Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Type of Waste Disposal Pick Up Please select the type of waste disposal pick up you are requesting *ChemicalBiologicalHazardous MaterialsSpecimen(s)Building where this material is located? *Room Number *Please provide the name of the P.I. or researcher responsible for this lab. *Multiple Choice *Fume HoodSAADesignated cabinetOtherIf 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. *123456789101112131415+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 sensitiveExplosiveNoneDoes your laboratory currently have a Satellite Accumulation Area (SAA)? *YesNoSubmit
