Please complete this form when placing chemicals on the hazardous waste shelf. You may submit multiple containers using one form.
If the container you are using is not listed, please select "Custom Container" and then provide a description of the container.
When filling in "Container Content", options of chemical names will auto-populate. You are not required to choose an option provided and can enter custom text. However, if the auto-populated options are helpful to you, feel free to use them.
Risk Management will be notified once you click "Submit Pickup Request" and the chemical will be included in the inventory list for our hazardous waste pickup that occurs approximately every six months. The person whose email address is listed will also receive a confirmation email.
All chemicals deposited on the hazardous waste shelf for disposal must meet the following criteria.
1. The containers in good condition and compatible with the material being stored.
2. The container must be sealed with a tight-fitting lid. For non-threaded lids, the lid must be taped closed.
3. The container must not have a cracked lid, or show signs of exterior crystallization, staining or corrosion.
4. The container must not be emitting strong chemical odors.
5. For reused containers, preexisting labeling must be thoroughly marked out if the contents are different.
6. To prevent a chemical reaction, the container must be separated from other chemicals that are incompatible.
7. The container must bear a fully completed Hazardous Waste label. You may print a label after completing this form or use the label that was on the container while waste was accumulating.
