Hazardous Material Information (Fort Worth)

Hazardous Material Information (Fort Worth)

LM Aero Material Code/Part No. / Specification
Supplier Part No. / Color (Fed Standard) if Applicable
Is This a Kit? Yes No
If Yes, Number of Components / PO No. / Item No.
Unit or Kit Size / Volumetric Yield (Mixed)
Product Description
Component A – Use Codes Below to Complete Appropriate Fields
Volume (Specify U/M) / Weight (Specify U/M)
Container Type Code / Container Size
Pressure Condition Code / Temperature Condition Code
Component B – Use Codes Below to Complete Appropriate Fields
Volume (Specify U/M) / Weight (Specify U/M)
Container Type Code / Container Size
Pressure Condition Code / Temperature Condition Code
Component C – Use Codes Below to Complete Appropriate Fields
Volume (Specify U/M) / Weight (Specify U/M)
Container Type Code / Container Size
Pressure Condition Code / Temperature Condition Code
Codes
Container Type / Pressure Condition / Temperature Condition
D Steel Drum
E Plastic or Nonmetallic Drum
F Can
G Carboy
H Silo
I Fiber Drum
J Bag / K Box
L Cylinder
M Glass Bottles or Jugs
N Plastic Bottles or Jugs
O Tote Bin
P Tank Wagon
R Other / 1. Ambient Pressure
2. Greater Than Ambient Pressure
3. Less Than Ambient Pressure / 4. Ambient Temperature
5. Greater Than Ambient Temperature
6. Less Than Ambient Temperature
7. Cryogenic Conditions
(Less Than -200˚ C)
NOTE: Ambient means the same as the surrounding environmental conditions.

Important Notice: A hard copy of this blank form may not be the version currently in effect.

The current version of this form is the version in the LM Intranet. 11914-04252008