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SAMPLE SAFETY DATA SHEET

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SAMPLESAFETY DATA SHEET Issuing Date January 5, 2015 Revision Date June 12, 2015 Revision Number 1 1. IDENTIFICATION OF THE SUBSTANCE/PREPARATION AND OF THE COMPANY/UNDERTAKINGProduct identifier Product Name XXXXX Regular-Bleach1 Other means of identification EPA Registration Number 5813-100 Recommended use of the chemical and restrictions on use Recommended use Household disinfecting, sanitizing, and laundry bleach Uses advised against No information available Details of the supplier of the SAFETY data SHEET Supplier Address The XXXXX Company 1221 Broadway Oakland, CA 94612 Phone: 1-510-XXX-XXXXEmergency telephone number Emergency Phone Numbers For Medical Emergencies, call: 1-800-446-1014 For Transportation Emergencies, call Chemtrec.

SAMPLE SAFETY DATA SHEET Issuing Date January 5, 2015 Revision Date June 12, 2015 Revision Number 1 1. IDENTIFICATION OF THE SUBSTANCE/PREPARATION AND OF THE COMPANY/UNDERTAKING Product identifier Product Name

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