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Label CCR#41679    
Dangerous WasteCCR#41679


NameDate11/29/2017 12:29:30 PM
PhoneLocationWA WSU PULLMAN CAMPUS
BuildingMail Stop
Barrel #___________________Room Number
Weight___________________kgCabinet #___________________
PropertiesSolidContainer Size8.435 K
Number of Containers:70


ConstituentsPercent
Lab debris(ammonium phosphate/brushite/calcium phosphate/pyrene/zinc chloride/silicon oxide/burgandy pitch/magnetic paint/powder paint/sucrose cubes/ferric chloride/glass beads/contaminated glassware)100%


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:_________________________________________