<March 2024>
SunMonTueWedThuFriSat
252627282912
3456789
10111213141516
17181920212223
24252627282930
31123456
   


   
Label CCR#56726    
Dangerous WasteCCR#56726


NameJason MieirsDate1/29/2021 2:54:07 PM
Phone509-303-0511LocationProsser
BuildingAuto ShopMail StopHH
Barrel #___________________Room NumberAuto Shop
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size.5 Gallons
Number of Containers:1


ConstituentsPercent
Concrete Etcher&Rust Remover100%


Major HazardCorrosive


Secondary Hazard
Toxic -


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:_________________________________________