Biohazardous Waste Pickup Request form

To:*
From:*
PI:*
Email Address:*
Phone*
Waste Pickup Location (Building & Room Number)*
TYPE OF BIOHAZARDOUS WASTE (use dropdown menu to indicate number of boxes/totes) Note that there will no longer be WHITE boxes for Pathological Waste. Use BROWN boxes and affix an “Incinerate only/Path Waste” sticker to the box:
Biohazardous Waste – Number of BROWN boxes
Pathological Waste – Number of BROWN Boxes with "Incinerate only/Path Waste" Stickers
Recyclable Plastic Waste – Number of RED totes
SUPPLIES NEEDED (use dropdown menu to indicate quantity needed):
Supplies: Brown Biohazardous Waste Boxes
Supplies: Pathological/Incinerate Only Roll of Stickers
Supplies: Red Totes for Recyclable Plastic Waste
Supplies: Rolls of Tape
Supplies: Red Bags
Additional comments or other supplies needed
NOTE: STARTING IN MAY 2023, BIOWASTE PICKUPS WILL OCCUR ON WEDNESDAYS INSTEAD OF TUESDAYS. CHECK THE CALENDAR ON THE EH&S MAIN PAGE FOR UPDATES
Name
This field is for validation purposes and should be left unchanged.