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.


 
 
mm/dd/yyyy
 
 

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

 
 

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)

Drop your files here