Pollution Prevention
 Practices for Nail Salons
A Guide to Protect the Health
of Nail Salon Workers and
their Working Environment
   \
906F04001

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  For more information please contact:
     Lisa Pham
     EPA Region 6
     1445 Ross Avenue
     Dallas, TX 75202-2733
     (2i4)665-<8326
     ToIMtee (68$) $84^2478 (extension 58326)
     pham.iisa@epa.gov
United States Environmental Protection Agency
Region 6
Office of Pollution Prevention and Toxics
Office of Administration and Resource Management
EPA906-F-04-001
May 2004

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                                                     ACKNOWLEDGMENTS
This Guide was funded by the U.S. Environmental Protection Agency's Region 6,
Office of Pollution Prevention and Toxics, and Office of Administration and
Resource Management through contract 68-W-02-024 with ERG.
Much of our work could not have happened without the vital partnership we
established with our pilot shops, other federal, state, local government agencies,
and many individuals and organizations from the Asian-American communities
in Houston, Texas. We are also grateful to our peer reviewers who had provided
their valuable assistance to the content of this document. We sincerely thank all
of these individuals and organizations for the incredible resources they provided
and for continuing to inspire our efforts and motivate our work.
   U.S. Environmental Protection Agency - Design for the Environment Program
   U.S. Environmental Protection Agency - White House Initiative on Asian Americans
      and Pacific Islanders
   U.S. Environmental Protection Agency - Office of Environmental Justice
   U.S. Environmental Protection Agency - Office of Air Quality Planning and Standards
   U.S. Environmental Protection Agency - Regions 3, 5, and 9
   U.S. Food and Drug Administration
   U.S. Occupational Safety and Health Administration
   Texas Cosmetology Commission
   Texas Department of Health
   City of Houston
   Center for Research on Minority Health at the University of Texas M.D. Anderson
      Cancer Center
   University of Texas Health Science Center at Houston - School of Public Health
   Asian American Health Coalition
   Nails for You Training Academy
   Pioneer Valley Project
   Saigon Houston Radio
   Vietnamese American Community Health Network
   Vietnamese American Physicians Group in Arlington, Texas

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INTRODUCTION
                         Nail salon products may contain many potentially harmful chemi-
                         cals that can be a major cause of occupational asthma as well as
                         other health and environmental concerns. Nail salon workers,
                         often times, are new immigrants and not aware of the risks with
               chemicals in nail products that they are using every day. As requested by
               the Asian-American community in Houston, Texas, EPA Region 6, in col-
               laboration with the Design for the Environment program, is partnering with
               nail salons to investigate and improve health and environmental practices.
               To make shop  owners and employees more aware of the day-to-day health
               and environmental concerns that they face, this Guide provides information
               on chemicals that are typically found  in nail salon products and their poten-
               tial health effects.  It also explains various types of important information a
               Material Data Safety Sheet contains that shop owners and employees should
               know. Finally, this Guide recommends many better shop  practices that a
               salon should consider adopting to reduce or minimize potential health and
               environmental effects inside the shop.


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NAIL SALON  CHEMICALS AND  THEIR  POTENTIAL  HEALTH  EFFECTS
             Nail salons use many products that contain a variety of chemicals,
             such as solvents, hardeners, fragrances and drying/curing agents,
             that may be hazardous to workers, customers, and the environment
             if not used or disposed of properly.
     Many chemicals present in nail products are very volatile; they will evaporate
     into the air at room temperature where nail technicians and customers may
     breathe them. In addition, nail technicians and customers may also breathe
     in dust that is produced when filing artificial nails. This dust may contain
     harmful substances such as glues, benzoyl peroxide, silica and methacrylate
     polymers.
     The table on the next page summarizes chemicals typically found in nail care
     products and their potential health effects.

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Potential  Health  Effects  of  Chemicals  Present  in  Nail  Care  Products
CHEMICAL
USAGE
POTENTIAL  HEALTH  EFFECTS*
Acetonitrile
fingernail glue remover
irritation to eyes, skin, nose, and throat, chest pain,
vomiting,  muscle contraction, weakness,
exhaustion, near or total unconsciousness, liver and
kidney damage in animals
 Benzoyl peroxide
powder-acrylic
artificial nails
irritation to eyes, skin, nose, mouth, throat, and
lungs, skin rash
sec-Butyl acetate
nail polish
irritation to eyes, skin, nose, mouth, and throat,
headache, drowsiness, confusion and/or haziness
 Butyl methacrylate
liquid-acrylicand
porcelain artificial nails
irritation to eyes, skin, nose, mouth, throat, and
lungs, skin rash, loss of appetite, inability to sleep
and concentrate, depression, asthma
 Di-n-butylphthalate
nail polish, nail hardener,
nail base, nail top coat,
nail thickener
irritation to eyes, mouth, nose, throat, and
stomach, reproductive hazard
 Ethyl cyanoacrylate
fingernail glue
irritation to eyes, skin, nose, throat, skin rash from
prolonged contact, asthma

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Potential Health Effects of Chemicals Present in Nail Care Products
CHEMICAL
athyl
jnethatrylate
•/ 1
Formaldehyde
Fiberglass
Hydroquinone
>JsobutyI
mefhacrylate
Methacrylic acid
4-methoxyphenol
Methyl ethyl
ketone
Methyl
.methacrylate; '
Neoprene
\NitrocelluIose \
Titanium dioxide
Toluene
\
USAGE
liquid - acrylic and
porcelain artificial nails
nail polish,
nail hardener
fabric overlay - v
artificial natts
primer - acrylic and
porcelain artificial nails
liquid -.acrylic artificial
nails
primer - acrylic and
porcelain artificial nails
liquid &, primer -
acrylic artificial nails
primer - acrylic
artificial nails
liquid - acrylic and
porcelain artificial nails
fingernail glue
nail polish
nail polish, powder -
acrylic artificial nails
nail polish, fingernail
glue
POTENTIAL HEALTH EFFECTS*
irritation to eyes; skin, nose, mouth, throat, loss of
appetite, inability to sieep, depression, skin rash,
asthma
might cause cancer to workers, irritation to eyes,
nose, throat, and lungs, runny eyes, cough
Irritation to eyes* skin, nose, and throat; breathing
difficulty ' -
irritation and inflammation to eyes, skin, and the
cornea, central nervous system excitement, colored
urine, nausea, dizziness, suffocation, rapid
breathing, muscle contraction, excitement,
unconsciousness, skin rash
irritation to eyes, skln> nose, mouth, throat, and
lungs, skin rash, high concentrations can Cause loss
of appetite, inability to sieep, depression, asthma
irritation to eyes, skin, and nose, burning of eye
and skin, asthma
irritation to eyes, skin, nose, and,throat, burning
of eye and skin, ioss of appetite, inability to sieep
irritation to eyes, skin, and nose, headache,
dizziness, vomiting, skin rash
irritation to eyes, skin, nose, and throat, skin rash,
asthma ;
skin rash
heart rate elevation, clumsiness, nausea, vomiting
might cause cancer to workers, permanent
scarring of the lungs
irritation to eyes and nose, weakness," exhaustion,
confusion, dizziness, headache, pupiis dilation,
teary eyes, anxiety, muscie fatigue, inability to
sleep, feelings of numbness, burning, skin rash,
liver and kidney damage
* Depending on conditions of exposure which may be reduced by the use of personal protective
equipment such as mask, gloves, etc. See the References in the back of this Guide for sources cited.

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LIQUID  METHYL   METHACRYLAIE  (MMA)   MONOMER
            • Liquid MMA monomer was a commonly used ingredient in artificial nail
              products for many years
            • Liquid MMA monomer is a chemical substance that evaporates easily and
              bonds strongly with the nail
            • Liquid MMA monomer may cause damage to the nail bed, permanent
              loss of the nail plate, and loss of sensation in the fingertips of customers
              and technicians
            • Liquid MMA monomer may cause exposed people to develop an allergic
              reaction after repeated exposure
            • Testing done on animals that had been exposed to liquid MMA monomer
              suggests that liquid MMA monomer may cause permanent damage to the
              respiratory system and to the liver from long-term exposure.
            • In the early 1970s, the Food and Drug Administration (FDA) received a
              number of personal injury complaints associated with the use of fingernail
              extenders containing liquid MMA monomer. After investigations and
              discussions with medical experts, the FDA concluded that liquid MMA
              monomer was a poisonous and harmful substance that should not be used
              in fingernail preparations. Court rulings resulted in legal action against one
              firm, as well as several seizure actions and voluntary recalls to remove
              products containing 100 percent liquid MMA monomer from the market-
              place.
            • Across the United States, 30 states have restricted or banned the use of
              liquid MMA monomer
            • Unlike liquid MMA monomer, powder MMA polymers are comparatively
              safe because they do not readily evaporate or penetrate the skin


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                  MATERIAL  SAFETY  DATA  SHEETS   (MSDS)
What is a MSDS?
• A very important document that explains the risks, precautions, and
  response actions related to exposure to a particular hazardous chemical,
  both during normal work shifts and in emergency situations. A sample
  MSDS is shown on the next page.
Why is it important to keep MSDSs  in your shop?
• The law requires that MSDSs must be kept in a nail salon
• Keep MSDSs in your shop to ensure that all employees:
  - Are aware of the dangers posed from hazardous chemicals stored in the
   salon
  - Know how to respond in an emergency or overexposure
  - Know how to dispose of hazardous waste properly
  - Know what protective equipment (e.g., masks, gloves) should be worn
   when working with a chemical
What should nail  salon technicians do  with MSDS?
• Review and understand the content of MSDS
• Know where they are kept in the salon
What should nail salon owners do with MSDS?
• Ask for the most up-to-date version of the MSDS every time nail products
  are purchased. Pay particular attention to those chemicals listed on pages
  4 and 5
• Keep a binder that has MSDSs for all hazardous chemicals stored and used
  in the salon
• Store MSDSs in a location accessible to employees
• Inform employees where MSDSs are stored
• Provide training for reading and interpreting the MSDSs
• Read MSDSs to know what kind of protective equipment (e.g., masks,
  gloves) should be purchased for employees
How can you  get copies of MSDSs for your shop?
• From your nail products suppliers. By law, your suppliers must provide
  you with a copy of an MSDS for each product that contains hazardous
  chemicals when you request one.
• From the manufacturer of the product. Call the phone number provided
  on the label of the product container or log on to the product
  manufacturer's Web site to fill out your request.

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     Chemical
     name can be
     found here
This section explains
what may cause the
chemical to catch fire
and how to put out fire
 This section explains
 the health hazards
 and symptoms
 workers may have if
 they have been
 overexposed
 This section explains
 how to clean up spills
                                              MATERIAL SAFETY DATA SHEET
                        Manufacturer's name and address
                        Emergency phone number —^—
                                      Call this number in
                                      case of an emergency
                        Lists hazardous components and exposure limits
                        Physical state (gas, liquid, or solid), boiling point, freezing point, vapor pressure, specific gravity
 Flash point, extinguishing media, special fire fighting procedures, unusual fire and explosion hazards
                        Stability, incompatibility, hazardous decomposition or by-products
Routes of entry/exposure
Health Hazards
Carcinogenicity ^^^^^^—
                              sect,on indicates ,f this cnemica|
                        Signs and symptoms of exposure
                        Medical conditions generally aggravated by exposure
                                                        This section lists illnesses that can be worse if exposed to this chemical
                                                             J
 Emergency and First Aid Procedures          n
.Steps to be taken in case material is released or spilled
 Waste disposal methods               <  ^^——
 Precautions to be taken in handling and storing
                                                                          This section explains what to do in an emergency
                                                                           This section describes
                                                                           how to dispose of this
                                                                           chemical properly
                        Respiratory protection
                        Ventilation requirements
                        Personal Protective Equipment

                                                          This section describes the proper
                                                          personal protective equipment
                                                          (e.g., gloves) to wear and
                                                          ventilation requirements when
                                                          using this chemical

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                                                       BEST  SHOP  PRACTICES
        The following best shop practices were developed in col-
        laboration with actual shops and project partners. They are
        recommended to reduce or minimize the environmental
        and human health risks from the exposure to potentially
        hazardous chemicals present in nail care products. Since
state and local requirements may be mandated that differ from any
of these recommendations, contact your local Cosmetology Board
and/or your state Health Department for more information.

To Minimize Breathing In Chemicals
* Install a local exhaust ventilation system - The general heating,
  ventilating and air-conditioning system (HVAC) only dilutes a
  small percentage of the air inside the shop.  A nail salon should
  have one or a combination of the following to capture vapors and
  dust, and to exchange indoor air with fresh air from outside the
  building:
  - ventilated table with dust and charcoal filters
  - ceiling-mounted exhaust vent
  - wall-mounted exhaust vent
• Install free standing air purifiers at work tables
• Turn the general ventilation system (HVAC) on during work hours
• Replace charcoal and dust filters regularly and according to the
  manufacturer's directions
• Keep the top of the ventilated table clear of obstructions
• Close nail care product containers when not in use
• Get only the amount of chemicals needed per application
• Keep chemicals in  smaller-sized glass (or nalgene) bottles at the
  work table
• Transfer nail care products from large containers to smaller
  containers - Perform this task in a well-ventilated area, such as
  outside or near an open window or door, and wear an organic
  vapor cartridge respirator.
• Place a trash bin, preferably metal, with a secure lid at each
  station
• Keep trash bins completely covered at all times
• Place waste soaked with chemicals in a sealed container (e.g., a
  used  plastic milk jug or resealable bag) before disposing it in a
  closed-lid trash bin




Wall-mounted exhaust vent located
near nail care workstation
Individual charcoal air purifiers
located at each nail care workstation

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          •  Change trash bin liners at least daily
          •  Wear dust mask recommended in the MSDS when working on
          customers to prevent inhaling particles
          To  Minimize Skin Exposure
          •  Wash hands before and after working on each customer,
          before eating, and after handling chemicals and using the
          bathroom
          •  Wear gloves recommended in the MSDS when handling nail
          care products and working on customer
• Replace gloves immediately if there are signs of cuts, tears or holes
• Wear long-sleeved clothing
• Keep containers closed when not in use
• Get only the amount of chemicals needed per application
• Keep chemicals in smaller size glass (or nalgene) bottles at the work table
  to reduce the risk of spills and potential skin exposure
• Transfer nail care products from large containers to smaller containers
• Wear gloves recommended in the MSDS, eye protection or an organic
  vapor cartridge respirator and use a funnel to avoid spills while transferring
  products to smaller containers
To  Prevent  Accidentally  Swallowing  Chemicals
• Wash hands before eating and drinking
• Do not eat  or drink at the work table
• Do not keep/store food and drink around work area
• Store nail care products in a separate area away from food  and the eating
  area
• Designate a dining area far from chemical
  storage and work area
To  Ensure  Adequate Sanitation
It is important to keep your shop clean.
Germs and bacteria can be transferred
between customers from dirty nail
implements and other supplies used  in your
shop.
• Use a new towel for each customer


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 • Wash hands before and after each customer
 • Clean and sterilize nail care instruments after each use
 * Follow your state Cosmetology Board's instructions on proper sanitation
  techniques. It is best to sterilize instruments in an
  autoclave or totally immerse them in an EPA-
  registered tuberculocidal disinfectant for at least 10
  minutes. Less than 10 minutes will not be
  sufficient for disinfection and instruments should
  not be used.
 • Use disposable implements on only one customer
 • Use a new pair of gloves for each customer
 • Store nail implements of customers in separate
  containers
 • Do not use sharp instruments to shave  calluses. These devices can cause
  injuries requiring medical attention and have been banned by most state
  Cosmetology Boards

 Other Best Shop Practices
 • Do not allow anyone to smoke in your  shop because most chemicals
  stored and used in nail salons are flammable
 • Provide training on hazard communication (OSHA 29 CFR 1910.1200) and
  the proper storage and handling of flammable liquids (OSHA 29 CFR
  1910.106)  to nail technicians as required  by the U.S. Occupational Safety
  and Health Administration (OSHA)
 • Read and understand the state Cosmetology Board's Handbook
 • Keep a copy of the most updated state  Cosmetology Board's Handbook in
  the shop
 • Keep the latest version of the MSDS for each hazardous chemical stored
  and used in the salon
 • Keep all MSDSs in a binder and store this binder in the same place you
  store your chemicals
• Read and understand the content of these MSDSs
 • Ask nail products suppliers for an MSDS every time nail products are
  purchased
• Label all containers so that nail technicians can easily identify the contents
• Dispose of liquid waste according to instructions on the product label or
  MSDS

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MASKS  AND  RESPIRATORS
           Why should nail  salon workers wear dust  masks?
           • To minimize breathing in particles
           • Refer to page 9 for shop practices that will minimize breathing in vapors because
            dust masks do not protect against vapors
           When  should nail salon  workers  wear  dust masks?
           * When working with nail powders
           • When filing, shaping or buffing artificial nails
           Why is it very  important to wear the right kind of dust masks?
           • Different kinds of masks provide different levels of protection
           * One kind of mask will not protect workers from all chemicals used in nail shop
           What kind of dust masks should nail salon workers  wear?
           • Dust masks approved by the National Institute for Occupational Safety and Health
            (NIOSH)
           * Or refer to the MSDS for recommendation on the right kind of masks to wear
           Why should  nail salon  workers wear respirators?
           • To prevent breathing in potentially harmful chemical vapors
           • Refer to page 9 for more shop practices that will minimize breathing in vapors
           When  should nail salon  workers  wear an organic vapor   cartridge
           respirator?
           • When working with larger amounts of
            solvents, such as when transferring chemicals
            from large to smaller containers
           Are  there other  requirements  that
           nail  salon owners and workers must
           be aware of when  using respirators?
           • The U.S. Occupational Safety and Health
            Administration (OSHA)  has the Respiratory
            Protection standard that includes specific
            requirements such as training, fit testing, care
            and maintenance, and medical surveillance
            that shop owners and workers may need to follow when workers wear respirators
           • Contact OSHA at (202) 693-1888 or (800) 321-6742 for more information on the
            requirements that apply to your shop or for a copy of the Respiratory Protection
            standard (29 CFR 1910.134) and/or the Hazard Communication standard (29 CFR
            1910.1200)

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                                                                    GLOVES
Why should  nail salon  workers  wear  gloves?
• To prevent chemicals from damaging skin
• To prevent skin from absorbing harmful chemicals which may cause health
 problems
Why do solvents cause more concerns  than other nail salon
chemicals?
• Skin can easily and quickly absorb solvents
• Solvents damage skin making it easier for other chemicals to enter the
 body

What kind  of gloves should  nail salon workers wear?
• Latex or vinyl gloves
• Nitrile gloves or other kind of gloves that provide more protection when
 working with large amounts of solvents such as when transferring
 chemicals from large to smaller containers
• Always refer to the MSDS for recommendation on the right kind of gloves
 to wear
How do nail salon owners  and  workers  find more informa-
tion  about  what kind of gloves to wear?
• Call the glove manufacturers and personal protective equipment
 distributors. Their phone numbers are listed in the phone book. These
 companies often offer technical advice and free samples
• Ask your shop's nail care products and personal protective equipment
 vendors

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BEST  SHOP  PRACTICES   CHECKLIST  FOR  OWNERS/MANAGERS
                          nM^^MMMBMM^BMM^M0MHaMgAaBMBaalBMM

                LJ  Post no smoking, no eating and no drinking signs in the shop's work area

                LJ  Post a sign near the shop's sink to remind workers to wash their hands before
                    and after each customer

                LJ  Post a step-by-step procedure on how to clean and sanitize nail instruments
                    near the shop's sink and in the shop's work area

                LJ  Install ventilated table(s) for your shop

                _l  Keep the general ventilation system (HVAC) on during work hours

                D  Change dust and/or charcoal filters regularly with manufacturer recommended
                    replacement parts

                _l  Place a trash bin (preferably metal) with secure lids at every work station

                U  Label all chemical containers properly

                LI  Purchase masks and gloves recommended in the MSDS for your technicians

                LJ  Do not buy any nail product containing 100 percent liquid methyl methacrylate
                    (MMA) monomer

                LI  Designate a chemical storage area far away from the dining area and equipped
                    with local exhaust ventilation

                U  Provide an adequately ventilated dining area for nail technicians, partitioned
                    from the shop's work area

                LJ  Designate a storage place for a binder of MSDSs for all hazardous chemicals in
                    the shop

                LJ  Ask for the most updated MSDS every time nail products are purchased

                U  Inform employees where MSDSs are kept

                D  Provide training required for reading and interpreting the MSDSs

                LI  Provide training on  hazard  communication and proper storage and handling of
                    flammable liquids to nail technicians as required by OSHA
                    Maintain a latest copy of the state Cosmetology Handbook

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           BEST  SHOP  PRACTICES  CHECKLIST  FOR  WORKERS
LJ   Keep top of ventilated table clear of any obstruction

LJ   Keep nail product bottles closed when not in use

LJ   Get only the amount of chemicals needed per application

LJ   Keep nail products in smaller-sized glass (or nalgene) bottles at work
     table

LJ   Keep trash bin completely covered at all times

LJ   Place waste soaked with chemicals in a sealed container before
     disposing them in the trash bin

LJ   Wear mask and gloves recommended in the MSDS when handling
     chemicals

LJ   Wash hands before and after working on customers
i	k
                              drinking and after handling chemicals
LJ  Wash hands before eating and

LJ  Wear long-sleeved clothing

LJ  Do not eat, drink or store food at the work table

LJ  Use a new towel and a new pair of gloves for each customer

LJ  Use disposable nail implements on only one customer

LJ  Clean and sterilize nail care instruments properly after each use

LJ  Do not use sharp instruments to shave calluses

LJ  Do not smoke in the shop

LJ  Read and understand the content of MSDSs

LJ  Know where to find MSDSs in the shop

LJ  Dispose of liquid waste properly
                                                                         1C
                                                                         T
                                                                         •*&

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REFERENCES
            Potential Health Effects of Chemicals  Present in Nail  Care
            Products
            All health effects were obtained from:
            \.  National Institute for Occupational Safety and Health (NIOSH); Pocket
               Guide to Chemical Hazards; available at ww.cdc.gov/niosh/npg/npg.html
            2.  National Institute for Occupational Safety and Health {NIOSH}; Interna-
               tional Chemical Safety Cards; available at www.cdc.gov/niosh/ipcs/
               nicstart.html
            3.  Hazardous Substance Data Bank; profiles available at toxnet.nlm.nih.gov/
            4.  California Department of Health Services,  1999. Artificial Fingernail
               Products: A HESIS Guide to Chemical Exposures in the Nail Salon.
               www.dhs.cahwnet.gov/ohb/hesis/artnails.htm. March 1999, Third
               Internet printing.

            Liquid Methyl Methacrylate (MMA) Monomer
            1.  The Nail Manufacturing Council. Update for Nail Technicians.
               www.americanbeautyassociation.org
            Z  Acrylic Nail Fact Sheet, Whatyou should know before you have your nails
               done. www.beautvtech.CTm/artides/mmafeKfeheet.htm
            3.  California Department of Consumer Affairs, Bureau of Barbering and Cosmetol-
               ogy. Methyl Methacrylate Monomer (MMA) Fact Sheet. April 2002.
            4  Bryson, Paul Ph.D. OPI. www.beautytech.com/nailtech/opi chem rpt.htm
            S  Moore, Booth. Pointing a Finger at Discount Nail Salons. LA Times. January 28,
               2000.
            6  Hill, Suzette. The MMA Controversy, www.beautvtech.com/nailtech/mma2.htm
            7.  Methyl Methacrvlate. www.epa.gov/ttnoatw 1 /hlthef/methvlme.htm Technology
               Transfer Network. Office of AirQuality Planning and Standards. U.S. Environ-
               mental Protection Agency. May 17,2001
            8  Food and Drug Administration. Prohibited Ingredients and Related Safety Issues.
               www.cfean.fcia.gov/-dms/cs-210.htm

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For more information, please contact:
   Lisa Pham
   EPA Region 6
   1445 Ross Avenue
   Dallas, TX 75202-2733
   (214)665-8326
   Toll-free (888) 884-2478 (extension 58326)
   pham .lisa@epa.gov
   www.epa.gov/dfe/projects

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S-EPA

U.S. Environmental Protection Agency
Region 6
1445 Ross Avenue
Dallas, TX 75202-2733
First Class Mail

Postage and Fees Paid

EPA Permit No. G-35
Official Business

Penalty for Private Use $300




EPA 906-F-04-001


May 2004
  Printed on paper containing at least 50 percent postconsumer recovered fiber.

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