Light Tube and Ballast Pickup Request Form

For use by University Park locations.  Commonwealth Campus locations should contact their EHS Coordinator.

Contact Information
Pickup Information
Work Unit

HAVE ALL BOXES AND DRUMS BEEN PROPERLY LABELED?

"Universal Waste Lamps", Building, Start Date
"PCB Ballasts", Building, Start Date
"Non-PCB Ballasts", Building, Start Date

Dispsal Information
Enter the number of boxes or drums for disposal
Supply Request
Enter the number of empty boxes or drums for delivery
Please indicate if your location is secured and needs advance notice for pickup or supply delivery to occur.

For use by University Park locations.  Commonwealth Campus locations should contact their EHS Coordinator.