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Chemical Exposure Monitoring Request

EHS can conduct chemical exposure monitoring to determine if there is a risk of exposure and identify exposure control measures or personal protective equipment that will effectively reduce or eliminate the risk. Please complete the information below and submit to request monitoring.

Are you concerned with chemicals used by you or by others?
Please list any chemicals or products that you use or are exposed to at IUB:
Please describe any specific discomfort that you associate with exposure to these chemicals or products:
Name:
Lab Group or Department:
Building and Room:
Job title (or student):
E-Mail Address:
Phone Number: