Waste Pick Up Request

To submit a waste pick up request, download the Hazardous Waste Inventory Form (HWIF) and fill it out completely.

Your HWIF should have all the chemical components and their amounts for each container you would like to have picked up.
Leave one blank line between each container.
Make sure you number your waste containers and the corresponding entries on the HWIF.

The image to the left is an example of a HWIF that has been filled out. You can click on the picture to see a larger version.

Fill out the form below and attach the completed HWIF to request your waste pick up. Your HWIF must have numbers for each waste and each waste needs to be labeled with matching numbers.

We are unable to pick up waste that is not labeled or that does not match your Hazardous Waste Inventory Form.

Waste Pick Up Request Form

Date - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Name * Required
First Last
Email * Required
Phone * Required
Waste Location * Required
Be as specific as possible; for example, "MAR 002 in the fume hood next to the back wall"
Number of Containers * Required
Please enter a number greater than or equal to 1.
Did you number your containers and put the numbers on the Hazardous Waste Inventory Form? * Required
- No
- Yes
Which container numbers need pick-up? * Required
Please list the containers you want to have picked up.
Attach your completed Hazardous Waste Inventory Form here * Required
Accepted file types: docx, doc.
Attach associated SDS/MSDS here
If you have SDS or MSDS associated with your waste, please upload a copy of those documents in this field
Drop files here or
Additional comments
Is there anything else we should know about the waste or about the waste location?
Name of EH&S person who picked up (or will pick up) the waste
First Last
Email of above EH&S person
Date waste was collected - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Were there any issues with the waste pick up?
Note here if any containers were not collected and the reason(s).
Attach the waste inventory form with designations here.
Accepted file types: docx.