Pima Community College
Guest
Pima Community College
E Waste Pickup Request
Requester Info
Email Address
*
Required
Phone Number
*
Required
First Name
*
Required
Last Name
*
Required
Location
Campus-Wide Locations
Name
*
Required
Floor or Area
*
Required
Additional Location Details
More information
Container
1
Actions
Duplicate Container
Remove Container
Populate from Hazwaste Container Template
Choose a template…
E Waste Bin DO IT
E Waste Bin Information Technology (Any Location)
Container Type
*
Required
Choose a container…
Large HazWaste Bin
Custom Container
Container Type Description
*
Required
Container Contents
More information
Type
Percentage
Add Container Contents
Type
Percentage
How many bins are we picking up?
*
Required
Add Another Container
Submit Pickup Request
Container
0
Actions
Duplicate Container
Remove Container
Populate from Hazwaste Container Template
Choose a template…
E Waste Bin DO IT
E Waste Bin Information Technology (Any Location)
Container Type
*
Required
Choose a container…
Large HazWaste Bin
Custom Container
Container Type Description
*
Required
Container Contents
More information
Type
Percentage
Add Container Contents
Type
Percentage
How many bins are we picking up?
*
Required
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