Laboratory Methylene Chloride Use Survey

Complete the survey below in compliance with EPA Methylene Chloride Rule 40 CFR Part 751. The information provided will be used to determine and document the need for continued use of methylene chloride in your lab space. For more information on the new EPA methylene chloride requirements, visit the EH&S website or contact EH&S at ehs@fiu.edu.

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Name Name First Last
Email
Department
Lab Location(s) - Bldg. and Room Number
Are you the PI for the lab space(s)

Are you the PI for the lab space(s) Yes No
Name of PI Name of PI First Last
PI Email
How many people work in the lab area(s)?
Do you currently use or plan to use methylene chloride (dichloromethane, DCM, MeCl2) or products that contain methylene chloride?

Do you currently use or plan to use methylene chloride (dichloromethane, DCM, MeCl2) or products that contain methylene chloride? Yes No