University of Mississippi
Guest
University of Mississippi
Hazardous Materials Transportation Details
Requester Info
Email Address
*
Required
Phone Number
*
Required
First Name
*
Required
Last Name
*
Required
Location
Campus-Wide Locations
Saved Locations
Name
*
Required
Floor or Area
Additional Location Details
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Container
1
Actions
Duplicate Container
Remove Container
Accumulation Started Date
Container Type Description
*
Required
Container Contents
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Type
Percentage
Add Container Contents
Type
Percentage
Date needed
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Return Authorization #
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Special Instructions
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Original Outer Packaging?
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Yes
No
Original Outer Packaging Reused?
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Yes
No
N/A
University Account # for replacement packaging?
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Account charged for replacement packaging?
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Yes
No
N/A
Original Shipping Papers?
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Yes
No
N/A
SDS for this material?
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Yes
No
N/A
Preferred shipper?
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Shipper Account Number?
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Hazard Identification
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Corrosive
Dangerous When Wet
Explosive
Flammable Gas
Flammable Liquid
Flammable Solid
Infectious Substance
Non-Flammable Gas
Organic Peroxide
Oxidizer
Poison
Poison Gas
Poison Inhalation Hazard
Radioactive
Spontaneously Combustible
Other, (Dry Ice, Biological, etc)
Add Another Container
Submit Pickup Request
Container
0
Actions
Duplicate Container
Remove Container
Accumulation Started Date
Container Type Description
*
Required
Container Contents
More information
Type
Percentage
Add Container Contents
Type
Percentage
Date needed
More information
Return Authorization #
More information
Special Instructions
More information
Original Outer Packaging?
More information
Yes
No
Original Outer Packaging Reused?
More information
Yes
No
N/A
University Account # for replacement packaging?
More information
Account charged for replacement packaging?
More information
Yes
No
N/A
Original Shipping Papers?
More information
Yes
No
N/A
SDS for this material?
More information
Yes
No
N/A
Preferred shipper?
More information
Shipper Account Number?
More information
Hazard Identification
More information
Corrosive
Dangerous When Wet
Explosive
Flammable Gas
Flammable Liquid
Flammable Solid
Infectious Substance
Non-Flammable Gas
Organic Peroxide
Oxidizer
Poison
Poison Gas
Poison Inhalation Hazard
Radioactive
Spontaneously Combustible
Other, (Dry Ice, Biological, etc)
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