Waste Disposal Request

Type of Waste Disposal Pick Up *

Please select the type of waste disposal pick up you are requestingChemicalBiologicalHazardous MaterialsSpecimen(s)

Building where this material is located? *

Room Number *

Please provide the name of the P.I. or researcher responsible for this lab. *

Within the room location: *

Fume HoodSAADesignated cabinetOther

If other, please provide a description below:

Please provide the chemical and/or waste name and quantity (volume, etc) for each waste item. Ensure all containers are properly labeled with the EHS Hazardous Waste Label. *

Total number of waste containers. *

Full name of requesting personnel *

Email of requesting personnel *

Phone number of requesting personnel *

Are any of these waste items reactive? *

Water-reactiveAir sensitiveShock sensitiveTemperature sensitiveExplosiveNone

Does your laboratory currently have a Satellite Accumulation Area (SAA)? *

YesNo

Process Time All waste disposal request are retrieved, weather permitting, in the ordered they were received. Inclement weather, primarily rain, will delay all waste pick-ups. Please be mindful.

Waste Disposal Request

Verification