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Chemical Waste Disposal Request Form

This interactive form may be used to submit a request for a chemical waste pick-up. When you have completed entering your waste information, click on "submit pick-up request." Your request will be processed promptly and pick-up of your chemical waste should occur within 5 days. If there are any questions regarding your submittal, EHS will contact you.

(*) Denotes required information.

Researcher's Name:
* Email Address:
Contact Name:
Location of Waste:
Room Number:
Waste Information (do not use abbreviations, formulas, or brand names)
Number of Containers: Chemical Description: Container Type: Container Size:
If you have any questions or comments regarding your chemical waste, please include them here: