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 typically picked up during the following week after a request is received. University holidays, campus emergencies, and temporary changes to building vehicle access 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:

WASTE to be PICKED UP:
Include approximate weight/volume of material; please note if this is a lab cleanout.