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Label CCR#51986    
Dangerous WasteCCR#51986


NameDate1/16/2019 3:03:30 PM
PhoneLocationPULLMAN
BuildingFSHNMail Stop
Barrel #___________________Room Number252
Weight___________________kgCabinet #___________________
PropertiesSContainer Size4 K
Number of Containers:1


ConstituentsPercent
HYDROCYANIC ACID TABLETS100%


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:_________________________________________