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Label CCR#39072    
Dangerous WasteCCR#39072


NameDalphyDate8/18/2017 12:53:32 PM
Phone3608486157LocationWA WSU MT VERNON RES & EXT UNIT
BuildingnaMail Stop16650 State Route 536
Barrel #___________________Room Numberna
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size100 Milliliters
Number of Containers:9


ConstituentsPercent
aniline blue15%
k2hpo415%
10% formalin10%
rose bengal15%
mowiol10%
tryphan blue solution 15%
water20%


Major HazardToxic


Secondary Hazard
Corrosive -


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:_________________________________________