Radioactive Waste Removal Request

At a minimum each bag/container must be labeled with:

  1. The radiation trifoil and the words "Caution Radioactive Material"
  2. Serialized rad waste accountability No. (provided by the Radiation Safety Office)
  3. The isotope(s)
  4. Activity in millicuries for each isotope and/or dose rate @ 1 inch.
  5. Waste form *(you may print this form from your browser; print befor you submit)

Package all dry waste in heavy yellow bags (provided by the Radiation Safety Office).

Place all bulk liquid waste in jerricans; keep organic and aqueous liquids in separate cans.

Please provide the following contact information:

Name of Authorized Investigator:
Rad material license No:
Email address of individual requesting pick-up

Container ID #

(bag or jerrican)

Isotope

Waste form

Activity

(in milliCuries per container)

Please check one of the following statements:

This waste contains: No RCRA (hazardous) Waste The following RCRA Waste: