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Indoor Air Quality Forms 221

Building Name: ___________________________________________________ File Number: ________________________________

Address: ______________________________________________________________________________________________________

Completed by: __________________________________________________ Phone: ______________________________________

Chemical Inventory

The inventory should include chemicals stored or used in the building for cleaning, maintenance, operations, and pest

control. If you have an MSDS (Material Safety Data Sheet) for the chemical, put a check mark in the right-hand column.

If not, ask the chemical supplier to provide the MSDS, if one is available.

Sections 2 and 6 discuss pollutant sources. Section 4 discusses MSDSs.