Waste Solvents, Chemicals and Hazardous Waste
Collection Booking Form
Section A: About you
Your name
Your department
Your phone
number
Your e-mail
address
Section B: Location of the waste
Building
Room
Full address (inc
postcode)
Premise code*
* If you do not know the premise code the Environment Officer will complete this section.
Section C: Waste solvents
Please indicate how many of the following drums require collection
205 litre drums
Number
25 litre drums
Halogenated solvent
Halogenated solvent
Non halogenated solvent
Non halogenated solvent
Mixed solvents
Mixed solvents
Oils
Oils
Number
Section D: Replacement drums
Please indicate how many replacement drums are required
205 litre drums
25 litre drums
Section E: Waste chemicals and other hazardous materials
Yes
Do you require the waste to be catalogued?
Go to section E.2
Section E.2: Waste Chemicals
If you require a chemist to catalogue the waste
chemicals please estimate the number of
containers that need cataloguing.
Booking collections of waste chemicals and solvents and other hazardous waste
Sept 2012
No
Go to section E.3
Section E.3: Waste Chemicals and other hazardous materials
Please list using the waste using the table below
Description
Liquid or solid
Volume or weight
** Hazardous waste must be grouped and packed in the following groups for transport;
Toxic / low hazard, oxidising, flammable, mercury or corrosive.
Booking collections of waste chemicals and solvents and other hazardous waste
Sept 2012
Packing Group**