Department of Environmental and Occupational Health and Safety

Request for Chemical/Commerical* Product Waste Pickup
(* e.g., Clorox, etc.)

Name
Email
Advisor
Building
Lab or Office No.
Location of Waste
(Lab No)
Phone Extension
Dept. Zip
  
 

All containers must be properly labeled with all chemical constituents and percent (%) of constituents prior to pickup. Please write out the full chemical names. Formulas, acronyms or abbreviations will not be accepted.

All containers must be non-leaking and properly sealed prior to removal. If you have leaking or non-sealable containers, please contact EOHS at x6866 immediately.

"Unknown" or "Other" selections must be adequately described in the Comments field.

Chemical Name
CAS #
Amount
UOM
Physical State
Container Type
No. of Containers
Comments

By clicking on the submit button, you are certifying that the information submitted is accurate and that all waste containers are labeled to correctly identify their contents. Improper disposal of chemical waste is a violation of State and Federal law.

If you have more than 10 items or multiple locations, enter your first 10 items, click submit and follow the instructions for adding additional items.

EOHS will collect your chemicals approximately 10-14 business days following your request(s). Large pickups or lab cleanouts may require additional time.

Contact EOHS at x6866 if you have any questions regarding completion of this form.