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Label CCR#58677
Dangerous Waste CCR#58677 Name Cole Fisher Date 1/27/2022 1:58:01 PM Phone 360-269-3835 Location WA WSU PULLMAN CAMPUS Building Fulmer Mail Stop 4630 Barrel # ___________________ Room Number 023 Weight ___________________kg Cabinet # ___________________ Properties Liquid Container Size 10.4 K Number of Containers: 1 Constituents Percent Water 88% Hydrogen Peroxide 3% Ammonium Carbonate 3% Sodium Carbonate 3% Cupric Sulfate 3% Major Hazard Toxic 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:_________________________________________