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Label CCR#51965    
Dangerous WasteCCR#51965


NameEric LautzenheiserDate6/28/2019 3:13:48 PM
Phone5-0748LocationWA WSU PULLMAN CAMPUS
BuildingMCCOY HALLMail Stop6610
Barrel #___________________Room Number250
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size1.5 K
Number of Containers:1


ConstituentsPercent
Phenol1%
Rinse water99%


Major HazardToxic


Secondary Hazard
Corrosive -


Notes:Empty Metal 55 Gallon Drum - Residue

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:_________________________________________