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Label CCR#40876    
Dangerous WasteCCR#40876


NameJOHN SULLIVANDate10/3/2017 4:38:30 PM
Phone5093353325LocationWA WSU PULLMAN CAMPUS
BuildingFULMERMail Stop4630
Barrel #___________________Room Number23
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size4 k
Number of Containers:1


ConstituentsPercent
WATER90%
DICHLOROMETHANE5%
BENZENE5%


Major HazardFlammable


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:_________________________________________