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Label CCR#43103    
Dangerous WasteCCR#43103


NameJOHN SULLIVANDate2/20/2018 2:52:10 PM
Phone509-335-3325LocationPullman
BuildingFULMERMail Stop4630
Barrel #___________________Room Number23
Weight___________________kgCabinet #___________________
PropertiesSolidContainer Size2.3 K
Number of Containers:1


ConstituentsPercent
BASIC ALUMINA10%
COTTON5%
FILTER PAPER10%
SODIUM BICARBONATE20%
CALCIUM CHLORIDE5%
ETHYLENEDIAMINETETRAACETIC ACID10%
COPPER[II] BROMINE10%
VORMICALITE30%


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:_________________________________________