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Label CCR#57120    
Dangerous WasteCCR#57120


NameTom OkitaDate4/7/2021 9:48:45 AM
Phone5-3391LocationPullman
BuildingClarkMail Stop7411
Barrel #___________________Room Number306 - 376
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size2.9 k
Number of Containers:1


ConstituentsPercent
1,2,4 trimethylbenzene50%
alkylphenol polyglycoether40%
2,2'iminodiethanol5%
2,5 diphenyloxazole2.5%
1,4 bis [2-mthylstyryl-benzene2.5%


Major HazardFlammable


Secondary Hazard
Toxic -


Notes:Flo-Scint III scintilation cocktail

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:_________________________________________