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Label CCR#67218
Dangerous Waste CCR#67218 Name Ayesha Ahmed Date 4/25/2024 8:06:09 AM Phone 5093686667 Location Spokane Building Spokane Pharmaceutical and Biomedical Sciences Mail Stop 201A Barrel # ___________________ Room Number 201 Weight ___________________kg Cabinet # ___________________ Properties Solid Container Size 1 Kilograms Number of Containers: 2 Constituents Percent PEG 1450 AND 4500 5% Silica 5% capsule shell 10% allura red 10% lactose 70% Major Hazard Toxic Secondary Hazard Notes:These are the formulations prepared by students using lactose powder, PEG1450 and PEG4500, silica gel, and any ingredient that are intended for human consumption. 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:_________________________________________