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Label CCR#41711
Dangerous Waste CCR#41711 Name Ed Scheenstra Date 12/7/2017 9:12:40 AM Phone 3604165206 Location WA WSU MT VERNON RES & EXT UNIT Building ArtB Mail Stop NA Barrel # ___________________ Room Number 156 Weight ___________________kg Cabinet # ___________________ Properties Liquid Container Size 1 Gallons Number of Containers: 1 Constituents Percent Indigo Carmine 1% Potassium Permanganate 5% Apple Juice 5% water 89% Major Hazard Toxic 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:_________________________________________