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Label CCR#41666    
Dangerous WasteCCR#41666


NamePaul LacyDate11/30/2017 3:30:05 PM
Phone335-6348LocationPullman
BuildingBustadMail Stop6630
Barrel #___________________Room Number302E
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size.5 K
Number of Containers:1


ConstituentsPercent
Diff Quik Solution I100%


Major HazardToxic


Secondary Hazard


Notes:one 500 ml bottle

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:_________________________________________