Chemical Research Hazardous Substance Declaration
Research Information
Project Title
Principal Investigator (PI)
PI Contact Email
Department
Research Location (Building & Room)
List of Hazardous Substances
Chemical Name
CAS Number
Quantity
Unit
Physical State
Hazard(s)
Purpose of Use
Storage & Handling Procedures
Waste Disposal Method
Emergency Procedure
Declaration
Name of Person Completing Form
Signature
Date