Chemical Waste Pickup Request

PLEASE READ BEFORE FILLING OUT FORM:

Allow 4 days for waste to be picked up.
Container Contents need to equal 100%
If you are unsure about the hazard category of the chemical, please contact EH&S (ehs@chapman.edu)

For other inquires, please contact EHS.

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