Waste Removal Request

Hazardous Waste

Waste will ONLY be picked up on Thursday and Fridays. If you need hazardous waste labels contact Rodney at 361-825-5585.

All of the categories below must be answered for each of the waste containers you are requesting for disposal.

Haz Waste source*

Research

Teaching

Non-Teaching

Surplus (unused/unwanted)

Laboratory Information

Universal Waste

Industrial Waste

Building*

(For Hazardous waste, your registered lab, is where the waste should be located)

Select or enter value

Department*

Select

Chemical/Lab Room (HazWaste)*

Select

PI Name

list if this is a Research lab.

Does this contain biological waste?*

Yes

No

Is Chemical Single or Mixed?*

For mixed chemicals, please list all chemicals names and percentage. Waste will not be picked up if information is missing.

Single Chemical

Mixed Chemical

Unknown

Account Number and Department Code*

ex (123456/SAFE)

Accumulation Start Date*

Single Chemical Name*

Select

Please look up the CAS # via this link! - CAS # Lookup

Other - Not Listed Chemical

Please enter CAS # ONLY

1. Chemical Name in mixture*

1. Percentage of chemical in mixture*

%

2. Chemical Name in mixture*

2. Percentage of chemical in mixture

%

3. Chemical Name in mixture

3. Percentage of chemical in mixture

%

4. Chemical Name in mixture

4. Percentage of chemical in mixture

%

5. Chemical Name in mixture

5. Percentage of chemical in mixture

%

6. Chemical Name in mixture

6. Percentage of chemical in mixture

%

7. Chemical Name in mixture

7. Percentage of chemical in mixture

%

8. Chemical Name in mixture

8. Percentage of chemical in mixture

%

9. Chemical Name in mixture

9. Percentage of chemical in mixture

%

10. Chemical Name in mixture

10. Percentage of chemical in mixture

%

11. Chemical Name in mixture

11. Percentage of chemical in mixture

%

12. Chemical Name in mixture

12. Percentage of chemical in mixture

%

13. Chemical Name in mixture

13. Percentage of chemical in mixture

%

14. Chemical Name in mixture

14. Percentage of chemical in mixture

%

15. Chemical Name in mixture

15. Percentage of chemical in mixture

%

Building/Area (Universal/Industrial)

(for Universal and Industrial waste)

Select

Department1 (Universal/Industrial)

(for Universal and Industrial waste)

Universal Waste Room Number

Battery Type Explain Other

Battery Size*

List all that apply for the same type battery. (ex: Lithium 18v)

Quantity of Universal waste to pickup*

Physical Property*

Gas

Liquid

Solid

Number of Containers*

Container size*

Industrial Waste Room Number

List contents of Industrial waste*

(example: aprons, gloves, empty containers)

Reacts with*

Air

Water

None

Other

Reacts with (Other) Explain

Comments- Recalled Pesticides

Give details about the waste you are disposing.

Comments- Paint and Paint related waste

Give details about the waste you are disposing.

Comments- Mercury Containing Equipment

Give details about the waste you are disposing.

Comments

Additional comments or information about this request may entered in this section.

This form only allows for one single chemical or chemical mixture entry at a time.

New fields will reload after you submit your original form and allow you to enter additional items.

After you have entered all the items needed submit your form and close the page.

For questions contact EHS at 361-825-5555 or ehs@tamucc.edu.

File Upload

Drag and drop files here or

Requestor Information

Select type of waste you would like to dispose?

Hazardous Waste

Laboratory Information

Universal Waste

Industrial Waste