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Label CCR#58277    
Dangerous WasteCCR#58277


NameDonald SchmitDate11/15/2021 1:57:42 PM
Phone54270LocationPullman
BuildingOutdoor Recreation CenterMail Stop1830
Barrel #___________________Room Number100
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size1.5 k
Number of Containers:1


ConstituentsPercent
Ethoxylated Propoxylated C8-10 Alcohols1%
Sodium Xylene Sulfonate1%
Isopropyl Alcohol1%
2-butoxyethanol1%
Sodium Tripolyphosphate1%
DI water95%


Major HazardToxic


Secondary Hazard


Notes:Percentages not listed on 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:_________________________________________