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Label CCR#45652
Dangerous Waste CCR#45652 Name Natalie Gese Date 6/5/2018 1:56:59 PM Phone 5093587910 Location WA WSU SPOKANE RIVERPOINT CAMPUS Building Ignite NW Mail Stop 1105 Barrel # ___________________ Room Number 213 Weight ___________________kg Cabinet # ___________________ Properties Liquid Container Size 1 Gallons Number of Containers: 1 Constituents Percent NA-LUBE BL-1208 Lubricant additive Manufacturer: KING INDUSTRIES, INC. 100% Major Hazard Flammable Secondary Hazard Toxic - Notes:The following are main constituents contained in this commercial product: ALKYL THIOCARBAMATE* Proprietary* 20 - < 30 BIS(NONYLPHENYL)AMINE 36878-20-3 20 - < 30 PHENOL, 128-39-2 2,6-BIS(1,1-DIMETHYLETHYL)- 20 - < 30 TRIAZOLE DERIVATIVE 80584-90-3/80595-74-0 5 - < 10 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:_________________________________________