Arkansas State University
Guest
Arkansas State University
Radiation Waste Pickup Request
Generator
Email Address
*
Required
Phone Number
*
Required
First Name
*
Required
Last Name
*
Required
Location
Campus-Wide Locations
Space-Specific Locations
Campus, Building, or Outdoor Area
More information
Floor or Area
Select a floor or area...
Additional Location Details
More information
Space
*
Required
Area
*
Required
Select an area…
Additional Location Details
More information
Container
1
Actions
Duplicate Container
Remove Container
Accumulation Started Date
Container Type
*
Required
Choose a container…
5 Gallon Bucket
Waste Glass Box
Custom Container
Container Type Description
*
Required
Container Contents
More information
Type
Percentage
Add Container Contents
Type
Percentage
Add Another Container
Submit Pickup Request
Container
0
Actions
Duplicate Container
Remove Container
Accumulation Started Date
Container Type
*
Required
Choose a container…
5 Gallon Bucket
Waste Glass Box
Custom Container
Container Type Description
*
Required
Container Contents
More information
Type
Percentage
Add Container Contents
Type
Percentage
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