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Label CCR#58657    
Dangerous WasteCCR#58657


NameBreeAnne PetersonDate1/26/2022 11:57:09 AM
Phone5-0664LocationWA WSU PULLMAN CAMPUS
BuildingVBRBMail Stop7620
Barrel #___________________Room Number440
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size8.9 K
Number of Containers:1


ConstituentsPercent
Fluorocitric Acid Barrium salt0.01%
Sodium chloride.73%
Magnesium Sulfate0.02%
Calcium Chloride0.03%
Potassium phosphate0.02%
Sodium Phosphate monobasic0.21%
Dextrose.18%
Water98.8%


Major HazardToxic


Secondary Hazard


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:_________________________________________