Request for Chemical Removal or Hazardous Waste Pick-Up
EHS USE ONLY
Date picked Up
Picked Up By
Please, provide the following information:
Principal Investigator/ Faculty Member
Person Requesting Pick-up
Location (Building Room)
Telephone Number
Location of Chemicals
Chemical
Number of Containers
Amount (Volume or Mass)
Replacement Container Needed
yes
No
yes
No
yes
No
yes
No
yes
No
Comments
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Safety Committee
University of South Alabama - Mobile, AL 36688-0002 / (251) 460-7070
For questions or comments
Contact Us
Last date changed: January 29, 2009
URL: http://www.southalabama.edu/environmental/chemicalremovalform.html
