Link to Radioactive Waste Pickup Form

Requester Information:
	Name:
	Phone:
	E-mail:
	Dept: (abbreviate)

An active EMAIL address is required to request a pickup (so we can notify you of the schedule).
Standard schedule: wastes are picked up on Tuesday of the following week if requests are made before 4 pm Thursdays.

Please Make Sure Your Waste Is Visible and Clearly Marked Before Next Tuesday

Lab cleanout schedules will be made individually.

Waste Pickup Location (not office):
	Building Abbreviation:
	Room:

Comments: Include approximate amount of material; please note if this is a lab cleanout.