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Wed, Jun 19, 2013
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UAMS Chemical Materials Pickup Request

This form is for requesting pick-up of Chemical Materials only.

Do not use this form for pick-up of Radioactive Materials or Biohazardous Materials.

For additional information about our Chemical Disposal Services click here.

Person who generated the materials:       Phone:
First Name authorizing pickup: Last Name authorizing pickup:
Phone: Email Address:
UAMS ID Badge Barcode # or SAP ID # of person authorizing pickup:
The Badge ID # is located beneath the barcode on your UAMS ID Badge.
Your SAP ID # is found in the upper right hand corner of your UAMS ID.
Your First Name and Last Name must match the name listed for you in SAP.
Fund:
Cost Center:   OR
WBS Element:
Dept Business Officer:
NOTE: We cannot accept Federal Grant funds (211-219) per UAMS Policy 8.3.17.
Please do not remove materials from area where they were generated. Be sure that each item is packaged and labeled clearly. If you do not know the chemical composition of an item you must identify it at least qualitatively. It is against State and Federal Law for Occupational Health and Safety to accept unknowns into the Hazardous Materials/Waste Management Program. By law, it is the responsibility of the generator to identify materials they generate. Please contact Occupational Health and Safety for any needed help in this regard.
Building:
Room Number:

University of Arkansas for Medical Sciences
Occupational Health & Safety
, Slot 617
Central Building, Ground Floor, Room # G154
4301 W. Markham St., Little Rock, AR 72205

Office, Call 501-686-5536
Fax 501-296-1339
Business Hours 8:00 am - 4:30 pm, Monday - Friday


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