ࡱ> NQM{ bjbjBrBr J'  &&8D$, , , , , `!`!`!#######%q(#`!`!`!`!`!#, , 4#V#V#V#`!^, , #V#`!#V#V#X#h#, ';!^\###0$b#)"p)h#)h#D`!`!V#`!`!`!`!`!##"`!`!`!$`!`!`!`!)`!`!`!`!`!`!`!`!`!& F:  CHEMICAL TRANSFER FORM 91Ƭ OFFICE OF ENVIRONMENTAL HEALTH AND SAFETY, 1402 SOUTH GRAND BLVD, CAROLINE BLDG 305, ST. LOUIS, MO 63104-1028 PHONE: 977-6884 (Renee Knoll) or 977-6882 (Greg Buettner) FAX: 977-5560 SEND FORM TO: chemwaste@slu.edu GENERATOR INFORMATION: PI Name: Building:Date:Department: Room:Phone: For Office Use OnlyChemical Name or Constituents: % Composition (if applicable), No Trade Names (unless constituents are included), No Acronyms Please Type or Print Legibly in InkNumber of ContainersWt or Volume (liters or grams)* Container TypeRCRA CodeDOT Hazard Class * Container Type: G (Glass) P (Plastic) M (Metal) ATTENTION: Improperly labeled, unlabeled, radioactive and infectious substances cannot be accepted through the use of this form. 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