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Label CCR#57061    
Dangerous WasteCCR#57061


NameJason MieirsDate3/26/2021 2:20:48 PM
Phone509-303-0511LocationWA WSU PROSSER IAREC
BuildingOut BuildingMail StopHH
Barrel #___________________Room Number00
Weight___________________kgCabinet #___________________
PropertiesSolidContainer Size20 Pounds
Number of Containers:1


ConstituentsPercent
Unknown100%


Major HazardToxic


Secondary Hazard
Toxic -


Notes:Potentially toxic debris. The contents of the bag have a yellow substance mixed in with the debris.

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:_________________________________________