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					                                          HAZARDOUS WASTE/ORPHAN CHEMICAL
                                            INVENTORY FORM/SHIPPING PAPER
                                                              Bowling Green State University
                                                                                                                                         Date of Shipment ________________
Department/Institution ________________________________________________________

Department/Institution Contact _________________________________________________                                   CHEMTREC Emergency Number: 1-800-424-9300

                      Hazardous Waste/Orphan Chemical Information                                      Orphan Inventory Information Only EHS Shipping Information
                                                        NO. OF               TOTAL           HAZ.   UNOPENED/                               DOT ID#          DOT
STATUS             CHEMICAL/PRODUCT NAME                 CONT.              QUANTITY        CLASS   REPACKED MANUFACTURER GRADE (IF APPLICABLE) ERG #




         STATUS                                         HAZ. CLASS                                                               GRADE
W - Waste    O - Orphan           C - Corrosive   I - Ignitable T - Toxic    R - Reactive     C - Certified   P - Practical   T - Technical   R - Reagent   Other (Write In)

				
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posted:11/24/2011
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