UC Irvine Radioactive Waste Collection Request

  • This form should be completed to request pick-up of Radioactive Waste.
  • Complete all Waste Generator Information fields and press the Next button.
  • To request radioactive waste containers or labels, please contact Rocky Dendo at 4-6200.
  • Radioactive waste will be collected within one week of the on-line request date.

Waste Generator Information:
*required fields
*Name: (first) (last)
*Phone:
*Principal Investigator: (first) (last)
RUA#:
*Department:
*Building:
*Room:
*Account: *Fund:
E-Mail:

Item Information:
* Number of Containers:
* Weight/volume:
* Units:
* Isotope
* Activity (mCi)
* Isotope
* Activity (mCi)
3H
111In
14C
33P
57Co
51Cr
35S
59Fe
32P
125I
22Na
Other Isotope: Activitiy:
* Waste Type:

Dry Solids
Liquid
Sharps
Scintillation Cocktail (Vials)
Carcass

For Liquid Waste Only *Constituents
(Use complete names ONLY.
No formulas, abbreviations)
(For "trace" enter the concentration)
*Percentage
(For "trace", please enter 0)
(Do not use a % symbol)
1.
%
2.
%
3.
%
4.
%
5.
%
Total
   
Additional Information: