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Label CCR#41574    
Dangerous WasteCCR#41574


NameJOHN SULLIVANDate11/29/2017 3:02:17 PM
Phone509-335-3325LocationWA WSU PULLMAN CAMPUS
BuildingFULMERMail Stop4630
Barrel #___________________Room Number23
Weight___________________kgCabinet #___________________
PropertiesSolidContainer Size3.8 K
Number of Containers:1


ConstituentsPercent
MAGNESIUM SULFATE25%
SODIUM SULFATE25%
CELLITE10%
FILTER PAPER20%
PAPER TOWEL20%
PALLADIUM0%
CHARCOAL0%
WATER0%


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:_________________________________________