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Label CCR#41799    
Dangerous WasteCCR#41799


NameJOHN SULLIVANDate12/12/2017 8:14:27 AM
Phone509-335-3325LocationWA WSU PULLMAN CAMPUS
BuildingFULMERMail Stop4630
Barrel #___________________Room Number23
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size.5 K
Number of Containers:1


ConstituentsPercent
WATER89%
BARIUM CHLORIDE5%
AMMONIUM THIOCYANATE2%
METHYL RED2%
ETHYLENEDIAMINETETRAACETIC ACID2%


Major HazardCorrosive


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:_________________________________________