Surplus or Waste Chemical Pickup Request

Please fill out the following information (* denotes required fields);
(Request must be submitted before 8:00 am Tuesday for pickup that week. West campus location requests must be submitted before noon on Monday for pickup that week)

Name of person requesting pickup*                         
Phone number*
Building and room number*
Alternate contact person  Phone

Solvent carboys for pickup- The Safety Dept. distributes 5 gallon plastic carboys used to collect waste organic solvents PLEASE FILL OUT A WASTE SOLVENTS IN CARBOYS FORM (Click here to download the form)
Enter number of carboys you want picked up
Non-halogenated Halogenated

Empty carboys for drop-off
Enter number of carboys you want dropped off
Non-halogenated Halogenated

Chemicals for pickup PLEASE FILL OUT A SURPLUS CHEMICAL FORM (click here to download the form)      and leave the completed form with the chemicals to be picked up
Give the name or a description of the chemical(s) and number and size of containers

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