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.
- Email, fax, or mail the completed form to the Office of Environment, Health & Safety.
FAX number: 643-7595
Campus Address: EH&S, Banway Building, 2111 Bancroft Way, 4th Floor, MC 1150
Questions about this form or your recharge account?
If you have any questions, please contact the Recharge Administrator at 642-3073 or e-mail at email@example.com.