Stony Brook University Chemical Waste Disposal Manifest
Name of person completing this form (Print):
Instructions: Fill in all information and affix a completed Hazardous Waste label to each container.
If waste is still in its original container, we offer alternative waste disposal labels.
We recommend to keep a copy of all manifest forms for your own records.
For waste-related questions, or requests for pickup / supplies - please contact:
Chemical Name # of containers Container size
Please follow instructions on proper hazardous waste management on the back of hazardous waste