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Label CCR#43104    
Dangerous WasteCCR#43104


NameJOHN SULLIVANDate2/20/2018 2:53:25 PM
Phone509-335-3325LocationWA WSU PULLMAN CAMPUS
BuildingFULMERMail Stop4630
Barrel #___________________Room Number23
Weight___________________kgCabinet #___________________
PropertiesSolidContainer Size0.97 Kilograms
Number of Containers:1


ConstituentsPercent
SILICA GEL15%
POTASSIUM SULFATE10%
TERT-BUTYLAMINE CHLORIDE10%
SODIUM BOROHYDRIDE10%
COPPER CHLORIDE55%


Major HazardCorrosive


Secondary Hazard
Toxic -


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:_________________________________________