Rutgers, The State University of New Jersey

Request For Radioactive Waste Disposal

Instructions for Completing Form

*  Note:  Required fields are denoted with a red asterick.


*Name:
*E-Mail:

Authoree No *Authoree Name *Building Name/No *Room No *Ticket No *Isotope *Waste Type *Container Type *Volume *Units

*If you specified an other isotope, then please give the isotope here  

Do you need a supply of Radioactive Waste Disposal Forms(yellow cards)?
Yes
No

Comments:

     

For more information, contact webmaster Last Updated: 01/25/2004
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