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Label CCR#40973    
Dangerous WasteCCR#40973


NameRay Gunawidjaja/Hergen EilersDate10/12/2017 3:23:02 PM
Phone5093587726LocationSpokane
BuildingSTCMail Stop1495
Barrel #___________________Room Number241
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size5 Gallons
Number of Containers:2


ConstituentsPercent
Ammonia20%
Water69%
ZrOCl210%
Eu[NO3]31%


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:_________________________________________