Chemical Waste Pickup

Please complete all sections that apply. Fields marked with * are required.

Click here to submit your request:

For assistance with this form and questions about chemical waste pickup or supply delivery, call 486-3613.

Pickups are Mondays, Wednesdays, and Fridays

Contact Name*:
Campus*:
Department:
Building*:
Room Number:
Phone Number*:
Email*:
Description: Number and size of Containers ready for pickup / Comments
Replacement Containers:
# of 5-gallon Containers:
# of 55-gallon Containers:
Hazardous Waste Stickers
Hazardous Waste Tags