Chemical Waste Pickup Request

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Load a saved request:
CONTACT
Your Name:
Email:
Phone:
PICKUP LOCATION
Department:
Building:
Room:
PI:
Detailed Location: (if your space spans multiple rooms, or you place waste in an inconspicuous location, please provide additional details.)


WASTE ITEM
Waste State:
Container Type:
Material: (DO NOT Use Formulas or Abbreviations)
Chemical Name
0% of Total
To change the percentage of a chemical, please delete the item and re-add it with the correct percentage
%


pH:
Check if uncontaminated reagent:
Primary Hazard(s) Please check all that apply to this waste.
Flammable Corrosive (Acid) Corrosive (Alkaline) Toxic Carcinogenic Oxidizer
ADDITIONAL
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User Comment:

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