Waste Disposal Request Form

Waste Disposal Request

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 *

• Chemical
• Biological
• Hazardous Materials
• Specimen(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 Hood
• SAA
• Designated cabinet
• Other

If other, please provide a description below:

Please provide the chemical and/or waste name and quantity (volume, etc) for each waste item. Specify type of container and ensure all containers are properly labeled with the EHS Hazardous Waste Label. List in detail the contents of all red biohazard bags and Sharps Containers. *

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-reactive
• Air sensitive
• Shock sensitive
• Temperature sensitive
• Explosive
• None

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

• Yes
• No

Submit

Process Time

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