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Label CCR#58219    
Dangerous WasteCCR#58219


NameJoe RockefellerDate10/26/2021 2:17:38 PM
Phone509-335-7193LocationWA WSU PULLMAN CAMPUS
BuildingGAH2Mail Stop7034
Barrel #___________________Room Number271
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size.3 Gallons
Number of Containers:1


ConstituentsPercent
water72.6%
formaldehyde18%
methanol5%
buffer [non hazardous]4.4%


Major HazardToxic


Secondary Hazard
Flammable - Corrosive -


Notes:Expired z-fix concentrate in 1 gallon plastic container

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:_________________________________________