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Label CCR#58206    
Dangerous WasteCCR#58206


NameLori FullerDate10/26/2021 9:43:12 AM
Phone15093358256LocationWA WSU PULLMAN CAMPUS
BuildingADBFMail Stop6630
Barrel #___________________Room Number3089
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size35 Milliliters
Number of Containers:2


ConstituentsPercent
sample diluent100%


Major HazardToxic


Secondary Hazard


Notes:volume liquid

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:_________________________________________