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Label CCR#58552    
Dangerous WasteCCR#58552


NameMohammadreza BarzegarDate12/22/2021 6:33:15 PM
Phone5099643153LocationPullman
BuildingSloan hallMail Stop2910
Barrel #___________________Room NumberSloan B1
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size35 Pounds
Number of Containers:1 bucket


ConstituentsPercent
asphalt binder100%


Major HazardFlammable


Secondary Hazard
Flammable -


Notes:

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:_________________________________________