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     SRM Home Page > Environmental Programs > Hazardous Materials Program > Work Request Form

Environmental Work Request Form

* Required Field
Name of Requester:*
Phone Number:*
Email:
Principal Investigator:
Building:*
Room Number:*

List Chemical / Biological Waste for Pickup (include name, quantity, size, and type of container):
Note: Each chemical container must have a Hazardous Waste Label with the FULL CHEMICAL NAME written on the label. 

List Any Supplies Needed: (click here for a list & images)

Mercury Exchange Request:
Please enter the quantity of exchange for each of the following thermometers (listed in degree Celsius):

-20 to 110 Partial Immersion (76mm)
-20 to 150 Partial Immersion (76mm)
-10 to 260 Partial Immersion (76mm)
-10 to 50 Partial Immersion (0.5 degree division)
-20 to 110 Total Immersion
-20 to 150 Total Immersion
-10 to 260 Total Immersion
-35 to 50 Total Immersion
Specialty Thermometers:

Red Alcohol-filled: Mounted in shatterproof plastic bottle filled with liquid to ensure accurate readings despite opening and closing of instrument door. Total Immersion, for use in:

Ultra-low Freezer (-90 to 20 degree Celcius)
Freezer (-30 to 0 degree Celcius)
Refrigerator (-5 to 15 degree Celcius)
Incubator (18 to 50 degree Celcius)
Oven (20 to 130 degree Celcius)


Blue Spirit-filled: Encased in 1.5mL microtube filled with mineral oil. Fit directly into dry bath incubator or block heater for critical temperature measurement. 35mm Partial Immersion (listed in degree Celsius):

18 to 60 (0.5 degree division)
50 to 110 (0.5 degree division)


Additional Notes:

 
 

Please allow up to three (3) days for us to fulfill your request.
Please call Mike Ling (404-463-9850) or Boone Brothers (404-651-4866) if you have any questions.
Thank you for your patience and cooperation.
 



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Comments? Questions? Peter Farina , Environmental Programs Manager


Environmental Programs pages maintained by: Office of Research Integrity
Contact: Brandon Smith (e-mail address: bjsmith@gsu.edu)

©2002 Georgia State University
University Plaza, Atlanta, Georgia 30303
(404) 651-1054
 

Last Modified Monday, 13 December 2004, 11:00*

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