Universal Waste Collection Request Form

Universal Waste Collection Request Form

Please fill in the information below and submit this form to request universal waste collection service(s) for your work area.

Universal Waste includes items such as:

Electronic Devices
Batteries
Lamps
Cathode Ray Tubes (CRTs)
CRT Glass
Non-Empty Aerosol Cans
Photovoltaic (PV) Modules
Mercury Wastes

**NOTE: Not all electronic equipment is eligible for collection and processing by EH&S and limitations may apply to waste volumes and quantities.

Any equipment/instrumentation that is on a department asset inventory or is tagged with an asset sticker or label will need to be processed out by the campus Procurement department.

If you have questions about this form or need assistance, please contact the CPP EH&S Department, at email ehs@cpp.edu or phone 909-869-4697.

Contact Information

Requestor's Name:*

Email:*

Division*

Select or enter value

Department:*

Location Information

Building Location:*

Select or enter value

Room Number(s):*

Location Description*

Please provide a brief description of the storage location for the electronic/toner waste if a building or room number is not associated with it.

Electronic/Toner Waste Service Request

Universal Waste Category*

Select

Requested Service:*

Please provide a brief description of the requested service and an itemized list of the items requested for pick-up.

Photo Upload:

Please use the box below to upload any photos of the electron/toner waste requested for pick-up. Providing photos helps the waste technician locate the service area and is useful in identifying the waste.

Drag and drop files here or

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