Radioactive Waste Disposal Request

Radioactive Waste Disposal Request

This form should be completed to request pick-up of Radioactive Waste.

Complete all required fields and click "Submit".
To request radioactive waste containers or labels, please contact Radiation Safety at radwaste@uci.edu
Your radioactive waste will be picked up within 5 business days.
Submit a separate waste collection request for each type of waste (dry solid, liquids, etc.).

Requester Name*

Email*

Department*

Building*

Select or enter value

Room*

PI Name*

RUA #*

KFS Account*

WASTE DESCRIPTION

Type*

Select or enter value

Number of Containers*

Select or enter value

Weight/Volume*

Units*

Select

Isotope(s)/Activity

3H

3H Activity

14C

14C Activity

35S

35S Activity

32P

32P Activity

125I

125I Activity

238U

238U Activity

232Th

232Th Activity

63Ni

63Ni Activity

210Po

210PO Activity

85Kr

85Kr Activity

109Cd

109Cd Activity

68Ge

68GE Activity

Other Isotope

Name

Activity

Liquid Constituents

Total Percentage of Constituents must equal 100%.

Constituent 1*

Percentage*

Constituent 2

Percentage*

Constituent 3

Percentage*

Constituent 4

Percentage*

Constituent 5

Percentage*

Liquid pH*

Additional Information

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