WASHINGTON UNIVERSITY SCHOOL OF MEDICINE

ENVIRONMENTAL HEALTH & SAFETY



On-Line Equipment Request For Pick-Up


ATTENTION:
*Contaminated (chemical, radioactive and infectious) equipment will not be accepted.
*It is the responsibility of each department to have the hard drive of their computer "wiped clean" before disposal.
*After sending the request to EH&S, please print and attach this form to all pieces of equipment that need to be removed. EH&S staff will not pick up any equipment unless a form is attached.


Request Date: 11/23/2009 06:00:08 AM

First Name:
Last Name:
Email Address:
Department:
Division Name:
Work Phone:
Building:
Room Number:


Equipment Disposal Guidelines


Equipment Description
Number of Pieces

Comments:


Request may take up to four (4) weeks for pick-up. This is a free service, however, EH&S does not have the resources to accommodate disposal of equipment that is heavier than 750 pounds or greater than 6 feet in any direction. It is the responsibility of your department to hire commercial vendors to facilitate removal and disposal of equipment that EH&S cannot accept.

Additional information: The St. Louis city fire code does not allow storage of electronic equipment in corridors on the Washington University School of Medicine campus. Departments are responsible for compliance with storage requirements until EH&S removes the equipment.

By submitting this form you certify that these materials are not contaminated with chemical, radioactive or infectious materials.







FACILITY INFORMATION:
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE, ENVIRONMENTAL HEALTH & SAFETY
CAMPUS BOX 8229
660 SOUTH EUCLID AVENUE,
ST. LOUIS, MO 63110-1093
EPA# MOT300010857
MDNR 01591
Phone: (314) 362-6816 or (314) 362-1028
Fax: (314) 362-1095