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Label CCR#66807
Dangerous Waste CCR#66807 Name Adam Elcan Date 2/26/2024 2:17:32 PM Phone 360-927-7551 Location WA WSU MT VERNON RES & EXT UNIT Building ARTB Mail Stop 16650 WA-536, Mount Vernon, WA 98273 Barrel # ___________________ Room Number VH lab/fume hood Weight ___________________kg Cabinet # ___________________ Properties Liquid Container Size 2.5 Gallons Number of Containers: 3 Constituents Percent Water 98.5% Indigo carmine 0.5% Sulfuric acid 0.5% Potassium permanganate 0.5% Major Hazard Corrosive Secondary Hazard Toxic - 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:_________________________________________