JAX INC. Approval Date 2/9/2009
Supersedes Date 2/1/2007
Material Safety Data Sheet
Section I. Chemical Product and Company Identification
JAX SYN-FORM ISO 150FG SFFGM
Product
Product Name/
ID No.
Trade Name
Emergency Contact
JAX INC.
Supplier
For Chemical Emergency, Spill, Leak, Fire,
W134 N5373 CAMPBELL DRIVE
Exposure or Accident, Call CHEMTREC:
MENOMONEE FALLS, WI 53051 USA NORTH AMERICA 800-424-9300
INTERNATIONAL +01-703-527-3887 Collect
Synonym(s) None
Chemical Name Polyalkylene glycol
JAX: 262-781-8850
Non-Emergency
JAX/FAX: 262-781-3906
Contact
Chemical Family Polyalkylene glycol
Chemical Formula Mixture
Material Uses Lubricant
Section II. Composition and Information on Ingredients
Name PEL/TLV, Source CAS # % by Weight
PROPRIETARY FORMULA. This material is essentially polyalkylene glycol fluid containing None established Mixture 100.0
antiwear, corrosion & oxidation agents.
All ingredients meet FDA 21 CFR 178.3570.
LC50, LD50 of Ingredients Not available
Section III. Hazards Identification
Emergency Overview Potential health risks vary from person to person. As a precaution, exposure to liquids, vapors, mists or fumes should be
minimized.
Potential Health Effects:
Eye Contact Excess redness of the conjunctiva may occur. May cause irritation, experienced as stinging with excess blinking and tear
production.
Skin Contact SKIN CONTACT: Brief contact is not irritating. Prolonged or repeated contact may cause discomfort and local redness.
Prolonged or repeated contact may cause defatting and drying of the skin.
SKIN ABSORPTION: No evidence of harmful effects, based on available information.
Ingestion No evidence of harmful effects, based on available information.
Inhalation Exposure to a dense atmosphere of aerosolized product, designed to evaluate intentional aerosolization, produced lung injury and
delayed deaths in animals. Repeated inhalation of respirable aerosols may cause lung damage, which could impair lung function
and the ability to obtain sufficient oxygen supply to the body. Overexposure to vapor, aerosol or mist generated at high
temperature may result in eye and respiratory tract irritation, dizziness, nausea and the inhalation of harmful amounts of material.
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Section III. Hazards Identification (cont'd)
HAZARD RATINGS
0 Minimal Hazard 3 Serious Hazard
1 1 0
HMIS Code Health: Fire: Physical Hazard:
1 Slight Hazard 4 Severe Hazard
2 Moderate Hazard
Section IV. First Aid Measures
Immediately flush eyes with water and continue washing for several minutes. Remove contact lenses, if worn. Obtain medical
Eye Contact
attention.
Skin Contact Wash skin with soap and water.
If the patient is fully conscious, give two glasses of water. DO NOT induce vomiting. If signs or symptoms of toxicity are present,
Ingestion
obtain medical attention. NOTE TO PHYSICIAN: Low toxicity by swallowing. Any material aspirated during vomiting may cause
lung injury. If it is considered necessary to evacuate the stomach contents, this should be done by means least likely to cause
aspiration (e.g., gastric lavage after endotracheal intubation).
Inhalation Remove to fresh air. If breathing is difficult, give oxygen. If not breathing, give artificial respiration. Get medical attention
immediately.
Section V. Fire and Explosion Data
Autoignition Temperature Not available Sensitivity to Impact Not available
Flash Point 445癋 (229癈), ASTM D 92 Sensitivity to Static Discharge Not available
Flammable Limits (Approx.) LOWER Flammable Limit: Not available UPPER Flammable Limit: Not available
See Lower and Upper Flammable Limits
Explosion Hazards
Products of Combustion Carbon monoxide, carbon dioxide, smoke and irritating vapors as products of incomplete combustion.
Firefighting Media MEDIA: Extinguish large fires with water spray or apply alcohol-type or all-purpose foam by manufacturer's recommended
and Instructions techniques. For small fires, use carbon dioxide or dry chemical media.
INSTRUCTIONS: Firefighters should wear full protective gear, including helmet. Use supplied-air breathing equipment for
enclosed or confined spaces or as otherwise needed.
Special Remarks - Do not direct a solid stream of water or foam into hot, burning pools; this may cause frothing and increase fire intensity. Water
Fire and Explosion may be used to keep fire-exposed containers cool until fire is out.
Hazards
Section VI. Accidental Release Measures
Recover free product using non-sparking tools and equipment. Add sand, earth, or other suitable absorbent material to the spill
Release or Spill
area. Minimize breathing vapors. Minimize skin contact. Open all windows and doors. Keep product out of sewers and
watercourses by diking or impounding. Advise authorities if the product has entered or may enter sewers, watercourse, or
extensive land areas.
Environmental Impact Report spills as required to the appropriate authorities. U.S Coast Guard Regulations require immediate reporting of spills that
could reach any waterway including intermittent dry creeks. Report spill to the Coast Guard toll-free number 800-424-8802.
Section VII. Handling and Storage
Avoid contact with eyes, skin and clothing. Avoid breathing vapor, aerosol and mist. Do not swallow. Keep container closed. Use
Handling
with adequate ventilation. Keep out of reach of children. "Empty" containers retain product residue and can be dangerous. Do not
pressurize, cut, weld, braze, solder, drill, grind, or expose such containers to heat, flame, sparks, static electricity, or other sources
of ignition. Empty container should be promptly returned to a drum conditioner.
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JAX SYN-FORM ISO 150FG
PAGE 3 OF 4
Section VII. Handling and Storage (cont'd)
Storage Store in a cool, dry place. Do not store near heat, sparks, open flame, pilot lights and other sources of ignition, or where
temperature may exceed 120癋 (49癈). Do not store in direct sunlight. Keep out of reach of children.
Section VIII. Exposure Controls and Personal Protection
None required for vapors when used at low temperatures. For aerosols, vapors or mists, a negative-pressure, half-mask respirator
Respiratory Protection
approved for dust and mist protection is recommended.
General room ventilation is satisfactory for storage and handling at room temperature. Where exposure to elevated temperatures
Ventilation
occur or when vapor or mist is created, local ventilation is needed.
Use gloves coated with polyvinyl chloride (PVC).
Protective Gloves
Chemical splash goggles or face shield in compliance with OSHA regulations are advised when eye contact may occur.
Eye Protection
Wash skin thoroughly after contact, before breaks and meals and at end of work period. Product is readily removed from skin by
Personal Hygiene
waterless hand cleaners followed by washing thoroughly with soap and water.
Sudden release of hot organic chemical vapor or mists from process equipment operating at elevated temperature and pressure,
Engineering Controls
or sudden ingress of air into hot equipment under a vacuum, may result in ignitions without the presence of obvious ignition
sources. Any use of this product in elevated-temperature processes should be thoroughly evaluated to establish and maintain
safe operating conditions.
Exposure Limit None established.
Section IX. Physical and Chemical Properties
Appearance/Odor Clear liquid with little or no odor Vapor Pressure <0.01 mm Hg @ 20癈
Vapor Density 42.41 (air = 1)
Percent Volatile Nil
Odor Threshold Not available
Evaporation Rate <0.01 (butyl acetate = 1)
Specific Gravity 1.030
Not available
Not available Viscosity
Density
Not available Solubility in Water 100% @ 20癈
Molecular Weight
Coefficient of Water/Oil Not available
Not available
pH
Distribution
Boiling Point Decomposes above 556癋 (291癈)
Liquid
Physical State
Freezing/Melting Point Pour point -41癋 (-41癈)
Section X. Stability and Reactivity Data
Stable under normal temperatures and pressures.
Stability Conditions of Reactivity Not available
Not available
Conditions of Instability
Conditions and Materials This product is normally unreactive; however, avoid strong bases at high temperatures, strong acids, strong oxidizing agents and
to Avoid materials reactive with hydroxyl compounds.
Hazardous Polymerization Hazardous polymerization will not occur.
Hazardous Decomposition Carbon monoxide, carbon dioxide, smoke and irritating vapors as products of incomplete combustion.
Products
Section XI. Toxicological Information
Dermal contact, eye contact, inhalation, ingestion.
Routes of Entry Ingestion Not available
Toxicity to Animals Not available Inhalation Not available
Effects of Acute Exposure Not available Toxically Synergistic Not available
Products
Acute Effects of Not available
Sensitization
Chronic Effects on Humans:
Carcinogenic Effects This product does not contain a carcinogen or potential carcinogen as listed by NTP, IARC, or OSHA [29 CFR 1910.1200(D)#4].
Mutagenic Effects No data available to indicate any components present at greater than 0.1% may present a mutagenic hazard.
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JAX SYN-FORM ISO 150FG
Section XI. Toxicological Information (cont'd)
Teratogenic Effects No data available to indicate any components present at greater than 0.1% may present a teratogenic hazard.
Reproductive Effects No data available to indicate any components present at greater than 0.1% may present a reproductive hazard.
Section XII. Ecological Information
There is no data available on the adverse effects of this material on the environment.
Ecotoxicity
Section XIII. Disposal Considerations
Consult federal, state or local authorities for proper disposal and reporting procedures. All disposals must comply with federal,
Waste Disposal
state and local regulations.
Section XIV. Transportation Information
U.S. D.O.T.
UN Number:
Shipping Name: Not regulated None
Packing Group:
None None
Hazard Class:
It is the responsibility of the transporting organization to follow all applicable laws, regulations and rules relating to the
Remarks
transportation of this material.
Section XV. Regulatory Information
U.S. Federal Regulations:
Release of the following chemical(s) at quantities equal to or greater than the reportable quantities (RQ), is regulated by
CERCLA
40 CFR 302.4 :
Propylene oxide, CAS #75-56-9, present at <=0.5000 ppm; Ethylene oxide, CAS #75-21-8, present at <=0.1000 ppm
Ethylene glycol, CAS #107-21-1, present at <=0.1000 ppm
SARA (Section 313) This product contains the following chemical(s) listed in Section 313 at or above the de minimis concentrations:
None
This product contains greater than 1.0% of the following chemical(s) on the SARA Extremely Hazardous Substances List:
SARA Extremely
Hazardous List None
TSCA Inventory All components of this material are on the U.S. TSCA Inventory.
WARNING! This product contains the following chemical(s) known to the State of California to cause birth defects or other
California Prop. 65
reproductive harm:
Propylene oxide, CAS #75-56-9, present at <=0.5000 ppm
Ethylene oxide, CAS #75-21-8, present at <=0.1000 ppm
International Regulations:
Canada All components are in compliance with the Canadian Environmental Protection Act. This product has been classified in
accordance with the hazard criteria of the CPR and this MSDS contains all the information required by CPR.
Japan MITI Not available
Australia Not available
Switzerland Not available
Section XVI. Other Information
2/9/2009
Approval Date
2/1/2007
Supersedes Date
Technical Services 262-781-8850
Prepared by
Section I
Sections Revised
Since Last Version
The information and recommendations contained herein are, to the best of JAX INC.'s knowledge and belief, accurate and reliable as of the date issued. JAX
INC. makes no warranty or guarantee, expressed or implied, of their accuracy or reliability, and JAX INC. shall not be liable for any loss or damage based up
on the criteria supplied by the developers of these rating systems, together with JAX INC.'s interpretation of the available data.
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