Request for Hazardous Waste Inventory Form

Request for Hazardous Waste Inventory Form

All containers must be properly labeled with all chemical constituents and percent (%) of constituents prior to pickup. Please write out the full chemical names. (Formulas, acronyms or abbreviations will not be accepted). All containers must be non-leaking and properly sealed prior to removal. If you have leaking or non-sealable containers, please contact the Environmental Health & Safety Office at x3677 immediately

  • Usually a material’s proper shipping name, identification number, hazard class and packing group are found inside the SDS. Hazard classes define the type of risk a hazardous material may pose. Some materials meet the definition of more than one hazard class with primary risks and subsidiary risks. Some hazard classes contain divisions in order to further group materials with similar risks.
  • Example: location (inside or outside building), any other necessary information for EH&S, etc.
  • Note: Click plus sign (+) adjacent to the "Hazardous Properties" fillable box to add more cells. Examples: Chemical Name = lead; CAS # = 7439-92-1; Percent (%) Full = 75%; L/S/G = Liquid, Solid or Gas; UOM & Container Type = 5 Gal. Poly; # of Containers = 1; Hazardous Properties = Flammable, toxic, corrosive, reactive, other
    Chemical NameCAS #Percent (%) FullL/S/GUOM & Container Type# of ContainersHazardous Properties 
  • Note

    By clicking on the submit button, you are certifying that the information submitted is accurate and that all waste containers are labeled to correctly identify their contents. Improper disposal of chemical waste is a violation of State and Federal Law. EH&S will collect your materials approximately 10-14 business days following your request(s). Large pickups or lab cleanouts may require additional time. Contact EH&S at x3677 if you have any questions regarding completion of this form.