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To: Principal Investigators, Departments Chair
From: Lily Lodhi, Ph.D., Chairperson of Environmental Health and Safety Committee
Date: 1/2/03
All Temple University investigators must comply with University procedures concerning selected chemical agents that could have serious adverse health consequences for humans. The University must have accurate information on the use and/or possession of the chemical agents listed below. The University Environmental Health and Safety Committee (EHSC) is gathering this data on behalf of the University. Please respond within three weeks from date of this letter to the questions below and fax your responses to 2-1600, to the attention of David McDonough. If you do not use any of the listed substances please mark X at () to the left of “I do not use any of these agents” and fax it to 2-1600. In addition, please make sure that the Dean gets a copy. Thank you for your cooperation.
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PI Name: ____________________________, Department: _______________________ Phone number: ______
Please mark an X in the () to the left of each select agent that you use in your laboratory.
Chemical name, (chemical abstract number)
< > Distilled Mustard (HD) (505-60-2)
< > Lewisite (L) (541-25-3)
< > Mustard Gas (H) (505-60-2)
< > Nitrogen Mustard (HN-2) (51-75-2)
< > Phosgene Oxime (CX) (1794-86-1)
< > Ethyldichloroarsine (ED) (598-14-1)
< > Lewisite 1 (L-1) (541-25-3)
< > Lewisite 2 (L-2) (40334-69-8)
< > Lewisite 3 (L-3) (40334-70-1)
< > Methyldichloroarsine (MD) (593-89-5)
< > Mustard/Lewisite (HL)
< > Mustard/T
< > Nitrogen Mustard (HN-1) (538-07-8)
< > Nitrogen Mustard (HN-3) (555-77-1)
< > Phenodochloarsine (PD) (696-28-6)
< > Sesqui Mustard (3563-36-8)
< > Arsine (SA) (7784-42-2)
< > Cyanogen Chloride (CK) (506-77-4)
< > Hydrogen Chloride gas (7647-01-0)
< > Hydrogen Cyanide (AC) (74-90-8)
< > Chlorine (CL) (7782-50-5)
< > Diphosgene (DP) (75-44-5)
< > Hydrocyanic Acid (57-12-5)
< > Nitrogen Oxide (NO) (10024-97-2)
< > Perfluroisobutylene (PFIB) (382-21-8)
< > Phosgene (CG) (75-44-5)
< > Red Phosphorous (RP) (7723-14-0)
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Chemical name, (chemical abstract number)
< > Sulfur Trioxide-Chlorosulfonic Acid (FS)
< > Teflon and Perflurorisobutylene (PHIB)
< > Titanium Tetrachloride (FM) (7550-45-0)
< > Zinc Oxide (HC) (1314-13-2)
< > Agent 15
< > Quinucidinyl benzilate (BZ) (6581-06-2)
< > Canniboids
< > Fentanyls
< > LSD
< > Phenothiazines
< > Cyclohexyl Sarin (GF) (329-99-7)
< > Phosphonofluoridic acid, ethyl-, 1-methylethyl ester (GE) (1189-87-3)
< > Sarin (GB) (107-44-8)
< > Soman (GD) (96-64-0)
< > Tabun (GA) (77-81-6)
< > Phosphonothioic acid, ethyl-, S-[2-(diethylamnio)ethyl] O-ethyl ester (VE) (21738-25-0)
< > Amiton (VG) (78-53-5)
< > V-Gas (50782-69-9)
< > Phosphonothioic acid, methyl-, S-[2-(diethylamnio)ethyl] O-ethyl ester (VM) (21770-86-5)
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Chemical name, (chemical abstract number)
< > Phosphonothioic acid, methyl-,S-[2[bis[1-methylethyl)amino]ethyl] O-ethyl ester (VX) (50782-69-9)
< > Bromobenzylcyanide (CA) (5798-79-8)
< > Chloroacetophenone (CN) (532-27-4)
< > Chloropicrin (PS) (76-06-2)
< > CNB- (CN in Benzene and Carbon Tetrachloride)
< > CNC- (CN in Chloroform)
< > CNS- (CN and Chloropicrin in Chloroform)
< > Dibenz-(b,f)-1,4-oxazephine (CR) 257-07-8)
< > Chlorohenzylidenemalonitrile (CS) (2698-41-1)
< > Adamsite (DM) (578-94-9)
< > Diphenylchlorarsine (DA) (712-48-1)
< > Diphenylcyanoarsine (DC) (23525-22-6)
< > Hydrofluoric Acid (7664-39-3)
< > Fluorine Gas (7782-41-4)
< > Ammonia Gas (7664-41-7)
< > Hydrogen Sulfide Gas (7783-06-4)
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( ) I do not use any of these agents.
Signature:____________________________ Date: _______________
cc: J. Daly, M.D.
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