Environmental Health & Safety
EH & S
TEL NO: (818) 677-2401
FAX NO: (818) 677-5853
MAIL DROP: 8284
Hazardous Waste Transfer Form
Preparer's Name:
Department:
Date:
Building / Room:
Chemical Name(s) of Constituents:
(IF UNAVAILABLE, A COMMON NAME OR DESCRIPTION)
%
State
(S,L,G)
No. of
Containers:
Qty:
Units:
Waste
Properties*:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
* Waste Properties:
Ignitable; Reactive (explosive, oxidizer); Toxic (poisonous, carcinogens); Corrosive (acids and bases); Compressed Gas