CALS Chemical Intake Form

Please place a barcode sticker on your chemical bottle. Fill out the following fields regarding the new chemical.

An example submission would look like this:

• Barcode # 015962
• Chemical Supplier: VWR
• Chemical Name: Sodium phosphate dibasic anhydrous
• CAS # 7558-79-4
• Product # 0404
• Amount: 12kg bucket
• Location: Emerson - EM-G51
• Faculty Name: Susheng Gan
• Submitter Name: Kelly Hanley
• Submitter NetID: klh54