TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
DEPARTMENT OF SAFETY SERVICES: ENVIRONMENTAL SAFETY
REQUEST FOR TRANSFER OF CHEMICALS
Requestor:
Department:
Building/Room:
Phone:
Date:
3/13/2010
Time:
4:41:25 PM
Region:
Lubbock
Amarillo
El Paso
Odessa
What is 7 + 6?
(safe question)
Chemical Description
Common Name
CAS Number
Chemical Form
liquid,powder,etc.
Container Type
glass,plastic,etc.
Number of
Containers
Hazard Characteristcs
flammable,corrosive,reactive,toxic
Comments:
Note: All containers must be capped/sealed and
LABELLED
or they will not be picked up.
Submit additional form if you have more than 7 chemicals to transfer.