Hazardous Waste Disposal Form

Youngstown State University

Chemical Management Center

 

Department:__________________________

Building/Room Number:__________________

Faculty Member:_______________________

Composition and Quantity:________________

___________________________________

(ex: 5% methanol/95% water)

 

Comments:___________________________

___________________________________

 

CMC USE ONLY

 

___________________________________

CMC Staff Receiving Waste

 

 

__________________________________________

Date

 

Hazardous Waste Disposal Form

Youngstown State University

Chemical Management Center

 

Department:__________________________

Building/Room Number:__________________

Faculty Member:_______________________

Composition and Quantity:________________

___________________________________

(ex: 5% methanol/95% water)

 

Comments:___________________________

___________________________________

 

CMC USE ONLY

 

___________________________________

CMC Staff Receiving Waste

 

 

__________________________________________

Date

 

Hazardous Waste Disposal Form

Youngstown State University

Chemical Management Center

 

Department:__________________________

Building/Room Number:__________________

Faculty Member:_______________________

Composition and Quantity:________________

___________________________________

(ex: 5% methanol/95% water)

 

Comments:___________________________

___________________________________

 

CMC USE ONLY

 

___________________________________

CMC Staff Receiving Waste

 

 

__________________________________________

Date

 

Hazardous Waste Disposal Form

Youngstown State University

Chemical Management Center

 

Department:__________________________

Building/Room Number:__________________

Faculty Member:_______________________

Composition and Quantity:________________

___________________________________

(ex: 5% methanol/95% water)

 

Comments:___________________________

___________________________________

 

CMC USE ONLY

 

_________________________________

CMC Staff Receiving Waste

 

 

__________________________________________

Date