Request Hazardous Waste Collection

Waste generator number:

Building:

Phone:

E-mail:

Deliver WGN bar code labels?  Yes  No

Indicate Radioactive Materials:
DESCRIPTION	ISOTOPE and NUMBER OF ITEMS
	P-32	I-125	S-35	C-14	H-3	Other
Dry Waste Bags
Sharps
Animals
Gels
Scintillation Flats
5 Gal Carboys (Large)
2 Gal Carboys (Small)
Source Vials
Other (please specify)

Indicate Chemical Materials:
CONTAINER (ex: 1 gal, 4 L, 55 gal)			HAZARD CLASS (check all that apply)
# Items	Size	Units	Flammable	Toxic	Acid	Alkaline	Oxidizer	Cyanide	Other (Explain)
Explosive/Reactives (ex: picric acid). List by chemical name:
Other (ex: used batteries, refrigeration unit, etc.):

 

Questions? Contact the EH&S Environmental Management Facility, (858) 534-2753.

Environment, Health & Safety Office
University of California, San Diego

3/2/2006