UF Chemical Waste Pick-up Request

Be sure to sign up for RCRA Chemical Waste Management Training

Fields marked with * must be filled out

Department* E-mail*
Building Name* Room*
Principal Investigator* Phone*
Lab Contact Best Time

 Budgetary Unit*
JHMHC     IFAS     ENGRG    CLAS    AUX/OTHER   PPD  

 Important: List all chemical constituents and % of constituents on waste containers

Chemical Name  Number of
Containers		 Total Weight
or Volume

Additional Chemicals? Please check the box and provide a complete list at time of pickup.

Comments:

Signature of Principal Investigator or Designee is required at time of pickup to certify 
chemical components are accurately listed on containers