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Label CCR#43403
Dangerous Waste CCR#43403 Name Alex Cornwall Date 3/22/2018 11:30:01 AM Phone 509-335-0992 Location WA WSU PULLMAN CAMPUS Building GH114 Mail Stop 59 Johnson Hall Barrel # ___________________ Room Number 44 Weight ___________________kg Cabinet # ___________________ Properties Liquid Container Size .77 K Number of Containers: 1 Constituents Percent Sodium Chloride 0.8% sodium phosphate-dibasic anhydride .115% Potassium Phosphate-monobasic 0.02% Potassium chloride 0.02% Polyoxyethylene-sorbitan Monolaurate 0.05% Polyvinylpyrrolidone 2% sodium azide 0.02% water 96.975% Major Hazard Corrosive 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:_________________________________________