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Label CCR#56969    
Dangerous WasteCCR#56969


NameSaber GlassDate3/15/2021 10:57:13 AM
Phone5093352431LocationWA WSU PULLMAN CAMPUS
Building196Mail Stop6402
Barrel #___________________Room NumberPesticide Storage Shed
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size10 Gallons
Number of Containers:13


ConstituentsPercent
Pesticide Shed Cleanout100%


Major HazardToxic


Secondary Hazard
Corrosive -


Notes:Cleaned out pesticide storage shed for Plant Introduction Pullman farm. Full inventory list of chemicals to pick up available upon request. Pesticide containers are contained inside black garbage bags and labeled "pesticides for disposal".

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:_________________________________________