DCM Questionnaire Name First Last PI Name: Locations Where DCM stored/used: Indicate all building and room #sApproximate volume of Methylene Chloride in lab (Including new and unaltered chemical and in solutions or mixtures greater that 0.1% by weight)AmountUnits (i.e. mg, kg, mL, and L) Add RemoveHow frequently is Methylene Chloride used in your lab?(Required)Daily1-2 times per week1 times a week1 time a month1 -2 times a yearPlease describe the processes in which Methylene Chloride is used:Approximate volume of Methylene Chloride used during each event described above:AmountUnits (i.e. mg, kg, mL, and L) Add RemovePlease provide names of all lab members that utilize Methylene Chloride? Add RemoveWhat engineering controls are present during Methylene Chloride use? Chemical Fume Hood Local Exhaust Ventilation (LEV) or snorkel Grossing or Downdraft Table Other Exhaust Ventilation System No exhaust ventilation system Any other relevant information that you would like to share with EHS: