Rutgers Environmental Health and Safety
Instructions for Completing:
Request for Hazardous Waste Disposal Form
Name of Chemical(s):
The correct chemical name or names should be typed on the form to identify the material. Chemical formulas and trade names are not acceptable; i.e. Methylene Chloride, not
For mixtures of liquids, all constituents must be typed on the form, as well as the waste label, and total 100%. Solutions of solids or gases in liquids, must be expressed in concentrations of either weight percent, molarity (moles per liter), or normality (equivalents/liter).
Number of Containers:
Fill in the number of containers of a specific volume that will be presented for disposal; i.e. if you have 2 X 5 gallon and 10 X 1 gallon containers of the same waste stream, enter "2" under this field, go to the next line and enter "10" in this field (for same waste stream you need not reenter all of the previous information).
Fill in the container volume(s) that are associated with the entries made in Step #2; i.e. if you have 2 X 5 gallon and 10 X 1 gallon containers of the same waste stream, enter "5 gal." in the field next to the "2" entered in the "No. of Containers" field and "1 gal." in the field next to the "10" entered in the "No. of Containers" field. REHS will recognize the following volumetric abbreviations:
Grams - g. Gallon - gal.
Pound - lb. Millileter - ml.
Liter - L. Pint - pt.
Use this space to provide any other information that may aid in the safe removal and handling of your waste.
Ethanol - 95%
Water - 5%
Containers located in cabinet
under fume hood.
For more information, contact
Last Updated: 02/03/2013
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