Rutgers Environmental Health and Safety
Request For Hazardous Waste Disposal
Instructions for Completing Form

Contact Information
Name   Building:
Phone No:   Dept:
E-Mail:   Room:
Campus:  


Hazardous Waste Information
  Name of Chemical
(No Formulas)
No of Containers Container Volume Other Information
#1
#2
#3
#4
#5
#6
#7
#8
#9
#10
#11
#12
#13
#14
#15
#16
#17
#18
#19
#20
#21
#22
#23
#24
#25
#26
#27
#28
#29
#30


REMEMBER TO LABEL HAZARDOUS WASTE CONTAINERS.
CONTAINERS WHICH ARE UNIDENTIFIED CANNOT BE ACCEPTED FOR COLLECTION BY REHS.


Do you need a supply of Hazardous Waste Labels?
Yes
No

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