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Label CCR#40570    
Dangerous WasteCCR#40570


NameBrice JurbanDate9/18/2017 1:48:41 PM
Phone2068526807LocationWA WSU PULLMAN CAMPUS
BuildingClarkMail Stop6340
Barrel #___________________Room Number234
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size3.2 k
Number of Containers:1


ConstituentsPercent
Mechanical Pump Fluid100%


Major HazardToxic


Secondary Hazard


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:_________________________________________