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Label CCR#43810    
Dangerous WasteCCR#43810


NameJOHN SULLIVANDate4/26/2018 3:28:25 PM
Phone509-335-3325LocationPullman
BuildingFULMERMail Stop4630
Barrel #___________________Room Number23
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size0.82 K
Number of Containers:1


ConstituentsPercent
FLUORO BORIC ACID3%
WATER97%


Major HazardToxic


Secondary Hazard
Corrosive -


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:_________________________________________