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
C-14
Ca-45
Cl-36
Cr-51
H-3
I-125
P-32
P-33
S-35
*other
Animal
Liquid
Solid
LSV
Bag
Box
Drum
Carboy
Tray
ft^3
gallons
liters
#2
C-14
Ca-45
Cl-36
Cr-51
H-3
I-125
P-32
P-33
S-35
*other
Animal
Liquid
Solid
LSV
Bag
Box
Drum
Carboy
Tray
ft^3
gallons
liters
#3
C-14
Ca-45
Cl-36
Cr-51
H-3
I-125
P-32
P-33
S-35
*other
Animal
Liquid
Solid
LSV
Bag
Box
Drum
Carboy
Tray
ft^3
gallons
liters
#4
C-14
Ca-45
Cl-36
Cr-51
H-3
I-125
P-32
P-33
S-35
*other
Animal
Liquid
Solid
LSV
Bag
Box
Drum
Carboy
Tray
ft^3
gallons
liters
#5
C-14
Ca-45
Cl-36
Cr-51
H-3
I-125
P-32
P-33
S-35
*other
Animal
Liquid
Solid
LSV
Bag
Box
Drum
Carboy
Tray
ft^3
gallons
liters
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
