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Label CCR#45515    
Dangerous WasteCCR#45515


NameRay Gunawidjaja/Hergen EilersDate5/26/2018 2:14:26 AM
Phone5093587726LocationWA WSU SPOKANE RIVERPOINT CAMPUS
BuildingSTCMail Stop1495
Barrel #___________________Room Number211
Weight___________________kgCabinet #___________________
PropertiesSolidContainer Size200 g Grams
Number of Containers:6 Boxes


ConstituentsPercent
PbZrTiO3100%


Major HazardToxic


Secondary Hazard


Notes:The waste is a mixture of powder and pellets in 20 mL vias.

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:_________________________________________