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Label CCR#57079    
Dangerous WasteCCR#57079


NameStephanie SzostekDate3/29/2021 10:16:57 AM
Phone5097869206LocationWA WSU PROSSER IAREC
BuildingHamilton HallMail Stop8694
Barrel #___________________Room Number132
Weight___________________kgCabinet #___________________
PropertiesSolidContainer Size3.1 Grams
Number of Containers:9


ConstituentsPercent
ammonium sulphate5%
tri-sodium phosphate5%
calcium chloride5%
Edetate disodium dihydrate5%
Unknown/proprietary80%


Major HazardOxidizer


Secondary Hazard


Notes:The package is labeled as: Gamborg’s B-5 Basal Salt Mixture

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:_________________________________________