Environmental, Health and Safety Services

Waste Removal Request

Welcome to the Radiation Safety Waste Removal Request Page.

NO PICKUPS November 22

Pickups are ONLY on Wednesdays After 1pm

Requests must be submitted by noon the date of the pickup

Items with a star (*) are required.

If you have any trouble sending this form through the web, please send this information by email.

Your Name: *
Please Select Lab ID: *
Email: *
Phone: *
Select up to three different waste containers below. If more container types are needed, submit these selections and then you will be able to select more container types through the next page:

If unsure of which container you are using, click here.

*Pickup: *Replacements *
*Pickup: *Replacements
*Pickup: *Replacements
Requested Date of Pickup / / mm/dd/yy*
Additional Comments:
Please enter the word you see below, in the space provided.