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Label CCR#42761    
Dangerous WasteCCR#42761


NameAnthony J BurtDate2/5/2018 2:51:59 PM
Phone(509) 335-1144LocationWA WSU PULLMAN CAMPUS
BuildingTroy HallMail Stop4630
Barrel #___________________Room NumberTroy 207
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size17.3 K
Number of Containers:1


ConstituentsPercent
Water80%
Ammonium Chloride5%
p-nitro phenylate5%
sodium chloride10%


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:_________________________________________