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Label CCR#56962    
Dangerous WasteCCR#56962


NameJuan MunguiaDate3/11/2021 3:10:34 PM
Phone5098303918LocationWA WSU PROSSER IAREC
BuildingSouthMail Stopn/a
Barrel #___________________Room NumberDownstairs Lab
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size.5 Gallons
Number of Containers:1


ConstituentsPercent
Formaldehyde40%
Methanol15%
Water45%


Major HazardFlammable


Secondary Hazard
Toxic - Corrosive -


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:_________________________________________