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Label CCR#56728    
Dangerous WasteCCR#56728


NameJason MieirsDate1/29/2021 3:02:32 PM
Phone509-303-0511LocationWA WSU PROSSER IAREC
BuildingAuto ShopMail StopHH
Barrel #___________________Room NumberAuto Shop
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size1 Gallons
Number of Containers:1


ConstituentsPercent
Unknown100%


Major HazardToxic


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:_________________________________________