Chemical Disposal/Surplus Pickup Request Form

Please fill out the following information and press the "Submit" button at the bottom.

Request must be submitted before 9:00 a.m. for a scheduled morning pickup or 1:00 p.m. for a scheduled afternoon pickup. West campus location requests must be submitted before 1:00 p.m. on Monday for pickup that week.

Name:*
Phone:*
Building:*
Room:*
Email:*

Solvent Carboys for Pickup

If you are filling a waste solvent or hazardous waste silica, please fill out one form for each and attach it to the carboy. Choose the quantity of each type of carboy that you need to be picked up.

Non-halogenated carboys: (Form)

Halogenated carboys: (Form)

Waste silica carboys: (Form)


Solvent Carboys for Drop Off

Non-halogenated carboys:

Halogenated carboys:

Waste silica carboys:


Chemicals for Pickup

If you have chemicals for pickup, please fill out your chemical inventory on the Surplus Chemicals Form and leave the completed form with the chemicals to be picked up.

Brief description of chemicals for pickup: (Limit 80 Characters)*


Please confirm that you will not label any of your items for disposal as "waste".

Confirm:**