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Environmental Health and Safety

Regulated Waste Pick-up Request

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Waste Origin:              
One or more of the containers listed below contains:   PCBs   Radioactive Materials   Biohazardous Materials   None of the Above
Tag # Container
Waste Description
~ OR ~
Click here to download the template (.xlsx format) for the alternate list of waste containers

Clicking the "Submit Request Now" button below will e-mail a copy of this form to Larry Page and will display a copy of the form that you can print for your records.
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 Last Modified 3/29/16