Rutgers Environmental Health and Safety
REHS Home
Request For Radioactive Waste Disposal
Instructions for Completing Form

Requestor
Name
E-Mail


Waste Information
Authoree No Authoree Name Building Name Room Ticket No Isotope Waste Type Container Type Volume Units Total Activity
#1 
#2 
#3 
#4 
#5 


If you specified an other isotope, then please give the isotope here


Do you need a supply of Radioactive Waste Disposal Forms(yellow cards)?
Yes
No


Comments

 


For more information, contact Webmaster Last Updated:02/04/2013
©2014 Rutgers, The State University of New Jersey. All rights reserved.