Hazardous Waste Collection Request admin    |    cwu home     

                Requested By:       Department:    Mail Stop:                       
   Phone or Email:    Location of Pickup / Building:    Room / Lab#   
Tag # Contents
Use full chemical or proudct name(s).
Do not use abbreviations or forumulas.
Total Amount of Contents Size of Container Container is: Physical State: Comments
I certify that the materials referenced are fully and accurately described above and are packaged and labeled according to the procedures for disposal of hazardous waste by CWU's Office of Environmental Health and Safety. Date:

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