Regulated Waste Pick-Up Request

First Name

Last Name

Phone

RPI Office Phone Number (Format: XXX-XXX-XXXX)

RPI Email Only

Building name

Building where waste is located

Room number

Room number where waste is located

Exact location of waste within room

What type(s) of waste needs to be disposed of? (select all that apply)

Chemical

Biological

Glass

Universal

i.e. Batteries, bulbs, ballasts, mercury containing equipment, etc.

Other

i.e. Paint, stain, polyurethane, etc..