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Label CCR#42844    
Dangerous WasteCCR#42844


NameJeanene deAvilaDate2/9/2018 11:11:04 AM
Phone5-0675LocationPullman
BuildingBLSMail Stop6310
Barrel #___________________Room Number123
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size0.5 k
Number of Containers:1


ConstituentsPercent
Paraformaldehyde4%
PBS96%


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:_________________________________________