Free Pamphlets

The Chlorine Institute is focused on improving the safety in all areas associated with our Mission Chemicals. Your accurate and candid answers to the following questions will help us. Responses to all questions are required in order to download these pamphlets for free. The Chlorine Institute will be using this information to track what types of facilities are downloading specific publications. Company-specific information will not be released outside of the Institute staff.

	1. Name:
	2. Company:
	3. Position:
	4. Email address:
	5. Type Of Business (Check one):
	Bleach Manufacturer/Chlorine Repackager Chemical Manufacturing Consulting/Engineering Services Chemical Distribution Emergency Response Contractor Food Industry Mining Transportation/Logistics Public Services (Fire Dept., Police, etc.) Pulp and Paper Water and Waste Water Treatment Other (If selected enter business type in the box below)
	Other Business Type:
	6. Mission chemicals used, handled, or transported in your organization (check all that apply):
	6. a. - Chlorine Liquefied/Compressed Gas:
	Barge Railcar 2000 puond container On Site Generation Pipeline 150 pound cylinder 100 pound cylinder Other (If selected enter other in the box below)
	Other Chlorine Liquefied/Compressed Gas:
	6. b. - Sodium Hypochlorite (Bleach):
	Barge IBC 55 Gal Drums On Site Generation Pipeline Railcar Tank Trucks < 55 Gal Drums
	6. c. - Sodium Hydroxide (Caustic):
	Barge IBC 55 Gal Drums Pipeline Railcar Tank Trucks < 55 Gal. Drums
	6. d. - Hydrochloric Acid (Muriatic Acid):
	Barge IBC 55 Gal Drums Pipeline Railcar Tank Trucks < 55 Gal. Drums
	6. e. - Potassium Hydroxide (KOH):
	Barge IBC 55 Gal Drums Pipeline
	7. How do you plan to use these pamphlets?
	Improve my safety program Used as a training tool for employees, customers, etc. Used to maintain best operating practices Used to design new operations or review existing operations Used for general reference information Used to obtain general regulatory information Other (If selected enter other pamphlet use in the box below)
	Other pamphlet use.

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