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Waste Disposal - Radioactive Waste Pick-Up Form

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for example--schugh01@louisville.edu
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Is Item 1 a Solid, Liquid or Liquid Scintillation Vial? Please select one below.



If Item 1 is a solid, how many lbs. need to be picked up?
If Item 1 is a liquid, what is the amount that needs to be picked up? (ml)
If Item 1 contains Liquid Scintillation Vials, please enter the number of vials that need to be picked up?
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Is Item 1 a biohazard?


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Is Item 1 a chemical hazard?


Is Item 2 a Solid, Liquid or Liquid Scintillation Vial? Please select one below.



If Item 2 is a solid, how many lbs. need to be picked up?
If Item 2 is a liquid, what is the amount that needs to be picked up? (ml)
If Item 2 contains Liquid Scintillation Vials, please enter the number of vials that need to be picked up?
Is Item 2 a biohazard?


Is Item 2 a chemical hazard?


Is Item 3 a Solid, Liquid or Liquid Scintillation Vial? Please select one below.



If Item 3 is a solid, how many lbs. need to be picked up?
If Item 3 is a liquid, what is the amount that needs to be picked up? (ml)
If Item 3 contains Liquid Scintillation Vials, please enter the number of vials that need to be picked up?
Is Item 1 a biohazard?


Is Item 3 a chemical hazard?


Is Item 1 a Solid, Liquid or Liquid Scintillation Vial? Please select one below.



If Item 4 is a solid, how many lbs. need to be picked up?
If Item 4 is a liquid, what is the amount that needs to be picked up? (ml)
If Item 1 contains Liquid Scintillation Vials, please enter the number of vials that need to be picked up?
Is Item 4 a biohazard?


Is Item 4 a chemical hazard?


Is Item 2 a Solid, Liquid or Liquid Scintillation Vial? Please select one below.



If Item 5 is a solid, how many lbs. need to be picked up?
If Item 5 is a liquid, what is the amount that needs to be picked up? (ml)
If Item 5 contains Liquid Scintillation Vials, please enter the number of vials that need to be picked up?
Is Item 5 a biohazard?


Is Item 5 a chemical hazard?


If you need containers, please indicate in this box.
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