Lab Label Online Request Form


Shaded boxes must be completed in order for your request to be processed.

 Your Name

 Phone

 PI Name

Building

 Room # 

 FAX

 Department

 E-mail

 

Note:   Please fill the comments field with reasons for requesting the specified Label. (200 Characters Maximum)

1. Radiation Area

Requirement : Quantity : Comments :


2. High Radiation Area

Requirement : Quantity : Comments :

 

3. Radioactive Materials

Requirement : Quantity : Comments :

 

4. Biohazard

Requirement : Quantity : Comments :

 

5. High Voltage

Requirement : Quantity : Comments :

 

6. Electric Hazard

Requirement : Quantity : Comments :

 

7. Cancer Hazard

Requirement : Quantity : Comments :

 

8. Biosafety Level 2

Requirement : Quantity : Comments :

 

9. Biosafety Level 3

Requirement : Quantity : Comments :

 

10. Hazardous Chemical/Cancer Suspect Agent

Requirement : Quantity : Comments :

 

11. Laser Radiation

Requirement : Quantity : Comments :

 

12. Toxic Chemicals

Requirement : Quantity : Comments :

 

13. Microwave Radiation

Requirement : Quantity : Comments :

 

14. ELF/EMF Hazard

Requirement : Quantity : Comments :

 

15. Ultraviolet Light

Requirement : Quantity : Comments :

 

16. Protective Clothing Required

Requirement : Quantity : Comments :

 

17. Corossive Materials

Requirement : Quantity : Comments :

 

18. Flammable Materials

Requirement : Quantity : Comments :

 

19. Chemical Storage Area

Requirement : Quantity : Comments :

 

20. Hearing Protection Required

Requirement : Quantity : Comments :

 

21. Restricted Area

Requirement : Quantity : Comments :