Request for Rad Waste Pickup

Name:
E-mail:
Lab:
Type of Waste:
Waste Inventory:  

  Name:

  Date:

Activity of each item placed in the container:
Isotopes:
Chemical Composition: 
     

Radiation Safety Office - Pinanski Hall, One University Ave., Lowell, MA 01854
Phone: 978-934-3372 Fax: 978-934-4038 Contact Us