Biohazardous Waste Collection Request Biohazardous Waste Collection Request This form is to be used for Temple University Main Campus waste pick-up locations for packaged biohazardous waste.Step 1. Verify that all containers meet the following conditions:Biological waste boxes must be lined with an EHRS supplied red bag and the bag must be tied in a knot before taping shut. Biological waste boxes must be taped shut on all open edges before requesting a pickup.Sharps containers must be properly closed and must fit inside a biological waste box.Biological waste boxes must not weigh more than 45 pounds, be wet or leaking, or be otherwise breached.Each biological waste box must be labeled with an EHRS supplied sticker that includes the following information: Generator Name, Contents, Building, Date, and Room Number. Any boxes not in compliance with these conditions will NOT be picked up by EHRS until they are in compliance.Step 2. Contact/Location InformationPrincipal Investigator/Supervisor Name* First Last Department* Building* Where waste is locatedRoom/Lab #* Where waste is locatedLocation of Waste in Room/Lab* Where in the room/lab is the waste being stored (by the door, rear of lab, etc.).Contact Name* First Last Contact Phone*Contact E-mail Address* This e-mail address will receive a copy of the waste request upon submission.Comments/Collection Notes/Location of Waste Within Lab/RoomStep 3. SuppliesRequest Supplies Available from EHRS* 4.5 CF biological waste box with red liner 7.0 CF biological waste box with red liner EHRS biohazardous waste stickers Stericycle biohazardous waste stickers None Number of 4.5 CF boxes requested*Please enter a number from 1 to 20.Number of 7.0 CF boxes requested*Please enter a number from 1 to 20.Number of EHRS biohazardous waste stickers requested*Please enter a number from 1 to 5.Number of Stericycle biohazardous waste stickers requested*Please enter a number from 1 to 5.Step 4. Waste InformationProvide information about the biohazardous waste to be collected. You must request at least one container be picked up. Number of biological waste boxes to be picked up*Is refrigeration required?* Yes No I certify that the biohazardous waste noted above has been reviewed, is accurate, and is properly packaged and sealed.* Yes Environmental Health and Radiation Safety will only use the provided information to appropriately respond to your request. EHRS will not sell your information or use it for marketing purposes. Please contact us at 215-707-2520 or ehrs@temple.edu with any questions about how your information is used.