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Label CCR#41694    
Dangerous WasteCCR#41694


NameDoug JasmerDate12/4/2017 8:47:36 AM
Phone335-6090LocationPullman
BuildingBustadMail Stop7040
Barrel #___________________Room Number302
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size9.5 K
Number of Containers:2


ConstituentsPercent
ConFlikt Detergent Disinfectant100%


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:_________________________________________