Fillable Chs Disposalrequest Hazardous Waste Disposal Request

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Chs Disposalrequest Hazardous Waste Disposal Request

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Fax: 410-704-2993 or
Email: safety@towson.edu
Hazardous Chemical Waste Disposal Request
Page _____of_____
Date: ___/___/___
Requestor: _________________________________ Phone #: _____________ Email: _______________________
Department: _______________________________ Building & Room #: _________________________________
Item #
Description of Waste Chemicals
Quantity
Container
Size & Type
Comments
Copy Additional Sheets as Necessary.
IF YOU NEED REPLACEMENT WASTE CONTAINERS – WRITE AMOUNT AND TYPE AT BOTTOM OF FORM.
GENERATORS MUST SUBMIT A COPY OF THEIR EHS HAZARDOUS WASTE GENERATOR TRAINING
CERTIFICATE WITH THIS DISPOSAL REQUEST.
SUBMIT
RESET
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Chs Disposalrequest Hazardous Waste Disposal Request

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Completed 3 November 2019

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