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Label CCR#40784    
Dangerous WasteCCR#40784


NameDavid SchneiderDate9/27/2017 1:54:12 PM
Phone509-335-3852LocationWA WSU PULLMAN CAMPUS
BuildingBUSTAD HALLMail Stop3003 ADBF
Barrel #___________________Room Number336
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size.5 K
Number of Containers:1


ConstituentsPercent
picric acid15%
formadchye5%
Na2HPo4 and NaH2pO480%


Major HazardToxic


Secondary Hazard


Notes:zamboni fix (15% picric acid, 5% formadchye and 80% Na2HPO4 and NaH2PO4 (500ml)

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:_________________________________________