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  • UV/X-ray Rapid Request Beam Time Form

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

    Note: Items with an * must be filled out

    *Program Title:

    *Principal Investigator:


    *Preferred Beam Time Period: from (Calendar) to (Calendar)

    Address Information

    PO Box:

    *Street Address 1:

    Street Address 2:

    *City: *State/Province: *Zip:




    *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).



    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:
    Note that a Material Safety Data Sheet (MSDS) must be provided to the safety officer for each sample and chemical that will be used in the 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):

    *Will any chemicals/samples be shipped back to yourself/home institution? (list which ones):
    Note that shipping can be expensive and you will be responsible for any fees accrued for shipping.

    *I verify that all personnel have completed, or will complete the SRC Radiation Safety Course prior to arrival at the SRC.
    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 and the safety officer."

    yes no N/A



    *Person submitting form: