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Bio-hazardous Waste Collection Request Form
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Health Sciences Instructional Support
Lab Services
Biowaste Collection
Bio-hazardous Waste Collection Request Form
Set up an account by filling out the Biohazardous/Regulated Waste form below. Please contact Waste Management at 1-855-427-1999 or
HealthcareWasteNW@wm.com
or Laboratory Services at 206-543-8869 or
biowaste@uw.edu
with any questions.
I have completed the required training per DOT requirements.
*
More info on the training course
“Shipping Regulated Medical/Biohazardous Waste by Contracted Carrier”
offered by EH&S.
Yes
No
Describe in detail your biohazardous waste stream (materials, quantity/volume, other). Be as descriptive as possible.
*
Container Size
*
View containers here
17 gallon tub
31 gallon tub
43 gallon tub
30 gallon box
23 gallon box
Name of Operation/Facility/Lab
*
Budget Number
*
Building Name and Address
*
Room/Suite Number
*
Department
*
PI Name
*
First
Last
PI Phone
*
PI Email
*
Requestor Name (if different)
First
Last
Billing Contact
*
Same as PI
Different
Billing Contact Name
*
First
Last
Billing Contact Phone
*
Billing Contact Email
*
Hours of Operation
*
Pickup Schedule
*
Weekly
Every 2 Weeks
Monthly
On Call
Delivery Instructions
Home
Biowaste Collection
Bio-hazardous Waste Collection Request Form
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