1300 W. Park Street | Butte, MT 59701 | mtech.edu | 406.496.4463
Graduate Student Hazardous Waste Check-Out
Each graduate student is responsible for the disposal of all hazardous waste created during their
activities at Montana Tech and for the return of all unused chemicals to their department. Improper
disposal or abandonment of wastes can result in penalties to the college and/or the individual,
ranging from warnings to imprisonment and fines of up to $25,000 per day for each offense. The
Environmental, Health and Safety Director will conduct a walk-through inspection of the laboratory
area to ensure that all wastes have been handled properly. Graduation may be delayed if a problem
exists. The thesis advisor will participate in the walk-through.
Student name:
Student ID number:
Major:
Minor:
Graduation Date:
Emphasis:
Project title:
Thesis Advisor:
Phone Number:
I certify that all hazardous materials and hazardous wastes generated during my projects or thesis
work during my graduate studies have been properly handled and disposed of.
Student Signature __________________________________________ Date: ________________________
Advisor Signature __________________________________________ Date: ________________________
The work space assigned to the above student has been inspected and found to be free of
hazardous waste.
Environmental, Health & Safety Director _________________________________ Date: __________________
Additional comments: