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Department: WISHARD HEALTH SERVICES Date:
Bldg/Room:
HAZARDOUS CHEMICALS INVENTORY LIST Page
Chemical Name/Trade Name Phys State Unit of Measure Daily Max Amt Manufacturer MSDS Y or N MSDS Date
Phone:
Person Completing Form: Title: email address:
Clinic:Anderson IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 2/10/06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
SIX BOTTLES
ALCOHOL – ISOPROPYL LIQUID Bottle McKESSON Y 1987
10 CRUSHABLE
AMMONIA INHALANTS LIQUID CAPSULES CAPSULES HEALER PRODUCTS Y 9/17/1996
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO Y 4/29/92
BLEACH LIQUID Bottle GALLON CLOREX Y 4/11/1997
CITRACE CONCENTRATE CAN 2 CANS CALTECH INDUSTRIES, INC Y 5/6/1997
CYTOLOGY FIXATIVE LIQUID BOTTLE 10 BOTTLES MEDICAL PACKAGING CORP Y 1/5/1998
HISTOFREEZE LIQUID GAS CAN ONE CAN STC TECHNOLOGIES, INC Y 2/15/2000
HYDROGEN PEROXIDE LIQUID Bottle 6 BOTTLES McKESSON Y 2/1/1986
LIQUID PAPER LIQUID Bottle 6 BOTTLES SANFORD Y 10/25/1994
OXYGEN GAS CYLINDER ONE CYLINDER Y Apr-86
PHISODERM LIQUID Bottle GALLON CHATTEM, INC Y Jan-96
PRECISE FOAM CAN 2 CANS CALTECH INDUSTRIES, INC Y 1/8/1998
SILVER NITRATE SOLID CAN 1 CAN McKESSON Y Aug-88
XEROX, DRY INK SOLID CARTRIDGE 4 CARTRIDGES XEROX Y 1/15/2002
Title: RN Phone: 765-646-8794
Person completing form: Sherry White Manager email: swhite@iumg.com
Clinic: IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date:
Max Amt Kept in
Chemical Name/Trade Name Phys State Unit of Measure Clinic Manufacturer MSDS Y or N MSDS Date
ALCOHOL – ISOPROPYL LIQUID Bottle Y 1987
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO Y 4/29/92
BUCKEYE WORKOUT LIQUID Bottle BUCKEYE INTRTNL INC Y 7/1/1998
CITRACE CONCENTRATE CAN CALTECH INDUSTRIES, INC Y 5/6/1997
CYTOLOGY FIXATIVE LIQUID CAN MEDICAL PACKAGING CORP Y 1/5/1998
DISPATCH LIQUID Bottle CALTECH INDUSTRIES, INC Y 3/18/99
ENDOZINE LIQUID RUHOF CORP Y 7/1/1998
FORMALIN LIQUID Y Nov-88
GLASS CLEANER LIQUID Bottle Y Apr-90
HYDROGEN PEROXIDE LIQUID Bottle Y Feb-86
LIQUID NITROGEN LIQUID CYLINDER PRAXAIR, INC Y 5/19/1993
OXYGEN GAS CYLINDER Y Apr-86
PH7 LIQUID BELCO CORP Y 2/8/2001
PRECISE FOAM CAN CALTECH INDUSTRIES, INC Y 1/8/1998
PULL LIQUID BELCO CORP Y 9/13/1999
SILVER NITRATE SOLID Y Aug-88
Phone:
Person Completing Form: Title: email:
Clinic: IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date:
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
ACID FREE BATHROOM CLEANER (AFBC OR AF-79) LIQUID Y Jan-94
ALCOHOL – ISOPROPYL LIQUID Bottle Y 1987
BEST BET - LIQUID CREAM CLEANSER LIQUID Y Jan-94
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO Y 4/29/92
BLEACH LIQUID Bottle Y 4/11/1997
CAVICIDE CLEANER - DISINFECTANT LIQUID Bottle MICRO-ASEPTIC PRODUCTS, INC Y 4/1/1991
CHLORASORB SOLID Bottle HUNTINGTON LABORATORIES, INC Y 4/21/1994
CYTOLOGY FIXATIVE LIQUID CAN MEDICAL PACKAGING CORP Y 1/5/1998
FORMALIN LIQUID Y Nov-88
HYDROGEN PEROXIDE LIQUID Bottle Y Feb-86
LIQUID PAPER LIQUID Bottle Y 10/25/1994
Lph Se LIQUID Bottle CALGON VESTAL LABORATORIES Y 8/2/9?
OXYGEN GAS CYLINDER Y Apr-86
Phone:
Person Completing Form: Title: email:
Clinic:BR HS IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date:2-16-06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
3 BOX
ALCOHOL – ISOPROPYL LIQUID Bottle TRIAD DISPOSABLES Y 1987
ANTISEPTIC TOWLETTE LIQUID BOX 3 TRIAD DISPOSABLES Y 6/9/1905
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO Y 4/29/1992
EYE WASH LIQUID BOTTLE 2 STERIOPTICS N
HYDROGEN PEROXIDE LIQUID Bottle 1 CASE Y 2/1/1986
KOH LIQUID Bottle 1 JORGENSEN Y Jun-05
LIQUID PAPER LIQUID Bottle 2 Y 10/25/1994
OXYGEN GAS CYLINDER 1 Y 4/1/1986
SELECT DISINFECTANT LIQUID Bottle 1 IDS N
SHARPIE FINE POINT MARKER SOLID MARKER 1 BOX SANFORD Y 10/20/2003
SODIUM CHLORIDE LIQUID BOTTLE 2 AQUALITE SYSTEM N
THINPREP PAP TEST LIQUID BOTTLE 1 CASE CYTYC CORP. N
XEROX, DRY INK SOLID CARTRIDGE 2 XEROX Y Jan-02
Phone:655-3231
Person Completing Form: Samantha Montoya Title: MA, Site Coordinator email:
Clinic: Broad Ripple IUMG/WISHARD HAZARDOUS CHEMICAL INVENTORY LIST Date:8/31/06
Max Amt Kept in
Chemical Name/Trade Name Phys State Unit of Measure Clinic Manufacturer MSDS Y or N MSDS Date
3
ALCOHOL – ISOPROPYL LIQUID Bottle Y 1987
AMMONIA INHALANTS LIQUID AMPOULES ZEE MEDICAL INC Y 9/17/1996
1
BETADINE LIQUID Box THE PURDUE FREDRICK CO Y 4/29/92
BLEACH LIQUID Bottle Y 4/11/1997
1
CHLORASORB SOLID Bottle HUNTINGTON LABORATORIES, INC Y 4/21/1994
CYTOLOGY FIXATIVE LIQUID CAN MEDICAL PACKAGING CORP Y 1/5/1998
30
FORMALIN LIQUID Bottle Y Nov-88
12
HYDROGEN PEROXIDE LIQUID Bottle Y Feb-86
1
LIQUID NITROGEN LIQUID CYLINDER PRAXAIR, INC Y 5/19/1993
3
OXYGEN GAS CYLINDER Y Apr-86
1
PHODOPHYLLUM RESIN LIQUID Bottle DELASCO Y 1/30/1996
3
PRECISE FOAM CAN CALTECH INDUSTRIES, INC Y 1/8/1998
PULL LIQUID BELCO CORP Y 9/13/1999
2
SILVER NITRATE SOLID Canister Y Aug-88
Phone:
Person Completing Form: Tonyelle Polin Title: MA email:
Clinic: Castleton IUMG/WISHARD HAZARDOUS CHEMICAL INVETORY LIST Date:
Max Amt Kept in
Chemical Name/Trade Name Phys State Unit of Measure Clinic Manufacturer MSDS Y or N MSDS Date
ALCOHOL – ISOPROPYL LIQUID Bottle Y 1987
AMMONIA INHALANTS LIQUID AMPOULES ZEE MEDICAL INC Y 9/17/1996
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO Y 4/29/92
CHLORASORB SOLID Bottle HUNTINGTON LABORATORIES, INC Y 4/21/1994
CITRACE CONCENTRATE CAN CALTECH INDUSTRIES, INC Y 5/6/1997
CYTOLOGY FIXATIVE LIQUID CAN MEDICAL PACKAGING CORP Y 1/5/1998
DISPATCH LIQUID Bottle CALTECH INDUSTRIES, INC Y 3/18/99
FORMALIN LIQUID Y Nov-88
HYDROGEN PEROXIDE LIQUID Bottle Y Feb-86
LIQUID NITROGEN LIQUID CYLINDER PRAXAIR, INC Y 5/19/1993
LIQUID PAPER LIQUID Bottle Y 10/25/1994
OXYGEN GAS CYLINDER Y Apr-86
PHODOPHYLLUM RESIN LIQUID Bottle DELASCO Y 1/30/1996
PRECISE FOAM CAN CALTECH INDUSTRIES, INC Y 1/8/1998
SILVER NITRATE SOLID Y Aug-88
IMMERSION OIL, MICROSCOPE LIQUID Bottle JORGENSON LABS, INC Y 7/1/2004
PHENAL 88-90% LIQUID Bottle MALLINCKRODT BAKER, INC Y 2/3/2003
Phone:
Person completing form: Title: email:
Clinic:Cottage Corner IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 2/27/06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
20
ALCOHOL – ISOPROPYL LIQUID Bottle Humco Y 1987
0
AMMONIA INHALANTS LIQUID AMPOULES ZEE MEDICAL INC Y 9/17/1996
CAVICIDE CLEANER - DISINFECTANT LIQUID Bottle 20 MICRO-ASEPTIC PRODUCTS, INC Y 4/1/1991
CYTOLOGY FIXATIVE LIQUID CAN 5 MEDICAL PACKAGING CORP Y 1/5/1998
DETACHO, UNISOLVE ADHESIVE REMOVER LIQUID Y Aug-87
FORMALIN LIQUID bottle 2 Richard Allen Scientific Y Nov-88
HISTOFREEZE LIQUID GAS can 2 STC TECHNOLOGIES, INC Y 2/15/2000
HYDROGEN PEROXIDE LIQUID Bottle 20 Aaron Industries Y Feb-86
NaCL SOLID bottle 20 Baxter Healthcare Y Mar-86
OXYGEN GAS CYLINDER 2 Y Apr-86
SILVER NITRATE SOLID can 2 Arzol Chemical Y Aug-88
SSD SOLID can 1 Air Liqufaction Y Jan-87
Completed by Anna Baker Medical Assistant
Phone:
Person Completing Form: Anna Baker Title: MA email:
Clinic:Eagle Highlands IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 4-06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
Isopropyl Alcohol 70% Liquid Swabs 12 boxes Nova Plus Y Jan-87
ACID FREE BATHROOM CLEANER (AFBC OR AF-79) LIQUID Bottle 5 Butchers Y Jan-94
5
Alcohol-Ethyl Liquid Bottle Captree Y 1987
12
ALCOHOL – ISOPROPYL 91% LIQUID Bottle Swan N 6/9/1905
2
AMMONIA INHALANTS LIQUID AMPOULES ZEE MEDICAL INC Y Sep-96
1
Ethyl Alcohol (drysol) Liquid Bottle Person and Covey Y Aug-87
2
BARRETT SPEED-E LIQUID QUARTS BARRETT INDUSTRIAL SUPPLY Y NOT DATED
2
BARRETT LIME REMOVER LIQUID GALLON BARRETT INDUSTRIAL SUPPLY Y Jan-95
BARRETT WINTMINT LIQUID GALLON 2 BARRETT INDUSTRIAL SUPPLY Y Jan-95
BETADINE LIQUID swabs 3 boxes THE PURDUE FREDRICK CO Y 4/29/1992
BLEACH LIQUID Bottle 2 Clorox Y 4/11/1997
CAVICIDE CLEANER - DISINFECTANT LIQUID Bottle 4 MICRO-ASEPTIC PRODUCTS, INC Y 4/1/1991
CHEWING GUM REMOVER LIQUID Can 2 CLAIRE MANUF Y 3/14/2001
CHLORASORB SOLID Bottle 4 HUNTINGTON LABORATORIES, INC Y 4/21/1994
CITRACE CONCENTRATE CAN CALTECH INDUSTRIES, INC Y 5/6/1997
CYTOLOGY FIXATIVE LIQUID CAN 12 MEDICAL PACKAGING CORP Y Jan-98
DETACHO, UNISOLVE ADHESIVE REMOVER LIQUID Bottle 1 Ferndale Lab N Aug-87
Dichloroacetic Acis 100% Liquid Bottle 1 Healthlink N 06/02/06
phone:
Person completing form: J. Carter Title: Manager, Practice Operations email:
Clinic:Eagle Highlands IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 4-06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
DISINFECTANT SPRAY FOR HEALTHCARE USE LIQUID CAN 15 CLAIRE MANUF Y 12/3/06
DISINFECTANT WASHROOM CLEANER LIQUID CAN 2 BUTCHER CO Y 1/13/04
DISPATCH LIQUID Bottle 2 CALTECH INDUSTRIES, INC Y Mar-99
DOUBLE PLAY CRÈME CLEANSER LIQUID Bottle 5 BUTCHER CO Y Mar-05
FORMALIN LIQUID Bottle 1 case Richard Allen Scientific Y Nov-88
GELCON Gel Bottle 1 Essential Industries
GLASS CLEANER LIQUID GALLON 1 Genium Publishing Corp. Y 4/1/1990
HISTOFREEZE LIQUID GAS Bottle 2 STC TECHNOLOGIES, INC Y 2/15/2000
HYDROGEN PEROXIDE LIQUID Bottle 12 McKesson Y 2/1/1986
LIQUID ADHESIVE, MASTISOL LIQUID Bottle 2 DERMATOLOGICAL LAB AND SUPPLY CO Y Mar-93
LIQUID NITROGEN LIQUID CYLINDER 1 PRAXAIR, INC Y May-93
OXYGEN GAS CYLINDER 2 Praxair Y 4/1/1986
Potassim Hydroxide-KOH 10% LIQUID Bottle 6 Jorgensen Y 8/2/1999
PRECISE FOAM CAN 6 CALTECH INDUSTRIES, INC Y 1/8/1998
PULL OUT CARPET SPOTTER LIQUID Bottle 2 BUTCHER CO. Y Aug-03
RAINDANCE LIQUID Bottle 2 BUTCHER CO. Y 12/17/2003
SILVER NITRATE SOLID Canister 2 McKesson Y 8/1/1988
SUNNY STREAKLESS LIQUID Bottle 2 WARSAW CHEMICAL CO, INC Y Apr-02
phone:
Person completing form: J. Carter Title: Manager, Practice Operations email:
Clinic:Eagle Highlands IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 4-06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
TOP GUARD LIQUID Bottle TOP GUARD Y 5/11/1995
VESPHENE II SE LIQUID 2 CALGON VESTAL LAB, INC Y 8/1/1994
VINEGAR LIQUID Bottle 1 KAISER Y NO DATE GIVEN
VIRAGUARD LIQUID Bottle 2 VERIDIEN Y 6/30/2000
phone:
Person completing form: J. Carter Title: Manager, Practice Operations email:
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
ACETONE LIQUID Bottle 10
ACID FREE BATHROOM CLEANER LIQUID 8
(AFBC OR AF-79) Bottle
ALCOHOL – ETHYL CIDA RINSE LIQUID 26
HUNTINGTON Bottle
ALCOHOL – ISOPROPYL LIQUID Bottle 16
AMMONIA AMP INHALANTS LIQUID Ampoule 2
BEST BET – LIQUID CREAM CLEANSER LIQUID 20
Bottle
BETADINE LIQUID Bottle 1
BLEACH LIQUID Bottle 1
CAVICIDE CLEANER – DISINFECTANT LIQUID Bottle 8
CHLORASORB SOLID Bottle 1
CHLORINE GAS Tank
CYTOLOG Y FIXATIVE LIQUID Bottle 25
DEEP BLUE SEE LIQUID Bottle 3
DISINFECTANT TOILET BOWL CLEANER LIQUID 3
Bottle
EASY TASK LIQUID Bottle 3
ENDURE CIDA RINSE GEL LIQUID Bottle 15
FORMALIN LIQUID Bottle 16
GLASS CLEANER LIQUID Bottle 4
HEMOCCULT DEVELOPER LIQUID Bottle 28
HYDROGEN PEROXIDE LIQUID Bottle 8
KCL SOLID Bottle 3
KOH, SPOTTEST LIQUID Bottle 3
LIQUID ADHESIVE, MASTISOL LIQUID Bottle 1
LIQUID PAPER LIQUID Bottle 27
Lph Se LIQUID Bottle 11
MALODOR LIQUID Bottle 8
MICRO BAC SOLID 6
MINERAL OIL LIQUID Bottle 1
OXYGEN GAS Tank 2
PH7 LIQUID Bottle 2
POTASSIUM HYDROXIDE LIQUID Bottle 2
qUAntify PLUS URINE CONTROL LIQUID Bottle 4
RE-ACT LIQUID Bottle 4
SILVER NITRATE SOLID Bottle 1
SOAP & SCUM REMOVER LIQUID Bottle 6
ULTRASOUND TRANSMISSION GEL – GEL 32
CHIEFTAIN Bottle
Clinic: UH OP IUMG/WISHARD CHEMICAL INVENTORY LIST Date: 7-10-06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
(PAPERMATE) HIGHLIGHTING MARKERS SOLID MARKERS PAPERMATE Y May-96
ACETONE LIQUID Bottle MONSANTO CORP Y Apr-86
ALCOHOL – ISOPROPYL LIQUID Bottle Y 1987
ANTISEPTIC TOWELETTES SOLID BOX NICE-PAK PRODUCTS, INC Y 6/25/1987
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO Y 4/29/92
BLEACH LIQUID Bottle Y 4/11/1997
CALGON - VESTA, CAL-STAT, SEPTI-SOFT LIQUID CALGON VESTAL LABS Y 12/21/1992
CARBON DIOXIDE (DRY ICE) SOLID HOOPER WELDING SUPPLY Y 2/16/1981
CITRACE CONCENTRATE CAN CALTECH INDUSTRIES, INC Y 5/6/1997
COLD PACK (KWIK COLD) LIQUID PACKAGE ALLEGIANCE HEALTHCARE Y 12/19/2000
ETHYL CHLORIDE LIQUID GEBAUER CO Y Apr-99
FORMALIN LIQUID Y Nov-88
GLASS CLEANER LIQUID GALLON Y Apr-90
HIBICLENS LIQUID GC AMERICA Y 6/18/1996
HISTOFREEZE LIQUID GAS STC TECHNOLOGIES, INC Y 2/15/2000
HYDROGEN PEROXIDE LIQUID Bottle Y Feb-86
IODINE LIQUID BOTTLE MALLINCKRODT Y 02/05/92
LIDOCAINE HYDROCHLORIDE LIQUID BOTTLE STERI LABS Y 05/09/91
Phone: 274-2167
Person Completing Form: Pam Stevens, LPN Title: Staff Nurse email:
Clinic: UH OP IUMG/WISHARD CHEMICAL INVENTORY LIST Date: 7-10-06
LIQUID HAND DISHWASHING DETERGENT LIQUID Bottle 1 PROCTOR & GAMBLE Y 02/09/06
LIQUID NITROGEN LIQUID CYLINDER PRAXAIR, INC Y 5/19/1993
LIQUID PAPER LIQUID Bottle Y 10/25/1994
LJ4 LASTERTONER
MINERAL OIL LIQUID Bottle Y Sep-86
MONSELS SOLUTION LIQUID Bottle 2 PRMEIER DENTAL PRODUCTS Y 4/11/05
NaCL SOLID Y Mar-86
OCE F10 TONER SOLID OCE USA, INC Y Sep-95
OXYGEN GAS CYLINDER Y Apr-86
PHENOL LIQUID MALLINCKRODT Y Feb-03
POTASSIUM HYDROXIDE LIQUID CHEMICAL COMMODITIES AGENCY, INC Y Aug-96
PROFESSIONAL LYSOL LIQUID CAN 10 RESKITT BENCKISER T 8/9/2002
SHARPIE FINE POINT MARKER SOLID MARKER SANFORD Y 10/20/2003
SILVER NITRATE SOLID Y Aug-88
TBQ LIQUID Bottle 2 SERIS Y 3/11/2004
Phone: 274-2167
Person Completing Form: Pam Stevens, LPN Title: Staff Nurse email:
Clinic:Grassy Creek IUMG/WISHARD CHEMICALS INVENTORY LIST Date: 3-2-06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
ACID FREE BATHROOM CLEANER (AFBC OR AF-79) LIQUID Bottles 5 BETCO CORPORATION Y Jan-94
25
AMMONIA INHALANTS LIQUID AMPOULES ZEE MEDICAL INC Y 9/17/1996
3
BEST BET - LIQUID CREAM CLEANSER LIQUID BOTTLES BETCO CORPORATION Y Jan-94
2
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO Y Apr-92
CYTOLOGY FIXATIVE LIQUID CAN 10 MEDICAL PACKAGING CORP Y 1/5/1998
FORMALIN LIQUID BOTTLE 100 RICHARD-ALLAN SCIENTIFIC Y 11/1/1988
GLASS CLEANER LIQUID GALLON 2 OLYMPIC PRODUCTS CO., INC. Y 4/1/1990
HYDROGEN PEROXIDE LIQUID Bottle 10 AARON INDUSTRIES, INC. Y Feb-86
LIQUID PAPER LIQUID Bottle 25 RUBBERMAID Y Oct-94
MALODOR COUNTERACTANT LIQUID BOTTLE 10 COMMUNITY CLEAN Y 11/1/2000
LIQUID NITROGEN LIQUID CYLINDER 1 PRAXAIR, INC Y 5/19/1993
OXYGEN GAS CYLINDER 3 AIRGAS MID AMERICA, INC. Y Apr-86
SILVER NITRATE SOLID BOTTLES 5 ARZOL CHEMICAL CO. Y 8/1/1988
ULTRASOUND TRANSMISSION GEL - CHIEFTAIN LIQUID BOTTLE 50 PARKER LAB, INC Y 3/15/1995
XEROX, DRY INK SOLID CARTRIDGE 5 XEROX Y 1/15/2002
BLEACH LIQUID BOTTLE 1 COSTAL CHEMICAL CO. Y 4/11/1997
CAVICIDE CLEANER - DISINFECTANT LIQUID BOTTLE 20 MICRO-ASEPTIC PRODUCTS, INC Y Apr-91
ENDURE CIDA RINSE GEL LIQUID BOTTLE 50 ECOLAB, INC. Y Nov-00
Phone: 890-2176
Person completing form: Kelly Marsh Title: Director email:kmarsh@iumg.com
Clinic:Grassy Creek IUMG/WISHARD CHEMICALS INVENTORY LIST Date: 3-2-06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
HP INKJET PRINT CARTRIDGE LIQUID CARTRIDGE 10 HEWLETT PACKARD CO. Y Aug-02
Phone: 890-2176
Person completing form: Kelly Marsh Title: Director email:kmarsh@iumg.com
Clinic:Mooresville IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 3-06
MSDS INVENTORY LIST
Max Amt.@ Clinic
Chemical Name/Trade Name Physical State Unit of Measure Manufacturer MSDS ? MSDS Date
15
Alcohol - Isopropyl Liquid Bottle Kendall Y 6/9/1905
10
Acetic Acid Glacial Liquid Container Mallinckrodt Y 7/13/1987
12
Ammonia Inhalants Liquid Ampoules Dynarex Corp. Y 9/17/1996
14
Antimicrobial Soap Liquid Bottle Eastman KodakCo. Y Jul-95
Bio Bag Solid Article 100 BD Microbiology System Y
Cerumenex Drops Liquid Bottle 2 Purdue Frederick Co. Y
Chemstrip 2 GP Urine Test Strip Solid Article 150 Boehringer Manheim Corp. Y Dec-93
Chlamydia Trachomatis Kit Solid Kit 20 Syva/A Syntex Co. Y 12/04/91
Citrace Hosp. Germicidal Deod. Liquid Can 3 Caltech Y 6/14/1995
DCA 2000 A1C Reagent Test Kit Solid Cartridge 80 Bayer Y Dec-98
Dermabond Liquid Applicators 6 Ethicon, Inc. Y 9/4/1998
Dispatch Hosp. Cleaner w/ Bleach Liquid Bottle 4 Caltech Y Aug-94
Drysol Liquid Bottle 3 Person and Covey, Inc. Y 3/9/1991
Ethyl Chloride Liquid Bottle 1 Gebauer Chemical Co. Y 2/15/1991
Formalin 10%, Neutral Buffered Liquid Bottle Mallinckrodt Y 1/2/1987
Glucose Tolerance Beverage Liquid Bottle 10 Stephens Scientific Y Sep-91
Group A Strep Culturette Solid Article 125 BD Microbiology System Y 3/5/90
Phone:
Person Completing Form: M. Swanson Title: Mgr email:
Clinic:Mooresville IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 3-06
MSDS INVENTORY LIST
Hand Lotion Liquid Bottle 4 Hill Mfg. Co., Inc. Y Jul-91
Hemoccult Developer Liquid Bottle 18 SKD Y Sep-95
Herpes Transport Media (M4) Liquid Bottle 8 Remel Y Jul-91
Hibiclens (Antimicrobial Skin Care) Liquid Bottle 2 Applicare, Inc. Y 6/18/1996
Highlighting Markers (Papermate) Solid Marker 30 Avery Y 5/1/1996
Hydrogen Peroxide Liquid Bottle 15 SKD Y Feb-86
Immersion Oil, Type A Liquid Bottle 1 Cargille Laboratories, Inc. Y 3/25/1998
Instant Hand Sanitizer Liquid Bottle 4 Share Corp. Y 2/22/1994
Lidocaine Hydrochloride Liquid Bottle 15 Steris Laboratories, Inc. Y 5/10/1991
Liquid Hand Soap Liquid Bottle 3 ABC Compounding Y 8/20/2003
Liquid Nitrogen Liquid Cylinder Praxair, Inc.
"F" size tank Y 5/19/1993
Liquid Paper Liquid Bottle 6 Gillette Y 10/25/1994
Liquid Urine Control Liquid Bottle 4 Dia-Screen Y 3/14/1994
Lubricating Jelly Lubricant Tubes 15 Span Care Y 2/15/1990
Monsel's Soln. (Ferric Subsulfate) Solid Bottle 2 Mallinckrodt Y 4/6/1989
Oxygen Gas Cylinder Air
3000 PSI Liquefaction Y Apr-86
Phenol Liquid Bottle 1 Mallinckrodt Y 2/3/2003
Potassium Hydroxide 10% Liquid Bottle 1 Medical Chem. Corp. Y Apr-92
Phone:
Person Completing Form: M. Swanson Title: Mgr email:
Clinic:Mooresville IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 3-06
MSDS INVENTORY LIST
Povidone Iodine (Betadine) Liquid Bottle 12 Mallinckrodt Y 2/5/1992
Precise Hosp. Foam Cleaner Liquid Bottle 4 Caltech Y 9/1/1993
Rocephin (CeftriaxoneSodium) Powder Bottle 10 Hoffman-LA Roche, Inc. Y 2/27/2995
Sani-Cloth Germicidal Towelette Solid Packaged 100 PDI Professional, Inc. Y Nov-94
Sharpi Permanent Marker Solid Marker 10 Sanford Y 4/28/2987
Silver Nitrate Solid Applicator stick 200 Graham Field, Inc. Y Aug-88
Sodium Chloride Liquid Bottle 15 Mallinckrodt Y Mar-86
Thin Prep-PreservCyt Soln (methanol) Liquid Bottle 250 Cytec Corp. Y 1/1/1987
Toner-copier Solid Cartridge 2 Sharp Y 10/20/1988
Urine Collec/Trans Kit-(Vacutainer) Solid Tubes 100 BD Microbiology System Y 10/24/1996
Vacutainer - Culture Kits Solid Tubes 20 BD Microbiology System Y 11/8/1996
Vacutainer - K2 EDTA Solid Tubes 300 BD Microbiology System Y 1/6/1998
Vacutainer - Lithium Heparine Solid Tubes 20 BD Microbiology System Y 11/20/1995
Vacutainer - Serum Seperation Tubes Solid Tubes 400 BD Microbiology System Y 6/25/1992
Vacutainer - w/ Sodium Citrate Buffer Solid Tubes 20 BD Microbiology System Y 10/13/1999
Vacutainer - w/ Sodium Heparin Solid Tubes 20 BD Microbiology System Y 10/4/1999
Vacutainer -w/ K Oxalate/Na Fluoride Solid Tubes 25 BD Microbiology System Y 8/20/1988
White-Out (Correction Fluid) Liquid Bottle 12 Wite Out Products Y 6/4/2001
Xerox, Dry Ink Solid Cartridge 2 Xerox Y 1/15/2002
Phone:
Person Completing Form: M. Swanson Title: Mgr email:
Clinic: IUMG/WISHARD HAZARDOUS CHEMICAL INVETORY LIST Date:
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
ACID FREE BATHROOM CLEANER (AFBC OR AF-79) LIQUID Y Jan-94
6
ALCOHOL – ISOPROPYL LIQUID Bottle Humco Y 1987
6
AMMONIA INHALANTS LIQUID AMPOULES ZEE MEDICAL INC Y 9/17/1996
BEST BET - LIQUID CREAM CLEANSER LIQUID Y Jan-94
BETADINE LIQUID Bottle 8 THE PURDUE FREDRICK CO Y 4/29/92
BETCO CONCENTRATE LIQUID not found
BLEACH LIQUID Bottle 4 Y 4/11/1997
CALGON - VESTA, CAL-STAT, SEPTI-SOFT LIQUID bottle 25 CALGON VESTAL LABS Y 12/21/1992
CHLORASORB SOLID Bottle 9 HUNTINGTON LABORATORIES, INC Y 4/21/1994
EASY TASK LIQUID BETCO CORP Y Jan-94
DEEP BLUE SEE LIQUID DRUMMOND AMERICAN CORP Y 12/29/1992
GLASS CLEANER LIQUID GALLON 1 Johnson Diversey Inc Y Sep-06
HISTOFREEZE LIQUID GAS 170 ml canister 2 STC TECHNOLOGIES, INC Y 2/15/2000
HYDROGEN PEROXIDE LIQUID Bottle 14 Humco Y Feb-86
LIQUID PAPER LIQUID Bottle 13 Sanford a div of Rubbermaid Y 10/25/1994
MICRO BAC LIQUID Bottle 2 Y Sep-80
LIQUID NITROGEN LIQUID CYLINDER 0 PRAXAIR, INC Y 5/19/1993
OXYGEN GAS CYLINDER 5 Y Apr-86
Phone:
Person Completing Form: Title: email:
Clinic: IUMG/WISHARD HAZARDOUS CHEMICAL INVETORY LIST Date:
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
SILVER NITRATE SOLID sticks 1 Y Aug-88
SOAP & SCUM REMOVER LIQUID Bottle BETCO CORP Y Sep-88
ULTRASOUND TRANSMISSION GEL - CHIEFTAIN LIQUID 4 PARKER LAB, INC Y 3/15/1995
LPHse liquid Bottle 1 Steris -- Callgon VestalLaboratories
Cavicide liquid Bottle 4 MetRex
Malodor liquid Bottle 4 Gold Group products -Community Clean
Dermplast GAS cannister 4 Medtech Products
Formulin 10% liquid Bottle 15 Richard-Allan Scientific Y Nov-88
Preservcyt solution liquid Bottle 200 Cytye Corporation
POTASSIUM CHLORIDE liquid Bottle 1 WISHARD PHARMACY Y Nov-88
Phone:
Person Completing Form: Title: email:
Clinic: PCC 1st Flr IUMG/WISHARD HAZARDOUS CHEMICAL INVENTORY LIST Date:
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
ALCOHOL – ISOPROPYL LIQUID Bottle Y 1987
AMMONIA INHALANTS LIQUID AMPOULES ZEE MEDICAL INC Y 9/17/1996
CYTOLOGY FIXATIVE LIQUID CAN MEDICAL PACKAGING CORP Y 1/5/1998
DISINFECTANT TOILET BOWL CLEANER LIQUID Bottle BETCO CORP Y Jan-94
FORMALIN LIQUID Y Nov-88
HYDROGEN PEROXIDE LIQUID Bottle Y Feb-86
LIQUID PAPER LIQUID Bottle Y 10/25/1994
LIQUID NITROGEN LIQUID CYLINDER PRAXAIR, INC Y 5/19/1993
OXYGEN GAS CYLINDER Y Apr-86
SILVER NITRATE SOLID Y Aug-88
Phone:
Person Completing Form: Title: email:
Clinic: IUMG/WISHARD CHEMICAL INVENTORY LIST Date:
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
ALCOHOL – ISOPROPYL LIQUID Bottle Y 1987
AMMONIA INHALANTS LIQUID AMPOULES ZEE MEDICAL INC Y 9/17/1996
BEST BET - LIQUID CREAM CLEANSER LIQUID Y Jan-94
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO Y 4/29/92
CARRASYN SPRAY WOUND DRESSING LIQUID BOTTLE CARRINGTON LAB, INC Y 3/28/1997
CHLORASORB SOLID Bottle HUNTINGTON LABORATORIES, INC Y 4/21/1994
CITRACE CONCENTRATE CAN CALTECH INDUSTRIES, INC Y 5/6/1997
CYTOLOGY FIXATIVE LIQUID CAN MEDICAL PACKAGING CORP Y 1/5/1998
ETHYL CHLORIDE LIQUID GEBAUER CO Y Apr-99
FORMALIN LIQUID Y Nov-88
GLASS CLEANER LIQUID GALLON Y Apr-90
HYDROGEN PEROXIDE LIQUID Bottle Y Feb-86
POTASSIUM CHLORIDE LIQUID Bottle Y Nov-88
DERMATOLOGICAL LAB AND
LIQUID ADHESIVE, MASTISOL LIQUID Bottle SUPPLY CO Y 3/1/1993
LIQUID PAPER LIQUID Bottle Y 10/25/1994
MALODOR LIQUID CAN COMMUNITY CLEAN Y 11/1/2000
LIQUID NITROGEN LIQUID CYLINDER PRAXAIR, INC Y 5/19/1993
OCE F10 TONER SOLID OCE USA, INC Y Sep-95
Phone:
email:
Person completing form: Title:
Clinic: IUMG/WISHARD CHEMICAL INVENTORY LIST Date:
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
OXYGEN GAS CYLINDER Y Apr-86
PRESERVCYT SOLN LIQUID Bottle CYTYC CORP Y July-02
SILVER NITRATE SOLID Y Aug-88
SSD SOLID Bottle Y Jan-87
Phone:
email:
Person completing form: Title:
Clinic:PCC Peds IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 2/24/06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
12 bottles
ALCOHOL – ISOPROPYL LIQUID Bottle Humco Y 1987
BETADINE LIQUID 2 oz btl 20 Aplicare Inc Y 4/29/92
BLEACH LIQUID Bottle 1 Currently out and not sure who Wishard is using Y 4/11/1997
CHLORASORB SOLID Bottle 6 HUNTINGTON LABORATORIES, INC Y 4/21/1994
CYTOLOGY FIXATIVE LIQUID CAN 5 MEDICAL PACKAGING CORP Y 1/5/1998
DAKINS SOLUTION LIQUID btl 10 Century Pharmeuceuticals Y 11/1/1990
DISINFECTANT TOILET BOWL CLEANER LIQUID Bottle 2 BETCO CORP Y Jan-94
FORMALIN LIQUID Bottle 12 Meredith Bio Science Inc Y Nov-88
GLASS CLEANER LIQUID 5 Gallon 1 JohnsonWax Y Apr-90
HYDROGEN PEROXIDE LIQUID Bottle 8 Humco Y Feb-86
LIQUID PAPER LIQUID Bottle 4 Division of Newell Rubbermaid Y 10/25/1994
MICRO BAC LIQUID Bottle 1 Ecolab Y Sep-80
MINERAL OIL LIQUID Bottle 1 Marlex Pharmeuceuticals Y Sep-86
SODIUM CHLORIDE liquid 10ml vials 60 Hospira Inc Y Mar-86
SODIUM CHLORIDE liquid 500 ml btl 60 Baxter
LIQUID NITROGEN LIQUID CYLINDER 1 PRAXAIR, INC Y 5/19/1993
OCE F10 TONER SOLID cartridges 30 OCE USA, INC Y Sep-95
OXYGEN GAS CYLINDER 4 ????? Y Apr-86
Phone: 692-2383
Person Completing Form: Cyndi Smith Title:Director email:csmith@iumg.com
Clinic:PCC Peds IUMG/WISHARD HAZARDOUS CHEMICALS INVENTORY LIST Date: 2/24/06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
SILVER NITRATE SOLID Y Aug-88
VIREX II 256 LIQUID Bottle 40 JOHNSONDIVERSEY, INC Y 7/8/2004
Air Freshener liquid btl 4 COMMUNITY CLEAN ??
BENZOIN LIQUID BTL 2 PADDOCK LABS ??
FOAM SOAP LIQUID Wall Container 12 Ballard ??
WALL HAND LOTION LIQUID Wall Container 20 Kimberly Clark ??
Hand disinfectant LIQUID Wall Container 15 Kimcare ??
Endure Foam soap (new) LIQUID Wall Container 45 Ecolab ??
Crew shower/tub cleaner LIQUID 5 Gallon 1 JohnsonWax ??
new ones
change
Phone: 692-2383
Person Completing Form: Cyndi Smith Title:Director email:csmith@iumg.com
Clinic: Pecar 4/20/06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
10
ALCOHOL – ISOPROPYL LIQUID Bottle Y 1987
20
AMMONIA INHALANTS LIQUID AMPOULES ZEE MEDICAL INC Y 9/17/1996
BLEACH LIQUID Bottle 2 Y 4/11/1997
CAVICIDE CLEANER - DISINFECTANT LIQUID Bottle 30 MICRO-ASEPTIC PRODUCTS, INC Y 4/1/1991
Crew Shower Tub & Tile Cleaner LIQUID Bottle 1 Johnson Wax N
Bowlaide Toilet Bowl Cleaner LIQUID Bottle 6 Brulin & Company N
FORMALIN LIQUID Bottle 100 Richard-Allan Scientific Y 11/01/88
Glass & Multisurface Cleaner LIQUID Bottle 3 Glance N
HYDROGEN PEROXIDE LIQUID Bottle 10 Y 2/1/1986
IODINE PROVIDONE LIQUID Bottle 5 MALLINCKRODT Y 2/5/1992
Lph Se LIQUID Bottle CALGON VESTAL LABORATORIES Y 8/2/9?
MALODOR LIQUID Bottle 4 COMMUNITY CLEAN Y 11/1/2000
Neutral Cleaner LIQUID Bottle 1 Stride N
OXYGEN GAS CYLINDER 4 Air Liquefaction Y Apr-86
One Step Disinfectant Cleaner & Deoderant LIQUID Bottle 2 Virex N
POTASSIUM HYDROXIDE LIQUID Bottle 2 CHEMICAL COMMODITIES AGENCY, INC Y Aug-96
SILVER NITRATE SOLID Can 4 Arzol Y 8/1/1988
SODIUM CHLORIDE SOLID Vials 100 Nephron Y Mar-86
Completed by: Chris Johnston
Clinic: Pecar 4/20/06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
ULTRASOUND TRANSMISSION GEL - CHIEFTAIN LIQUID Bottle 20 PARKER LAB, INC Y 3/15/1995
XEROX, DRY INK SOLID Cartridge 30 XEROX Y 1/15/2002
Completed by: Chris Johnston
Clinic: IUMG/WISHARD HAZARDOUS CHEMICAL INVENTORY LIST Date:
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
ACID FREE BATHROOM CLEANER (AFBC OR AF-79) LIQUID Y Jan-94
ALCOHOL – ISOPROPYL LIQUID Bottle Y 1987
BEST BET - LIQUID CREAM CLEANSER LIQUID Y Jan-94
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO Y 4/29/92
GLASS CLEANER LIQUID GALLON Y Apr-90
HYDROGEN PEROXIDE LIQUID Bottle Y Feb-86
Lph Se LIQUID Bottle CALGON VESTAL LABORATORIES Y 8/2/9?
LIQUID HAND SOAP LIQUID Bottle ABC COMPOUNDING CO, INC Y 8/20/2003
OXYGEN GAS CYLINDER Y Apr-86
SODIUM CHLORIDE SOLID Y Mar-86
PRESERVCYT SOLN LIQUID Bottle CYTYC CORP Y July-02
XEROX, DRY INK SOLID XEROX Y 1/15/2002
XEROX, COPY CARTRIDGE SOLID XEROX Y 8/28/1990
SHARPIE FINE POINT MARKER SOLID MARKER SANFORD Y 10/20/2003
WITE-OUT FOR EVERYTHING CORRECTION FLUID LIQUID Bottle WITE OUT PRODUCTS, INC Y 6/4/2001
Phone:
Person Completing Form: Title: email:
Clinic: Westside HAZARDOUS CHEMICAL INVENTORY LIST Date: 9/15/06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
ACID FREE BATHROOM CLEANER (AFBC OR AF-79) LIQUID
ALCOHOL – ISOPROPYL LIQUID Bottle Aaron Industries Inc.
BEST BET - LIQUID CREAM CLEANSER LIQUID Steris
BETADINE LIQUID Bottle THE PURDUE FREDRICK CO
BLEACH LIQUID Bottle
CALGON - VESTA, CAL-STAT, SEPTI-SOFT LIQUID CALGON VESTAL LABS
CAVICIDE CLEANER - DISINFECTANT LIQUID Bottle MICRO-ASEPTIC PRODUCTS, INC
CYTOLOGY FIXATIVE LIQUID CAN MEDICAL PACKAGING CORP
DISINFECTANT TOILET BOWL CLEANER LIQUID Bottle BETCO CORP
EASY OFF STAINLESS STEEL CLEANER & POLISH LIQUID CAN RECKITT BENCKISER NORTH AMERICA, INC.
ENDURE CIDA RINSE GEL LIQUID Bottle ECOLAB INC
FORMALIN LIQUID Bottle Richard-Allen Scientific
GLASS CLEANER LIQUID Bottle National Brands Inc.
HP INKJET PRINT CARTRIDGE LIQUID CARTRIDGE HEWLETT PACKARD CO
HYDROGEN PEROXIDE LIQUID Bottle Aaron Industries Inc.
IODINE SOLUTION LIQUID Bottle MALLINCKRODT
Lph Se LIQUID Bottle CALGON VESTAL LABORATORIES
MALODOR LIQUID CAN COMMUNITY CLEAN
Phone:
Person completing form: Title: email:
Clinic: Westside HAZARDOUS CHEMICAL INVENTORY LIST Date: 9/15/06
Max Amt Kept
Chemical Name/Trade Name Phys State Unit of Measure in Clinic Manufacturer MSDS Y or N MSDS Date
MINERAL OIL LIQUID Bottle
OCE F10 TONER SOLID OCE USA, INC
OXYGEN GAS CYLINDER
PULL LIQUID BELCO CORP
PRESERVCYT SOLN LIQUID Bottle CYTYC CORP
RE-ACT LIQUID CAN KENRICH PETROCHEMICAL INC
SILVER NITRATE SOLID Bottle Arzol Chemical
SOAP & SCUM REMOVER LIQUID Bottle BETCO CORP
SODIUM CHLORIDE SOLID
TIME MIST AIR FRESHENER LIQUID CAN Waterbury Companies Inc.
ULTRASOUND TRANSMISSION GEL - CHIEFTAIN LIQUID Bottle PARKER LAB, INC
XEROX, DRY INK SOLID XEROX
Phone:
Person completing form: Title: email:
