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Label CCR#52236    
Dangerous WasteCCR#52236


NameKatie BakerDate7/16/2019 12:59:40 PM
Phone5-6063LocationWA WSU PULLMAN CAMPUS
BuildingBUSTAD HALLMail Stop7040
Barrel #___________________Room Number302
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size2 K
Number of Containers:2


ConstituentsPercent
formaldehyde10%
sodium chloride1%
potassium chloride.5%
sodium phosphate.5%
disodium phosphate1%
water87%


Major HazardToxic


Secondary Hazard


Notes:also includes waste tips

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:_________________________________________