MERCURY THERMOMETER EXCHANGE PROGRAM
EXCHANGE REQUEST
Name: Date:
Telephone: Email:
Room/Lab Number Where We Can Find You:
Principal Investigator:
Department/Group:
Number of mercury thermometers to be disposed of:
Please dispose of all of your mercury thermometers even if you do not need the same number of
replacements. Be sure to check the basement and storage area of your lab to dispose all your
mercury thermometers. We will inform you of the proper disposal methods after we
receive your
exchange request.
I will need the following non-m
ercury replacements:
N
o. Thermometers
Needed
Temperature
R
ange
Total / Partial
I
mmersion
Application Item Number
Example:
… 2 -20 to 150°C partial specific application item number
We thank you for your support and cooperation!
** Please Pass Along to Appropriate Laboratory Personnel **
Send the completed form via campus or postal mail, fax, or email to:
Dennis Daye, Department of Environmental Health and Safety
Marquette University
Zilber Hall, Suite 212
Phone: 414-228-8411 Fax: 414-288-0600 dennis.daye@marquette.edu
