<March 2024>
SunMonTueWedThuFriSat
252627282912
3456789
10111213141516
17181920212223
24252627282930
31123456
   


   
Label CCR#58574    
Dangerous WasteCCR#58574


NameMatt LeonardDate1/5/2022 8:46:25 AM
Phone2087913341LocationPullman
BuildingGAH loading dockMail StopWADDL
Barrel #___________________Room Numberloading dock
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size.5 Liter
Number of Containers:1


ConstituentsPercent
fomalin10%
water90%


Major HazardToxic


Secondary Hazard
Corrosive -


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:_________________________________________