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Hazardous Waste Pickup Request

Please complete the form below to let us know you need hazardous waste picked up.

Name
E-mail
Extension
Location (room and building)
Volume of waste
Physical state

      

Hazard class Check all that apply:

 Asbestos  Flammable  Corrosive  Poison  Oxidizer

 Reactive specify if air, water, or shock sensitive in comments below.

 Biohazard  Sharps

 Other write in comments below.

General comments: