For assistance with this form and questions about chemical waste pickup or supply delivery, call 486-3613.
Pickups are Mondays, Wednesdays, and Fridays
| Campus*: | |
|---|---|
| Department: | |
Number and size of Containers ready for pickup / Comments | |
Replacement Containers: | |
| Closed head 5 gallon pails for LIQUIDS: | |
| Open head 5 gallon pails for SOLIDS: | |
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