Date Prepared: 07/24/06
Supersedes: 08/15/02
HS
Product Name: FormLak
ChemMasters
MATERIAL SAFETY DATA SHEET
1. Chemical Product and Company Information
Product Name: FormLak HS
Product Description: FormLab is a unique polymer form release and coating for most types of rigid concrete forms.
ChemMasters In Case of Emergency Contact:
300 Edwards Street CHEMTREC 800/424-9300
Madison, Ohio 44057
440-428-2105
2. Hazards Identification
WARNING!
FLAMMABLE LIQUID
Harmful if inhaled or swallowed
Causes irritation of eyes, skin and respiratory tract
WHMIS Classification: Class D2B & B3 (Toxic & Flammable)
Symbol: Stylized T & Flammable
Potential Health Hazards - Acute
Eye: Causes eye irritation. Direct contact with the liquid or exposure to its vapors may cause burning, tearing and
redness. Effects of contact may not show for several hours.
Skin: May cause irritation. Prolonged or repeated exposure may cause redness and burning, drying and cracking of
the skin and dermatitis. Persons with preexisting skin disorders may be more susceptible to the effects of this
material.
Inhalation: Harmful if inhaled. May effect the brain or nervous system causing dizziness, headache or nausea. Can
irritate the nose and throat. May cause allergic respiratory reaction similar to an asthma attack. Persons with impaired
lung function or respiratory disorders may be more susceptible to vapors.
Ingestion: Harmful if swallowed. Liquid is moderately toxic; may produce CNS depression. May result in vomiting.
Aspiration of vomitus into the lungs must be avoided as even small quantities may result in aspiration pneumonitis.
Potential Health Effects - Chronic
Intentional abuse, misuse or other massive exposure may cause multiple organ damage and/or death. See
Section 11 for supplemental information.
Carcinogenicity: NTP IARC Monographs OSHA Regulated
TDI YES YES YES
3. Composition / Information on Ingredients
Hazardous Components CAS # Exposure Limits % by Wt
OSHA(PEL/TWA) ACGIH (TLV/TWA) OTHER
Xylene 1330-20-7 100 ppm 100 ppm 鈥? 25%
2-Ethoxyethanol Acetate 111-15-9 100 ppm 100 ppm 鈥? 5%
Ethyl Benzene 100-41-4 100 ppm 100 ppm 鈥? 5%
Toluene Diisocyanate (TDI) 26471-62-5 0.02 ppm (ceiling) 0.005 ppm 鈥? <1%
Parachloro Benzotrifluoride 98-56-6 Manufacturer Recommended Exposure Limit 25ppm <1%
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Date Prepared: 07/24/06
Supersedes: 08/15/02
HS
Product Name: FormLak
4. First Aid Measures
Eye: Immediately flush with plenty of clean water. Get medical attention.
Skin: Remove contaminated clothing. Clean affected area(s) thoroughly with soap and water.
Inhalation: Remove to fresh air. If breathing is difficult, give oxygen. If not breathing, give artificial respiration.
Get medical attention.
Ingestion: Seek medical attention! Do NOT induce vomiting. If vomiting occurs spontaneously, keep head
below hips to prevent aspiration of liquid into the lungs.
SEEK MEDICAL ATTENTION IF SYMPTOMS PERSIST.
5. Fire Fighting Measures
Flash Point (method used): 90oF (SETA Closed Cup)
Flammable Limits (% volume in air): Lower = No data available Upper = No data available
Auto Ignition Temperature: No data available
Extinguishing Media: Extinguish with water fog, dry chemical, CO2 or foam. Water fog may cause frothing and should
be applied carefully.
Hazard Combustion Products: Carbon monoxide, carbon dioxide, nitrogen oxides, diisocyanates, hydrogen cyanide
and volatile organic fractions.
Fire Fighting Instructions: Flammable. Closed containers may rupture violently when exposed to heat. Toxic
and /or irritating vapors may be released during a spill. Combustion by products may be hazardous. Product
will react with water. Use water only to cool containers or to disperse vapors. Reaction is not violent. Do not
enter confined fire space without full bunker gear including a positive pressure, NIOSH approved, self-
contained breathing apparatus.
6. Accidental Release Measures
Spill: Eliminate all ignition sources. Handling equipment must be grounded to prevent sparking. Avoid personal
contact. If spill is indoors, ventilate area. Keep out of drains, sewers or waterways. Take up with absorbent
material, place into non-leak containers and seal tightly for proper disposal.
7. Handling and Storage
Handling: Flammable. Static electricity may create a fire hazard. Always ground equipment and transfer
containers. Keep liquid away from heat, sparks and flame. 鈥淓mpty鈥? containers can contain explosive vapors. Do
not cut, drill, grind, weld or perform similar operations on or near containers. Do not pressurize drums to empty them.
Avoid inhalation of vapors and personal contact with product. Use only with adequate ventilation.
Storage: Store containers tightly closed with adequate ventilation in a cool, dry area.
8. Exposure Controls / Personal Protection
Exposure Controls: Mechanical and local exhaust should be used for indoor use.
Personal Protection: Interior: NIOSH approved organic solvent respirator, impervious gloves, chemical splash
goggles, and protective clothing to minimize skin contact. Exterior or well ventilated areas with local exhaust: NIOSH
approved organic solvent resistant respirator is not required.
9. Physical and Chemical Properties
Appearance: Clear liquid of medium viscosity % Volatile By Volume: 40
Odor: Xylene odor VOC: 3.59 lb/gal less water & NPRS (431 g/l less water)
Calculated
Boiling Range: Not Applicable
Melting Point: Not applicable VOC: 5.30 lb/gal Solids (636 g/l solids)
Calculated
Vapor Pressure (mm/Hg): No data available
Vapor Density (Air = 1): Heavier than Air Evaporation Rate (n-Butyl Acetate = 1): Slower than diethyl ether
Solubility in Water: Negligible (<5%) Specific Gravity (H20 = 1): 1.1
2
Date Prepared: 07/24/06
Supersedes: 08/15/02
HS
Product Name: FormLak
10. Stability and Reactivity
Chemical Stability: Stable
Conditions to Avoid: Heat, sparks and flame
Incompatibility (materials to avoid): Strong oxidizing agents, alcohols, corrosives, amines, surface active material,
water and heat.
Hazardous Decomposition or By-products: Thermal decomposition may yield carbon monoxide, carbon dioxide,
oxides of nitrogen, diisocyanates and hydrogen cyanide.
Hazardous Polymerization: Will not occur
11. Toxicological Information
Xylene in high concentrations has resulted in hearing loss in laboratory rats. Intentional abuse of xylene vapors has
been linked to damage of brain, liver, kidney and death in addition to cardiac effects in humans.
Toluene diisocyanate (TDI) has been designated a potential carcinogen by the National Toxicology Program and IARC.
This decision is based on NTP study suggesting that TDI given directly through a tube into the stomach (oral gavage
technique) caused an increase in tumors in laboratory animals.
Components Oral LD50 Dermal LD50 Inhalation LC50
(rat) (rabbit) (rat)
Xylene 4.3 g/kg 4.0 g/kg 6700 ppm/4 hours
Toluene Diisocyanate 4130 mg/kg 鈥? 600 ppm/6 hours
12. Ecological Information
Possible land, air and water pollutant. No exact data available.
13. Disposal Considerations
Dispose of in accordance with all federal, state, and local regulations. If uncertain of local requirements, contact
the proper environmental authorities for information on waste disposal in your area.
Under RCRA 40 CFR 261 this material is hazardous waste number D001.
14. Transportation Information
For U S, International, and Air Shipments:
Shipping Description: Resin Solution, 3, UN1866, III
Emergency Response Guide Number: 127
Hazard Class: Flammable Liquid
15. Regulatory Information
OSHA: This material is hazardous by definition of Hazardous Communications Standard (29 CFR 1910.1200)
CERCLA Reportable Quantity: 233 gallons or 1,864 lbs
SARA Title III:
Section 311/312 hazard categories: acute health, delayed health, fire
Section 313 reportable ingredients:
Components CAS # Maximum %
Xylene 1330-20-7 25 %
Toluene Diisocyanate 26471-62-5 <1%
Ethyl Benzene 100-41-4 5%
2-Ethyoxy Ethanol Acetate 111-15-9 5%
Proposistion 65: This product contains 2,4 Toluene Diisocyanate; 2-Ethoxy Ethanol Acetate; Chemicals known to
the State of California to cause cancer and birth defects or other reproductive harm.
3
Date Prepared: 07/24/06
Supersedes: 08/15/02
HS
Product Name: FormLak
16. Other Information
MSDS Status: Revised entire
Industrial Abbreviation Legend follows on page 4 of this MSDS.
Industrial Abbreviation Legend
mg/m3
ACGIH American Conference of Governmental Industrial milligrams per cubic meter
NIOSH National Institute for Occupational Safety and Health
Hygienists
NTP National Toxicology Program
CAA Clean Air Act (EPA)
CERCLA Comprehensive Environmental Response, OSHA Occupational Safety and Health Administration
PEL Permissible Exposure Limit
Compensation & Liability Act of 1980 (Superfund) (EPA)
ppm partspermillion
CNS Central Nervous System
CWA Clean Water Act (EPA) RCRA Resource Conservation and Recovery Act (EPA)
SARA EPA鈥檚 Superfund Amendment and Reauthorization
DOT Department of Transportation
Act (EPA)
EPA Environmental Protection Agency
g/kg grams per kilogram STEL Short-Term Exposure Limit, ACGIH terminology
TLV Threshold Limit Value
IARC Internal Agency for Research on Cancer
TWA Time-Weighted Average
LC50 Lethal Concentration in which 50% of the test animals are
expected to die
LD50 Lethal Dose in which 50% of the test animals are
expected to die
THIS PRODUCT IS FORMULATED AND LABELED FOR
INDUSTRIAL AND COMMERCIAL APPLICATION ONLY
The information contained herein is given in good faith and based on data considered accurate. However, no warranty is
expressed or implied regarding the accuracy of these data or the results to be obtained from the use thereof. ChemMasters
assumes no responsibility for personal injury or property damage to vendees, users or third parties caused by the material.
Such vendees or users assume all risks associated with the use of the material.
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This is the last page of this MSDS.
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