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Label CCR#40972    
Dangerous WasteCCR#40972


NameJOHN SULLIVANDate10/12/2017 3:20:01 PM
Phone5093353325LocationWA WSU PULLMAN CAMPUS
BuildingFULMERMail Stop4630
Barrel #___________________Room Number23
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size19 K
Number of Containers:1


ConstituentsPercent
WATER97.066500%
AMMONIUM CHLORIDE1.666667%
FERRIC NITRATE1.000000%
NITRIC ACID0.233333%
SODIUM THIOCYANATE0.033333%
BRILLIAN BLUE0.000167%


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:_________________________________________