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SLAC National Accelerator Laboratory

VUV Beam Time Request Form

PROPOSAL INFORMATION
PROPOSAL NUMBER:
TITLE:

  NO BEAM TIME REQUESTED FOR THIS PERIOD 

SPOKESPERSON:
INSTITUTION:
CITIZENSHIP:
PHONE:
E-MAIL:
LEAD CONTACT:
E-MAIL:
LEAD PHONE::

BEAM LINE AND SHIFT REQUEST:

If requesting to run on more than one beamline, you must complete a separate form for each one. Please also list your realistic requirements for number of shifts.

Dates during this run period when you absolutely cannot accept time:

Other comments relevant to scheduling:

Beamline Requested:
 5-4 Ultra-high energy resolution photoemission, Angle resolved photoemission spectroscopy  
 8-1 Photoemission spectroscopy     
 8-2 X-ray absorption spectroscopy, near edge Photoemission spectroscopy
 10-1 X-ray absorption spectroscopy, near edge Photoemission spectroscopy 
 13-2 X-ray Absorption Spectroscopy 
 13-3 Soft X-ray Coherent Scattering
Number of 8-Hour Shifts Requested:  Optimal        Minimal
Chamber to be used:
Describe chamber you are using:

Drawings and an operating procedure are required for all vacuum chambers. Do you have any new/ modified equipment to be reviewed by SSRL (e.g. new chambers, differential pumping, thin windows, etc)? Please contact Dan Brehmer for assistance.

Please list new/modified systems:


SAFETY CONCERNS

CHEMICAL USE? yes no
If yes, list substances (separate by comma) and complete a hazard form(s) for each substance.
Substance(s)
Common Name(s)
Chemical Formula(s)
Total Amount(s)
Form
(solid, liquid,
gas, powder)
NANOSCALE MATERIALS USE? yes no
If yes, will there be open manipulation of nanoscale material samples at SSRL? yes no
If no, how are the samples contained?
If yes, a safety plan must be submitted to the SSRL Safety Office for approval. See CDC/NIOSH website for guidance. http: //www.cdc.gov/niosh/topics/nanotech/safenano/


BIOHAZARDOUS MATERIALS USE? yes no
If yes, what type and what is the materials NIH classification?


HUMAN OR ANIMAL SUBJECT USE? yes no
If yes, what type?
*Please contact SSRL Safety Office for further guidance.


RADIOACTIVE MATERIALS USE? yes no
If yes, what is the materials specific activity?

*Radioactive substances may not be brought directly to SSRL. They first must be shipped or taken to Operational Health Physics, Bldg. 24, MS 84, 2575 Sand Hill Rd., Menlo Park, CA 94025; please contact Carol Morris at 650-926-3023 or Jim Allen at 650-926-4064.


LASER USE    yes   no

If yes, please fill out all of the fields in this section.

ANSI classification
Wavelength
Total Power
Laser hazard controls you will apply.


HAZARDOUS EQUIPMENT/ELECTRICAL EQUIPMENT?    yes No

If yes, describe any hazardous/electrical equipment you will be bringing to SSRL. Indicate if it is a commercial product and if it has been altered in any way.


Electrical equipment brought with you for use at SSRL must be certified by a Nationally Recognized Testing Laboratory. If your equipment is not certified, please contact the SSRL Safety Office for guidance on obtaining certification for your equipment under SLAC's Electrical Equipment Inspection Program (EEIP).

Is any significant deviation from the experiment described in your proposal planned? If so, Please use the space provided below to detail these changes.





2575 Sand Hill Road, MS: 99, Menlo Park, California, 94025, USA Tel: 650-926-4000 | Fax: 650-926-4100