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Radioactive Waste Pickup Request
This is the ONLY method to request a radioactive waste pickup.
Allow 1 week to schedule
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* Indicates required question
Email
*
Your email
Phone number for the above person
Your answer
Date
MM
/
DD
/
YYYY
Waste location (lab, building, room)
Your answer
Isotopes present (example H3, C14)
Your answer
Activity present? (in uCi, mCi)
Your answer
Approximate waste volume
Your answer
Waste container description (drum, carboy, bag)
Your answer
Waste is
dry
liquid
Other:
Clear selection
Waste contains "red bag" biohazards like sharps, needle or scalpels?
Yes
No
Clear selection
What chemical(s) is the radioactive waste mixed with?
Your answer
Which Liquid Scintillation Cocktail is used in the Liquid Scintillation Vials? (Include Manufacturer i.e Fisher Scientific Scintiverse BD)
*
Your answer
Other considerations we should know about
Your answer
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