triethyl phosphite<br />
Trifluoroacetyl chloride<br />
Trifluorochloroethylene<br />
Trimethyl phosphite<br />
Trimethylamine<br />
Trimethylchlorosilane<br />
Trinitroaniline<br />
Trinitroanisole<br />
Trinitrobenzene<br />
Trinitrobenzenesulfonic acid<br />
Trinitrobenzoic acid<br />
Trinitrochlorobenzene<br />
Trinitrofluorenone<br />
Trinitro-meta-cresol<br />
Trinitronaphthalene<br />
Trinitrophenetole<br />
Trinitrophenol<br />
Trinitroresorcinol<br />
Trinitrotoluene<br />
Tris(2-chloroethyl)amine<br />
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Tris(2-chlorovinyl)arsine<br />
Tritonal<br />
Tungsten hexafluoride<br />
Uranium hexafluoride<br />
Urea (Fertilizer)<br />
Urea nitrate<br />
Vinyl acetate monomer<br />
Vinyl actylene<br />
Vinyl chloride<br />
Vinyl ethyl ether<br />
Vinyl fluoride<br />
Vinyl methyl ether<br />
Vinylidene chloride<br />
Vinylidene fluoride<br />
Vinyltrichlorosilane<br />
Zinc dithionite<br />
Zinc hydrosulfite<br />
Zirconium picramate<br />
Check this box if you don't have<br />
any of the chemicals above<br />
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By submitting this information I attest that the review was completed and the information contained herein<br />
accurately reflects the the quantities of the <strong>Chemical</strong>s of Concern present within the work area described above.
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