Please fill out all information requested below. Date: * Building and room number: * Exact location (fume hood, storage cabinet, etc): * Container Specifications Number of containers: * Type of material (solid, liquid, etc.) : * Amount of material (please also specify units, such as gallons, ounces, pounds, etc) * Is the material radioactive? * Yes No Type of containers (metal, glass, plastic, etc.) : * Are the containers identified with a Rensselaer waste label? * Yes No Contact person for laboratory/area Full name: * Phone number: * E-mail address: * Individual responsible for laboratory/area Full name: * Phone number: * E-mail address: * Comments / additional information: Generate a new captcha What code is in the image? * Enter the characters shown in the image.