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Label CCR#58662    
Dangerous WasteCCR#58662


NameBreeAnne PetersonDate1/26/2022 12:32:01 PM
Phone5-0664LocationWA WSU PULLMAN CAMPUS
BuildingVBRBMail Stop7620
Barrel #___________________Room Number440
Weight___________________kgCabinet #___________________
PropertiesLiquidContainer Size0.03 K
Number of Containers:1


ConstituentsPercent
Qiazol50%
Chloroform50%


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:_________________________________________