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Label CCR#41483    
Dangerous WasteCCR#41483


NameEricDate11/28/2017 2:16:37 PM
PhoneLocationPullman
BuildingMotor PoolMail Stop
Barrel #___________________Room Number
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size24 K
Number of Containers:1


ConstituentsPercent
SSI Tack Oil60%
Diesel30%
Ether rinse10%


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:_________________________________________