Radioactive Waste Pick-Up Form

Date  
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Item #1

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



Is Item 1 a Biohazard?  


Is Item 1 a Chemical Hazard?  


Item #2

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



Is Item 2 a Biohazard?


Is Item 2 a Chemical Hazard?


Item #3

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



Is Item 3 a Biohazard?


Is Item 3 a Chemical Hazard?


Item #4

Item 4 Is Item 4 a Solid, Liquid or Liquid Scintillation Vial? Please select one below.



Is Item 4 a Biohazard?


Is Item 4 a Chemical Hazard?


Item #5

Item 5 Is Item 5 a Solid, Liquid or Liquid Scintillation Vial? Please select one below.



Is Item 5 a Biohazard?


Is Item 5 a Chemical Hazard?


Department of Environmental Health And Safety

Main Office

1800 Arthur Street

Louisville, Kentucky 40208

Phone

tel (502) 852-6670

fax (502) 852-0880

Department of Environmental Health And Safety

Radiation Safety Office

319 Abraham Flexner Way

Louisville, Kentucky 40202

Phone

tel (502) 852-5231

fax (502) 852-8911

Office Hours

M-F 8:00 am to 4:30 pm

No holiday hours

IH Service Account

dehsih@louisville.edu

IBC Service Account

biosafe@louisville.edu