<March 2024>
SunMonTueWedThuFriSat
252627282912
3456789
10111213141516
17181920212223
24252627282930
31123456
   


   
Label CCR#37745    
Dangerous WasteCCR#37745


NameLyndon PorterDate6/9/2017 10:55:05 AM
Phone509-786-9237LocationProsser
Building121Mail StopProsser
Barrel #___________________Room Number121
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size1 Gallons
Number of Containers:1


ConstituentsPercent
Mustand Insecticide1%
Water99%


Major HazardToxic


Secondary Hazard
Toxic -


Notes:

Processor:_______________________Data Entered:_______________________
Date:_______________________T:__________R:____________
Dangerous Waste Transfer Record
Transfer Date:_______________________
Transporter Name:_______________________
Transporter Signature:_______________________
Destination: Chemical Stores Bldg._____ Treatment Center______ Recycling Center_____
Other:_________________________________________