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Label CCR#57124
Dangerous Waste CCR#57124 Name Tom Okita Date 4/7/2021 9:57:25 AM Phone 5-3391 Location WA WSU PULLMAN CAMPUS Building Clark Mail Stop 7411 Barrel # ___________________ Room Number 306 - 376 Weight ___________________kg Cabinet # ___________________ Properties Liquid Container Size 1.2 k Number of Containers: 1 Constituents Percent benzene 70% Dioctyl sulfosuccinate sodium salt 20% 4-Nonylphenyl-polyethylene glycol 10% Major Hazard Flammable Secondary Hazard Flammable - Toxic - Notes:ScintiVerse scintillation 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:_________________________________________