Hazardous Waste Pickup Form
Please provide the following information:
Faculty Name
Campus Phone
E-mail
Building (Waste is located)
Room Number (Waste is located)
Location of Containers in Room
Container ID#s (Found on Tag)
Are the Hazardous Waste tags and logs complete?
Yes
No
Please Note: Hazardous waste tags and logs must be completed in accordance with Kutztown University's Hazardous Waste Management Policy & Procedures