URI Public Safety/Environmental Health and Safety

SURPLUS LAB EQUIPMENT DISPOSAL FORM (Hazardous Materials Screening Form)

e-mail completed form to

PRINCIPAL INVESTIGATOR: ______PHONE: ______DATE: ______

DEPARTMENT: ______LOCATION OF EQUIPMENT: ______

ROOM # AND BUILDING

ITEM / MANUFACTURER / MODEL # / SERIAL # / EHS Use Only
COMMENTS / EHS Use Only
HAZARDOUS MATERIALS / EHS Use Only
REMOVED BY
ITEM / MANUFACTURER / MODEL # / SERIAL # / EHS Use Only
COMMENTS / EHS Use Only
HAZARDOUS MATERIALS / EHS Use Only
REMOVED BY

1

HAZARDOUS MATERIALS MUST BE REMOVED FROM SURPLUS EQUIPMENT PRIOR TO DISPOSAL. TO HELP EHS IDENTIFY HAZARDOUS MATERIALS CORRECTLY AND EXPEDITE THE DISPOSAL PROCESS, PLEASE TYPE IN COMPLETE INFORMATION FOR EACH ITEM IN THE TABLE ABOVE. EHS WILL CONTACT THE MANUFACTURER. INCOMPLETE OR HAND WRITTEN LISTS WILL NOT BE PROCESSED. CALL CONNIE HEIRD AT 874-7019 IF YOU HAVE QUESTIONS.

REMOVE OIL FROM VACUUM PUMPS BEFORE SENDING OVER THE DISPOSAL REQUEST. DRAIN SPENT OIL INTO A CONTAINER WITH A SCREW CAP (NO BEVERAGE CONTAINERS, PLEASE!). LABEL THE CONTAINER “USED VACUUM PUMP OIL FOR RECYCLING,” AND SEND A FAX REQUEST FOR HAZARDOUS WASTE PICK-UP TO SRM. FORM IS AVAILABLE ONLINE AT http://web.uri.edu/ehs/hazardous_waste/

FREON, ANTIFREEZE AND REFRIGERATION OIL WILL BE REMOVED BY AN OUTSIDE VENDOR AFTER THE EQUIPMENT HAS BEEN REMOVED FROM THE SITE. CHECK THE SRM WEBSITE FOR A LIST OF HAZARDOUS MATERIALS FOUND IN COMMON LAB EQUIPMENT. WRITE A COLLEGE REQ TO Property Office THE CHARGE IS $35 PER UNIT. INCLUDE A COMPLETE DESCRIPTION AND THE SERIAL NUMBER OF EACH ITEM.

MERCURY IS PRESENT IN OLD COULTER COUNTERS AS WELL AS OTHER OLDER INSTRUMENTS. SRM WILL HAVE TRIUMVIRATE ENVIRONMENTAL REMOVE ALL MERCURY AS APPROPRIATE. MERCURY-CONTAINING LAMPS AND BULBS FROM FLUOROMETERS AND SPECTROPHOTOMETERS CAN BE RECYCLED. PACKAGE BULB IN A SMALL CARDBOARD BOX AND LABEL “MERCURY-CONTAINING BULB FOR RECYCLING.” SEND FAX REQUEST FOR PICK-UP TO EHS