University of Guelph Environmental Health and Safety
Please complete form and submit to EHS via email at ehs@uoguelph.ca or labsafe@uoguelph.ca or in
person to Alexander Hall, room 162. For more information, contact EHS at ext. 53282
Revision date: August 2017
Surplus Chemical and Sharps Disposal Request
Complete the information as applicable and submit form to EHS
Date of request:
Contact information
Submitter name: Phone ext. or number:
Supervisor name:
Location
Building name/number: Room number:
Location within the room:
Surplus chemical/waste information
Tag
Number
Chemical composition
(Chemical components with
concentrations. Include water)
Physical
form
Volume or
Weight
Container
size
Container
Material
Sharps Tag number:
For EHS use only
Special instructions for contractors:
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