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Label CCR#57065    
Dangerous WasteCCR#57065


Namemargaret holdenDate3/29/2021 9:29:10 AM
Phone5097869294LocationWA WSU PROSSER IAREC
Buildinghamilton hallMail Stop113
Barrel #___________________Room Number113
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size500 Milliliters
Number of Containers:1


ConstituentsPercent
40%acrylamide 19:1100%


Major HazardToxic


Secondary Hazard


Notes:Acute oral toxicity Category 4 Skin Corrosion/irritation Category 2 Serious Eye Damage/Eye Irritation Category 2 Skin Sensitization Category 1 Germ Cell Mutagenicity Category 1B Carcinogenicity Category 1B Reproductive Toxicity Category 2 Specific target organ toxicity - (repeated exposure) Category 1 Target Organs - Central nervous system (CNS), Peripheral Nervous System (PNS), Reproductive System

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:_________________________________________