Chemical Waste Pickup Request • CampusOptics

This form is to have chemical waste that is no longer being used or a biproduct that was generated in a lab that is no longer needed on campus.

Generator

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Campus, Building, or Outdoor Area

Additional Location Details

Space* Required

Additional Location Details

Accumulation Started Date

Container Type* Required

Container Contents

Type

Percentage

Container ID for Pickup

Container Volume* Required

Phase* Required