This is the information you provided
Please check it, and if there are errors, go back, correct them, and re-submit
If this information is in order you will receive email in a day or two which will provide the Waiver Request form as an attachment.  Print it, and read and follow the instructions. 

If it seems to be taking longer than it should for that form to arrive, please email swihart@purdue.edu and inquire.  Failing a timely response to that inquiry (which should be very rare or simply not happen), inquire of the Chemistry Safety Secretary in BRWN 4103.
 
CHP online reading completed: CompletedCHP1
PPE online exercise completed: CompletedPPEreading
Date Started Current Position: DateCurrentPosition
Name: Name
Campus Address: CampusAddress
Purdue career account email: email
Dept: Dept
Chem keys: keys
Staff class: Staff
Supervisor: Supervisor
compgases: compgases
halogenated: halogenated
flammables: flammables
toxics: toxics

 
    
45. comments:
comments
Equipment, operations, activities
11. hood Chemical hood ("fume" hood) 16. vertebrate Vertebrate animals   21. glassblowing Glassblowing   26. centrifugation Centrifugation
12. laminar biosafety cab or other laminar flow cabinet  17. autoclave Autoclave 22.  carcinogens Carcinogens 27. cryogens Cryogen(s)
13. rotavap Rotary evaporation  18. halsolv Halogenated solvents  23. laser Lasers 28. voltage Voltages greater than 220V
14. lowpress Pressures below 20 torr  19. isotopes Radioisotopes 24. metals Toxic metals 29. BBP Human cells, fluids, or tissue
15. highpress Pressures above 1.5 atm 20. xrayorhigher X-ray or higher energy  25. pipetting Pipetting 30. bioagents Other biological agents
Chemicals:    
35. chem1   40. chem6
36. chem2   41. chem7
37. chem3   42. chem8
38. chem4   43. chem9
39. chem5   44. chem10