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MU Home » Faculty, Staff, and Administration » Office of Environmental Health and Safety

Environmental Safety Request Form

Name:

Department:

Title:

Office Extension:

Office Number:

E-Mail:

Request Type:

Please Note: All label requests will be filled either in person or though inter-office mail. All Pickup Requests will be scheduled upon submission of this request. Please be sure to give our office a 3 day warning of an anticipated pickup.

Location of Delivery or Pickup:

Description of Waste for pickup (Include chemical name / amounts / container type):


Questions or Comments:


                       

 

 

 

  

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