8 CAR pt. 100, Appendix A. Arkansas Workplace Chemical List

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 amount 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 682-4522. Chemical Name or Common CAS Number Location of the Amount Name Used on the MSDS (if on the Chemical in the Present or the Container Label MSDS) Workplace 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. (If more space is needed use an additional form.) Return the completed list to: Mike Watson Division of Labor Arkansas Dept of Labor and Licensing Public Employee Right to Know 900 West Capitol Avenue, Suite 400 Little Rock, Arkansas 72201