# Patterson Dental Supply, Inc. — Hazardous Materials Safety Interpretation

- **operation:** document
- **citation:** 05-0272
- **title:** Patterson Dental Supply, Inc. — Hazardous Materials Safety Interpretation
- **source type:** guidance
- **agency:** Pipeline and Hazardous Materials Safety Administration
- **status:** guidance
- **official:** true
- **published on:** 2005-12-15
- **effective on:** Not available
- **summary:** 05-0272 response to Patterson Dental Supply, Inc. concerning 173.120.
- **machine formats:** - **json:** https://regulus.evalyn.ai/document/phmsa-interpretation-05-0272.json
- **markdown:** https://regulus.evalyn.ai/document/phmsa-interpretation-05-0272.md
- **app url:** https://regulus.evalyn.ai/document/phmsa-interpretation-05-0272
- **source url:** https://www.phmsa.dot.gov/sites/phmsa.dot.gov/files/legacy/interpretations/Interpretation%20Files/2005/050272.pdf
**body:**

<<<PAGE 1>>>

S. Departmel
Transportatio
400 Seventh Street, S.W.
Washington, D.C. 20590
Pipeline and
Hazardous Materials Safety
Administration
DEC 15 2005
Mr. Robb Boros
Ref. No. 05-0272
1905 Lakewood Drive
Patterson Dental Supply, Inc.
Boone, IA 50036
Dear Mr. Boros:
This is in response to your October 27, 2005 letter requesting clarification of the
Hazardous Materials Regulations (HMR; 49 CFR Parts 171-180). Specifically, you ask if
a specially packaged bonding solution meeting the definition of a Class 3 flammable
liquid in Packing Group Il is subject to the HMR.
According to your letter, your company intends to distribute promotional samples of a
bonding solution. Each sample consists of one capsule, with a total volume of 0.1 ml
further packaged in foil. The capsule must be opened with a counter-clockwise twist of
the cap and an applicator is used to retrieve the solution. You further state that liquid did
not flow from the capsule when the cap was removed, and the capsule was inverted.
Although the capsule contains a small amount of a flammable liquid, it is our opinion that
the packaging procedures and methods you use for shipment of the promotional samples
mitigate the minimal hazard that may be present during transportation. Therefore, in
accordance with § 173.120(d), samples of the bonding solution that are packaged as
described above are not subject to regulation under the HMR.
I hope tlis information is helpful. Please contact us if you require additional assistance.
Sincerely,
Press
Chief, Standards Development
Office of Hazardous Materials Standards
173-120(d)
050272

<<<PAGE 2>>>

OCT-27-2005 THU 11:33 AM PATTERSON DENTAL SUPPLY
FAX NO. 515 433 1701
P. 02
heary
BY PATTERSON
DANTA
SI Prid
§173.120(d)
Definitions
05-0212
Dear Ms. LeValle
October 27, 2005
As provided by 49 CFR 173.120(d) I am requesting a determination that the device presented
herein is not subject to the Hazardous Materials Regulations.
The material in question is a Class 3 PGII Mammable liquid packaged in a black capsule and
urther packed in a foil (Appendix A). The total volume per capsule is 0.1ml. The capsule is
pened with an anti-clockwise twist of the cap (Appendix B). When the cap is removed, one ot
the green applicators is used to retrieve the bonding solution. When the cap is removed and the
capsule inverted, the liquid did not flow from the capsule.
Appendix A shows the contents of the sample package we intend to send to customers. There is &
sellable version of this product that contains 50 of the black capsules packaged the same as in the
sample below I have coded to ship as a consumer commodity
request. This item is sampling of a new product and my company was scheduled to start a
1 am very aware of the normal time frame required to receive, review and respond to this type of
promotion using these samples on October 26, 2005. Upon discovering that the bonding
chemical is hazardous, we've delayed the shipping of the samples in order to find a practical
means to package them. Sending such samples as ORM or under the 173.4 exception is
impracticable. These samples are the focal point of a dated promotional offer to existing
customers. Any assistance to expedite a response would be greatly appreciated.
If there are any questions or additional information is required, please contact me at
515.433.1700 or on my cell phone at 515.230.0337.
Thank you for all your assistance in this matter.
Sincerely,
Robb Boros
Compliance Coordinator
Patterson Companies, Inc
Contral Distribution Center
1905 LAKEWoOD DRIve • BooNE, IA 50036 - PHONI: (515) 433-1700 • Fax (515) 433-1701
An Employce Owned Company

<<<PAGE 3>>>

OCT-27-2005 THU 11:33 AM PATTERSON DENTAL SUPPLY
FAX NO. 515 433 1701
P. 03
Appendix A
Free Sample-Not For Resale
G-BOND™ Unit Dose
ONE COMPONENT SELF-ETCHING LIGHT-CURED
ADHESIVE
For use only by a dental professional in the recommended indications.
DISTRIBUTED by
GC AMERICA INC.
3737 West 127th Street
Alsip, Illinois 60803 U.S.A.
MANUFACTURED IN JAPAN
G-BOND"
ENT BELT ETCHAK
Unit Dose
: STORAGE
G-BOND™
Unit Dos
0.1mL
*GC.

<<<PAGE 4>>>

OCT-27-2005 THU 11:33 AM PATTERSON DENTAL SUPPLY
FAX NO. 515 433 1701
P. 04
Appendix B
CAPSULE

<<<PAGE 5>>>

MS002277 - G-BOND
Page 1 of 2
Better Quality,
KElushmac
opy.
АHH-20
MATERIAL SAFETY DATA SHEET
12/8/05
SECTION 1 - SOURCE/IDENTITY/USE INFORMATION
COMMON NAME:
CHEMICAL NAME: N.A
G-BOND
PRODUCT USE: Light-cure bonding agent.
The following information is provided with regard to the toxicity and hazards the pure components present in this product.
SECTION 2 - HAZARDOUS INGREDIENTS/IDENTITY INFORMATION
COMPONENT
Acetone
67-64-1
C.A.S.
EXPOSURE LIMITS
TWA=750ppm
LD50/LC50
N.E.
40%
%
(OSHA, ACGIH)
(OSHA. ACGIH)
STEL=1000ppm
Distilled water
7732-18-5
N.E.
N.E.
20%
anhydride
4-Methacryloxyethyltrimellitate
70293-55-9
N.E.
N.E.
15%
Triethyleneglycol dimethacrylate
Urethane dimethacrylate
72869-86-4
109-16-0
N.E.
N.E.
N.E.
N.E.
10%
9%
SECTION 3 - PHYSICAL/CHEMICAL PROPERTIES
BOILING POINT:
55°C
SPECIFIC GRAVITY:
N.E.
VAPOR PRESSURE:
N.E.
MELTING POINT:
N.E.
VAPOR DENSITY:
N.E.
EVAPORATION RATE:
N.E.
SOLUBILITY IN WATER: Miscible
COEFFICIENT OF OILWATER DISTRIBUTION: N.E.
ODOR THRESHOLD:
N.E.
APPEARANCE AND ODOR: light yellow liquid; slight ester-like odor
SECTION 4 - FIRE AND EXPLOSION DATA
FLASH POINT: - 19°C (Acetone)
EXTINGUISHING MEDIA: Chemical foam, carbon dioxide and dry chemical.
FLAMMABLE LIMITS: LEL 2.5, L'EL 13
SPECIAL FIRE FIGHTING PROCEDURES: Wear self-contained breathing apparatus in case of fire.
UNUSUAL FIRE AND EXPLOSION HAZARDS: Product is not explosive; however, formation of explosive air/vapor mixtures
are possible.
HAZARDOUS COMBUSTION PRODUCTS: Formation of toxic gases is possible in case of fire.
SECTION 5 - REACTIVITY DATA
STABILITY:
Stable X
POLYMERIZATION:
Will Not Occur [X
Will Occur
Unstable
CONDITIONS TO AVOID: Avoid high heat and humidity.
INCOMPATIBILITY (Materials to Avoid): None.
HAZARDOUS DECOMPOSITION OR BY-PRODUCTS: No dangerous decomposition products known.

<<<PAGE 6>>>

MS002277 - G-BOND
Page 2 of 2
SECTION 6 - HEALTH HAZARD DATA and FIRST AID INFORMATION
YES
MUTAGENIC AFFECTS
NO
NE
NA
NTP
TARC
OSHA
OTHER
X
TERATOGENIC AFFECTS
REPRODUCTIVE TOXIN
X
SENSITIZER
CARCINOGENICITY
X
X
ROUTES OF ENTRY:
SECTION 6 - HEALTH HAZARD DATA and FIRST AID INFORMATION - continued
Inhalation X
Skin x
Ingestion x
HEALTH HAZARD (Acute and Chronic): Irritant to skin, mucous membranes, eyes, and respiratory tract.
SIGNS AND SYMPTOMS OF OVEREXPOSURE: N.E.
CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: N.E.
EMERGENCY FIRST AID PROCEDURES:
INHALATION: Supply fresh air. Seek medical attention if irritation develops.
attention.
EYE CONTACT: Flush eyes with plenty of water for at least 15 minutes. If symptoms persist, seek medical
SKIN CONTACT: Immediately wash with soap and water and rinse thoroughly. Seek medical attention if irritation
develops.
INGESTION: If irritation develops, seek medical attention.
SECTION 7 - PRECAUTIONS FOR SAFE HANDLING AND USE
IN CASE OF RELEASE OR SPILL: Absorb with inert material and place in a chemical waste container.
WASTE DISPOSAL METHOD: Dispose of in accordance with local, state and federal guidelines.
STORAGE, HANDLING, AND SPECIAL PRECAUTIONS: Store in cool, dry conditions in well sealed containers.
SECTION 8 - CONTROL MEASURES
or longer exposure use self-contained respiratory protective device.
RESPIRATORY PROTECTION: In case of brief exposure or low pollution use respiratory filter device. In case of intensive
VENTILATION:
Local Exhaust X
Mechanical:
Special:
Other:
PROTECTIVE GLOVES: Recommended.
OTHER PROTECTIVE CLOTHING OR EQUIPMENT: N.A.
EYE PROTECTION: Tightly sealed goggles recommended.
WORK/HYGIENIC PRACTICE: Observe good hygienic work practices.
SECTION 9 - PREPARATION INFORMATION
This data is supplied to comply with OSHA Hazard Communication Standard 29 CFR 1910,1200 and W.H.M.I.S. CPR.
PREPARED BY: T. Joritz
DATE: 21 March 2005
Director Regulatory Affairs
N.E. = NOT ESTABLISHED
N.A. = NOT APPLICABLE
The information herein is given in good faith but no warranty expressed or implied is made.
FIRE - 4
TOXICITY - 2
NFPA
REACTIVITY - 1
SPECIAL -

<<<PAGE 7>>>

OCT-27-2005 THU 11:33 AM PATTERSON DENTAL SUPPLY
FAX NO. 515 433 1701
P. 05
NIS002277
G-BOND
MATERIAL SAFETY DATA SEKET
Puge 1 of 2
BEGTON 1 - SOURCE ADAN TWUSE INFORMATION
GC AMERICA INC.
DISTREUTOR
3737 West. 1270a St.
Telephons: 708-597-0800
Alrip, Ilinois, 60B03
Por Juality
peter
Hour: Nog.- Fri. 8:00 am. - 5:00 pm. C.S.T.
Iresportation Emergency No. 800-124-9300
12/08/05
CHEMICAL NAME: NA.
COMMON NAME:
G-BOND
PRODUCT USE: Light-cure bonding necut.
SECTION 2 - HAZARDOUS INGREDLENTS DENARY IMPORMATIO
we or I provide with renare so the tansit and haands is guns componass presus du this produc
COMPONENT
24célontè
67-54-1
Cas.
EXPOSURE LiNTIS
(OSHA, ACGUE)
THA=750ppm
NE
4094
STEL=1000ppta
Distilled water
4-Merhncry doryntly trimellitate
7732-18-5
70293-55-9
N.E
NE
N.E.
20%
Truthane dimechacaylate
anbrydride
15%
Trietylence cal dimcfacıylare
T2860-864
109-16-0
NE
10-20%
10%
SECTION 3 - PHYSICAL CHEMICAL PROPLRTEES
VAPOR PRESSURE:
BOILING POINT:
55°C
SPECIFIC GRAVITY:
VAPOR DENSITY:
NE
MELTING PORT:
NE
SOLUBILITY IN WATER: MiSCENe
NE.
DOOR THRESHOLD:
EVAPORATION RATE:
NE
COEFFICIENT OF OILIATER DISTRIBUTION: N.E. APPEARANCE AND ODDR: lph yallow liquid; slightt eat-like udar
N.E.
SECTION • • FIRE AND EXPLOSION DATA
EXTINGUISHING MEDIA: Chemical fouza, carbon dioxide and dry chemical.
FLASH POINT: -10°C
FLAMMABLE LIMITS: LEL 2.5, UEL 13
UNUSUAL FIRE AND EXPLOSION HAZARDS: Product is not caploiive; bowever, forwation of explosive sinvupor mixtures
SPECIAL FIRE FIGHTING PROCEDURE: Wehr solf-bootained bresthing appantua in cuse of fora.
HAZARDOUS COMBUSTION PRODUCTS: Formation of taxic gases fa poesible in case of for.
aro possible.
SECTOR ES REACTIVITY DATA
STABILITY:
POLYMERIZATION:
Will Not Occur 181
Grabho X
natabia L
i Docur I
COMPATIBILITY Matoria to Avail: Nous.
CONDITONS TO AVOID: Avoid high heat and humidity.
HAZARDOUS DECOMPOSITION OR BY-PRODUCTS: Na dangerous decomposition product norn.

<<<PAGE 8>>>

OCT-27-2005 THU 11:33 AM PATTERSON DENTAL SUPPLY
FAX NO. 515 433 1701
P. 06
MS002277
G-BOND
Page 2062
SECTION GREALINEAD a FARST ALPIN ORMATION
MUTAGENIC APPECTS
YES
NO
- NE
- НТР
TARG
OTHER
TERATOGENIC AFFECTS
CARCINOGENICITY
REPRODUCTIVE TOXIN
SENSITIZER
X
ROUTES OF ENTRY:
HEALTH HAZARD (Acute and Chroniel: Irritant to sita, macon memtrancs, ones, and respiratory tract.
CONNITIONS GENERALLY AGGRAVATED BY EXPOSURE: NE.
SIGNS AND SYMPTOMS OF OVEREXPOSURE: NE
EMERGENCY FIRST A/D PROCEDURES:
INHALATIOW: Supply fresh air. Sock medical atention if inricatico devalps.
SKIN CONTACT: Immediasly wash with soap and wales and rinse thoroughly. Seek medical attornion if imitation
EYE CONTACT: Flush ayes with plenty af water for at least 15 minutes. Ifsymptoms parist, sack medical attentics.
INGESTION: Er iritation clevelopa, ansk medical assention.
dewclopa.
SECION? - PRECAUTIONS FOR SAFE HANDLING AND USE
IN CASE DF RELEASE OR SPILL: Absorb with inert material and place in a chemical waste container.
TORAGE, HANDLING, AND SPECIL PRECAUTIONS: Store im apol, dry conditiona in well sculed continer
VASTE DISPOSAL METHOD: Disposo of to accordance with local, state and fedesal guidelines
SECTION 8 - CONTROL MEASURES
RESPIRATORY PROTECTION: la cuss of briel oxposure a low pollution use reppirory filter device. In case of intaive
ou longer exporuro use self-contained, reapiratory protectiva devio.
VENTILATION: Local Exhaust ai
Mechanical:
Порося 0J
Deber: LI
EYE PROTECTON: Tighily scalad goggles commanded.
PROTECTIVE GLOVES: Rocommended.
WORKIHYGIENIC PRACTICE: Discus good hygienic mock practices.
OTHER PROTECTIVE CLOTHING OR EQLIPMENT: NA.
SECTION D. PREPARATION INFORMATEON
The see is seppis so cony with OSHA taand Communicano Stamerd 29 CF 19101200 a FEARS CN
PREPARED BY: I. Inniz
Dinctor Regulatory Affaire
DATE: 20 Isly 2004
A.A. - NOT APPLICARLE
NE • NOT ESTABLISHED
Tus kurturariar herein is grom in good faish bee no maraur expressed or implied is marie.
FIRE -4
NFPA
REACTVITY T
SPECIAL-
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- **body characters:** 12137
