Non-Laboratory Chemical Waste Disposal Request Form

This request form is to be used for all non-laboratory chemical pickup requests. Examples of non-laboratory chemicals include: paint, used oil, obsolete housekeeping chemicals, etc.

Once your request is received, EHRS will determine the schedule for removal.

Ex. Quarterly vendor removal or standard EHRS waste pick up.


A budget code may be required once the job is scoped.


Please provide an email address and direct phone number where we can reach you to coordinate disposal.

Select or enter value
Caret IconCaret symbol

Ex. Basement Mechanical Room B2

Example:

2 - 30 gal drums, B-340 Biocide

1 - 55 gal drum, Waste Refrigerant Oil

1 - 55 gal drum, Soap Film Remover

1 - 55 gal drum, Image Neutral Cleaner Concentrate

Please attach photos of the waste containers and storage area. (multiple photos can be uploaded)

Drag and drop files here or
Powered by Smartsheet Modern Logo On Light
Privacy Notice|Report Abuse