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Label CCR#52015    
Dangerous WasteCCR#52015


NameJASON SAMPSONDate6/19/2019 10:21:01 AM
PhoneLocationWA WSU PROSSER IAREC
BuildingCAAMail Stop
Barrel #___________________Room Number
Weight___________________kgCabinet #___________________
PropertiesLContainer Size15 K
Number of Containers:1


ConstituentsPercent
MERCURY100%


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:_________________________________________