Tulane University - OEHS Hazardous Waste Pickup Request

Hazardous Waste Pickup Request Form

Steps to submit the hazardous waste pickup form:

1. Fill in all applicable boxes
2. Use the mouse or tab key to make a selection.
3. Click the 'Submit' button when finished
4. The form is automatically mailed to Michael Kopaigorodsky when you submit it.

Daytime Phone:

xxx-xxx-xxxx

E-mail:

Name::

Date:

mm/dd/yy

TYPE OF WASTE

Radioactive?:

Yes

No

Chemical?:

Yes

No

Description (Flammable, Toxic):

Quantity (Gal, Liters, lbs.):

Type of Container:

Labeled

Unlabeled

Campus:

Building:

Room:

Contact Person:

Department:

IMPORTANT - Date and Time you will be in your lab for waste pickup.

Comments:

Date Available:

mm/dd/yy

When finished, click on 'Submit'. You will receive a reply when your request is received by Michael Kopaigorodsky.

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Hazardous Waste Pickup Request Form