Rapid Response Beamtime Request Form

(This form may be submitted at any time during the year)

Note: Items with an * must be filled out

*Program Title:

*Principal Investigator:

*Beamline/Monochromator:

*Preferred Beamtime Period:

Address Information

PO Box:

*Street Address 1:

Street Address 2:

*City: *State/Province: *Zip:

*Country:

*Phone:

Fax:

*E-mail (of P.I.):

*Give a brief description of the program:

Experimental Requirements and Equipment

End Stations Requested:

CMA photoemission system (CMA).

Scienta analyzer photoemission system.

Infrared microscope.

Spin polarized photoemission system (SPC).

Magnetic dichroism chamber (MCD).

X-ray absorption chamber (XAB).

None.

 

List any other equipment that is needed from SRC, shared with other Users, or used in collaboration with a PRT that needs to be considered during scheduling:

 

*Other Participating Experimenters (please note new users):

*Email Addresses of All Participating Experimenters:

*List of samples and chemicals used or brought for your experiment:

*List of equipment that may produce safety hazards (lasers, x-ray sources, high-energy electron guns, etc.):

*Method of handling and disposing of samples and chemicals (use additional sheets and drawings if necessary):

*I verify that all personnel have completed, or will complete the SRC Radiation Safety Course prior to arrival at the SRC. Radiation dosimeters can not be issued until this course is completed.
Please note: You only need to complete this course one time.
yes no

*"I have discussed all hazards, potential hazards and risks that exist or may exist with this experiment, along with the proper methods of handling any hazardous materials and using any and all hazardous equipment involved in our experiments at SRC with all participating experimenters."

yes no N/A

 

Comments

*Person submitting form: