University of Saskatchewan
Workplace Safety & Environmental Protection
Waste Management Facility
FAX : 966-6146
Disposal Questions:966-8497
wsep@usask.ca

   "Please print this form, complete necessary fields, and fax to the Waste Management Facility at 966-6146."

HAZARDOUS WASTE DISPOSAL FORM

     PLEASE PRINT
Date: _____________________________ WASTE SHIPMENT NO: (**Assign number using Print Form button**)
Department: ________________________ Number of packages in this shipment:________
Building & Room: ____________________ Contact Name:___________________________
Pick Up Location: ____________________
(if other than above) 		Email Address:___________________________
___________________________________ Telephone:_______________________________

Waste Description & Container Type*
*State type of container such as glass, metal, plastic, etc.
Chemical Waste in Biohazardous Waste Bags Cannot Be Accepted. 		Percentage
Must=100% 		No. Of Containers Total Quantity
L/KG 		Pkg No.

























































































































Please use the "Print Form" button to ensure a waste shipment number is assigned. Each shipment must have a unique shipment number. If you need mulitple forms for a single shipment, please ensure only one shipment number is assigned by photocopying the original form. Exit and re-enter this page each time a new shipment number is required.