Chemical Waste Recharge Authorization Form


This form authorizes EH&S to recharge the account specified below whenever a department representative signs a Materials Packing List (MPL), or whenever a Hazardous Materials Management Team member completes and signs an MPL for routine bulk material pick-ups (i.e., oil, photographic waste,etc.). To establish your Chemical Waste Disposal Account, complete this form, obtain an authorized signature, and send the form to:

EH&S, Hazardous Materials Management Team, 317 University Hall, MC 1150 ; or fax it to (510) 643-7595; or email to

Office of Environment, Health & Safety
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