Biohazardous Waste Pickup Request • CampusOptics

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Name* Required

Additional Location Details

Accumulation Started Date

Container Type* Required

Container Contents

Type

Percentage

Suggested Waste Codes

None

Waste Characteristics

Ignitable • D001

Corrosive • D002

Reactive • D003

Toxic

Waste Codes

Does this item contain chemical preservative? If so, identify it below.

If yes to the above question, have all chemical waste hazards and codes required above been identified?

Do the items require refrigeration?* Required

Describe how the waste was generated* Required

Department generating the waste* Required

Do replacement biohazard containers need to be provided?* Required

If multiple boxes were selected, indicate how many box and liner replacements are needed.