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Chemical Waste Pickup Request
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Contact Information
Contact Name
Contact Phone
Enter 10-digit office or 6-digit Zoom phone. Example: "520-555-1234" or "Zoom 123456"
Contact Email
Principal Investigator
Department Name
Location Information
Building Number
If you don't know your building number,
use this search tool
to find it. Otherwise, enter "NA" if not applicable.
Building Name
Building Address
Room Number
Location in Room
Request Details
Container Groups
All containers must be tagged with a University of Arizona Waste Tag.
Waste items cannot be picked up without a waste tag.
You can request more tags below.
Add a new group line if you have additional items.
Number of Containers
Size of Containers
All Containers Tagged?
Operations
Number of Containers
Size of Containers
Size of Containers
- Select -
55 gallon drum
30 gallon drum
5 gallon bucket
3.5 gallon bucket
1 gallon bottle
1 liter bottle
less than 1 liter bottle
solid waste bag
biological waste
Other…
Enter other…
All Containers Tagged?
Yes
No
Add
Remove
Number of additional waste tags needed
Number of buckets needed
Is this a lab clean-out?
Additional Comments
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