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 approximately one week after requests are received. Day of pickup varies. University holidays will affect pickup schedule

Please Make Sure Your Waste Is Visible and Clearly Marked

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.