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Label CCR#51065    
Dangerous WasteCCR#51065


NameKaren AdamsDate4/18/2019 1:07:36 PM
Phone335-6586LocationPullman
BuildingVogelMail Stop6414
Barrel #___________________Room Number130
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size.8 K
Number of Containers:1


ConstituentsPercent
Cetyl trimethylammonium bromide0.8%
Polyvinyl pyrrolidone0.5%
Tris-hydrochloride0.7%
Sodium chloride2.5%
Ethylenediaminetetraacetic acid0.5%
Water66.5%
Chloroform26.5%
Isoamyl alcohol2%


Major HazardToxic


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:_________________________________________