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Label CCR#45784    
Dangerous WasteCCR#45784


NameLisa TaylorDate6/11/2018 8:41:41 AM
Phone509-335-3609LocationWA WSU PULLMAN CAMPUS
BuildingPlant Intro Head House 109BMail Stop6402
Barrel #___________________Room Number109B West lab
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size13.3 K
Number of Containers:1


ConstituentsPercent
Sodium Azide.1%
Tween 20.1%
Water99.8%


Major HazardToxic


Secondary Hazard


Notes:Call me at 971-361-4150 to insure someone can let you in the building. I also need a replacement container.

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:_________________________________________