Information Needed For SDS Preparation

Instructions for SDS OrderIn order to facilitate the assessment and save time, it is advised that you should read the following instructions carefully before filling in the application form.1.   All information should be written in Chinese. Or please use English if selecting English report.2.   Section A is mandatory part in SDS application form, all information on it will appear on the final SDS report, please make sure that the supplier's and product's basic information are CORRECT. In addition, our assessment is based on the submitted composition or ingredient list, so please be kindly noted that it is your responsibility to provide correct, detailed and qualified chemical name and CAS No. with its % by weight.3.  CAS No. is priority item in ingredient list. If the chemical name is incomplete or unqualified, the assessment report will be based on the CAS No., so it is the client's responsibility to provide correct CAS No..4.   Section B (including appendix) is optional part in SDS application form. If you have these information, you should provide them to us.5.  The information in SDS is obtained from sources which we believe are reliable. However, the information is provided without any warranty, express or implied, regarding its correctness. The conditions or methods of handling, storage, use or disposal of the product are beyond our control and may be beyond our knowledge. For this and other reasons, we do not assume responsibility and expressly disclaim liability for loss, damage or expense arising out of or in any way connected with the handling, storage, use or disposal of the product.Randis ChemWise (Shanghai) Co., Ltd.,Unit 505, KeChuang Building, #350 Xianxia Road, Changning District, Shanghai, 200336 P.R.ChinaEmail: [email protected]: +86-21-6275 7818Section A – Core Information for SDSPlease fill the form in English. Select the appropriate items by "√". Information below will appear on the final SDS report (must be filled in).   SDS Language   ：               □ English  □ Simplified Chinese       □ Others ：           Format used : □ China GHS  GHS □ EU GHS-Format  GHS  □ US Applicant’s basic information : Company name ：                   Address/Postal Code ：Tel ：                                           Fax ：                         Contact Person ：                   24hr Emergency Contact No. (if available) ：            E-mail ：                  Product’s basic information:  Product Chinse/English Name ：              Restricted Usages ：                Recommended Usages ： Composition / Ingredient  (Please note that the sum of % composition should be ≤ 100%) (A composition range can be provided ) (If this information is not provided, please give reason. The information in section B shall be provided as much as possible It is good if SDS of composition/ingredients can be providedChemical NameCAS No. (Priority)Composition       (in % by weight) 1.2.3.4.5.6.7.8.9.10Physical Properties of product Appearance ：              Colour ：                 Odour ：                Flash Point ： Boiling Point ：              pH pH：         Density ：             Self-ignition Point ：                 Please refer to Appendixes 1, 2, & 3 if any additional information can be provided. Date :Section B – Additional Information for SDS Additional Information (Optional)   Product Number Product Nature                                         Others                                      Appendix 1 Please provide any available information. □Yes  □No  PHYSICAL AND CHEMICAL PROPERTIES  Core Information Please provide the following core information in the sections provided, or state "Not available" or "Not applicable" as relevant.Reaction with water ：Stability :Incompatible materials ：Conditions for safe storage ：Stabilizer ：Upper flammable (explosive) limits in air – Upper (vol %) – UEL ：Lower flammable (explosive) limits in air – Lower (vol %) – LEL ：Oxidising properties ：Vapour pressure  (mbar)：Solubility in water  (g/L)： (also list solubility in other solvents if information is available) Partition coefficient ： (n-octanol / water) Viscosity  (mPa.s)：Vapour density  (g/m3)：Evaporation rate  (kg/s)：Ignition temperature  (°C)：Remark Appendix 2 Please provide any available information. □Yes □No  Transport Information UNProper shipping name ： DG Class ：DG Subclass ：Packaging group ：HS Code ：Appendix 3 HEALTH EFFECTS AND TOXICOLOGY DATA (Please select the appropriate item(s).) Acute toxicology dataOral/Dermal LD50Inhalation LC50Ecotoxicity EC50Value Species mouse rat rabbit daphnia fishOthers (please specify)   Other health informationIngestion  :Eyes  :Skin  :Inhalation  :Chronic effects  :Carcinogenic、 Mutagenic、 toxic for Reproduction (CMR) effectPersistent, Bio-accumulative and Toxic (PBT) Chemicals assessmentOthers  :