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Hazardous Waste Disposal Pickup Request Form
 

 

Please read and follow these instructions carefully -

Section-1                        

  • Select your Waste type     Chemical  Bio Waste

  • Please fill out the form completely- incomplete forms will result in pickup delays.

  • Room must be the location of the waste.

  • Also a Transaction Number will be sent to you by email after you fill out the pick up request form. Please label all containers with this transaction number.

  • Once the form submitted, the pick-up will be scheduled for Tuesday and Thursday accordingly.

  • If you have any questions, please contact EH&S at 742-3876.    

  • After fill out following form print it by using print button (below the form) or from your browser's file menu. Your page setup should be in Landscape.  

  • If you want to download following form then Click here, and go to Section-2 of this page.

.... Important Announcement ......
Due to the high number of waste pickup requests and weather issues some pickups are being delayed. Please do not submit duplicate requests but call us at 742-3876 if you have any concerns.

 
Section-2
Requestor Name:
Enter your Name
Requestor Phone No:
Enter your phone number (xxx-xxx-xxxx)
Department:
Enter your department name
Room No:
Location of the waste
Email:
Enter your email (eg. Krish.Raya@TTU.EDU)
Type of Hazardous Waste: Check the appropriate type
Drum: Check the appropriate one
Is the request for Transfer of
Chemicals and/or BioWaste form complete?
Check the appropriate one
Are all Hazardous containers labeled? Check the appropriate one
Additional Information:
Additional information (optional)
   
 
 
 
   
Environmental Health and Safety | 2903 4TH Street Rm 122 | Lubbock | Texas 79409-1090
Phone: 806.742.3876 | Fax: 806.742.3895 |
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