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Label CCR#41713
Dangerous Waste CCR#41713 Name Ed Scheenstra Date 12/7/2017 9:44:05 AM Phone 3604165206 Location WA WSU PULLMAN CAMPUS 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% bromothymol blue 1% phenol red 1% cresol red 1% Sodium Hydroxide 1% Potassium Permanganate 1% Apple Juice 5% iodine 5% water 84% 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:_________________________________________