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Label CCR#42786    
Dangerous WasteCCR#42786


NameDate12/15/2017 11:21:11 AM
PhoneLocationPullman
BuildingCSBMail Stop
Barrel #___________________Room Number110A
Weight___________________kgCabinet #___________________
PropertiesSolidContainer Size.635 K
Number of Containers:1 bag


ConstituentsPercent
Solid dust/debris from spill collection trench in room100%


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:_________________________________________