Office of Environmental Health and Safety

Student in Lab

Request for Chemical Waste Removal

All information MUST be filled out! No codes or abbreviations allowed.

After paperwork is received, the chemicals are researched for hazards and any special handling. This is to ensure that once a chemical is received, it can be handled, segregated, and disposed of safely.

For more information about waste management and waste disposal guidelines, please contact Frank Abell at x7280.

Information About the Request
Requesting Dept:
Contact Name:
Contact Email:
Extension:

Location of Chemicals
Building:
Room:

Information About the Chemicals

DO NOT SUBMIT UNKNOWNS!

Identification and
Description of Chemicals		 Physical State Size of
Container		 Volume
or Weight
in/of
Container

Special Notes and Handling Instructions