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Your local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline will let you talk to experts in poisoning. They will give you further instructions.

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The person may need to be admitted to a hospital to continue treatment. Surgery may be needed if the esophagus, stomach, or intestines have holes (perforations) from the acid.

Once your submission is processed, staff will review it. If it’s incomplete or doesn’t meet the rules, they’ll ask for more information.

How well a person does depends on the amount of poison swallowed and how quickly treatment was received. The faster a person gets medical help, the better the chance for recovery.

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This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

For Ethanol-85 installations, you’ll get an E-85 INSTALLATION CERTIFICATION form (LIBI-707). Keep this form on site and show it to the inspector.

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Staff will review your request and send it to the Pennsylvania Industrial Board. They’ll let you know their decision soon after they meet to discuss your request.

Swallowing sodium hypochlorite can lead to poisoning. Breathing sodium hypochlorite fumes may also cause poisoning, especially if the product is mixed with ammonia.

Before the owner can use the tanks, pumps, or dispensers again, the L&I inspector has to say it’s okay. If the owner doesn’t do what the order says, the Department can take them to court.

The person will be admitted to a hospital. The provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate.

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When the Department gets a complaint about a violation, they’ll check it out. If they find dangerous things or things that don’t follow the rules at a place that’s supposed to follow the rules, an L&I inspector can make a written order (under Section 9 of Act 15). This order will say what needs fixing.

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Without prompt treatment, extensive damage to the mouth, throat, eyes, lungs, esophagus, nose, and stomach are possible, and may continue to occur for several weeks after the poison was swallowed. Holes (perforations) in the esophagus and stomach may cause serious infections in both the chest and abdominal cavities, which may result in death.

If you have a problem with how tanks, pumps, or dispensers for flammable and combustible liquids are installed, tell the Department of Labor & Industry. You can send a complaint by mail or fax to:

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Watered-down (diluted) sodium hypochlorite generally causes only mild stomach irritation. Swallowing larger amounts can cause more serious symptoms. Industrial-strength bleach contains much higher concentrations of sodium hypochlorite, which may cause severe injury.

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Hoyte C. Caustics. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 143.

Aronson JK. Sodium hypochlorite and hypochlorous acid. In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th ed. Waltham, MA: Elsevier; 2016:418-420.

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Owners must fill out an application and send it to the Department of Labor & Industry before they can install, replace, or move any tank, pump, or dispenser for flammable and combustible liquids.

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PA DEPARTMENT OF LABOR & INDUSTRY F&C SECTION 651 BOAS STREET, ROOM 1614 HARRISBURG, PA 17121 PHONE: 717-787-4713 FAX: 717-705-7262

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If you have questions about the Department of Labor & Industry’s requirements that are not answered on these web pages, write, call or fax:

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For aboveground and underground tanks, the Pennsylvania Department of Environmental Protection (DEP) handles rules about their setup, upkeep, and removal.

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Swallowing, smelling, or touching small amounts of household bleach will likely not cause any significant problems. However, more severe problems can occur with industrial-strength bleach, or from mixing bleach with ammonia.

Seek immediate medical help. DO NOT make a person throw up unless told to do so by poison control or a health care professional.

The Department of Labor & Industry approves where tanks, pumps, and dispensing devices for liquids like ethanol, gasoline, and others are installed or moved.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

Updated by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Under the Combustible and Flammable Liquids Act, the Department of Labor & Industry is responsible for approving the installation or relocation of tanks, pumps and dispensing devices associated with flammable and combustible liquids.

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NEVER mix ammonia with sodium hypochlorite (bleach or bleach-containing products). This common household error produces chlorine, which is a toxic gas that can cause choking and serious breathing problems.

Sodium hypochlorite is a chemical commonly found in bleach, water purifiers, and cleaning products. Sodium hypochlorite is a caustic chemical. If it contacts tissues, it can cause injury.

If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. DO NOT give water or milk if the person is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.

Cancer of the esophagus is a high risk for people who live after ingesting sodium hypochlorite, especially industrial strength.Â

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