UCR

Environmental Health & Safety



Laboratory/Equipment Move Form


This form is to notify EH&S of the intent to move a laboratory or equipment.  

By completing this form, EH&S will be able expedite and simplify the move process.

 

Please complete this form to the best of your ability. EH&S will respond within two (2) business days.

 

 

  1. Today's Date


  2. Reason for Request


  3. Point of Contact Name


  4. Point of Contact Phone #


  5. Point of Contact email


  6. Anticipated Move In/Out Date


  7. Department(s)


  8. Building


  9. Room(s)


  10. Responsible PI (if known)


  11. This lab contains (check all that apply):
     Chemicals
     Heated perchloric acid over 70%
     Radioactive material
     Radiation-producing machine(s)
     Lasers
     Biological Material(s)
     Controlled Substances

  12. Additional Information


 

For assistance with this form, please contact us by email or phone (951) 827-5528.

 


More Information

General Campus Information

University of California, Riverside
900 University Ave.
Riverside, CA 92521
Tel: (951) 827-1012

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Environmental Health & Safety

Environmental Health & Safety
Environmental Health & Safety

Tel: (951) 827-5528
Fax: (951) 827-5122
E-mail: ehs@ucr.edu

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