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.
For BL5, indicate the first undulator needed (select
one): and starting Gap:
Indicate grating needed:
BL8-1: 2881/mm 8221/mm
24001/mm
BL8-2: 2001/mm 5001/mm
11001/mm
BL10-1: 6001/mm 10001/mm
Indicate the quantity of each needed:
V-F Channels
High
Voltage PS
Battery
Box
Current Amp.
Turbo
Pump Cart - Do you need this item before your beam time starts?
Yes No
Roughing
Pump - Do you need this item before your beam time starts? Yes No
Bakeout
Rack - Do you need this item before your beam time starts? Yes No
Chiller
- Do you need this item before your beam time starts? Yes No
Check all below that the experimental chamber you are using
requires.
Thin
Windows
Differential Pumping
Turbo or cryopumps while vacuum system is open to beam line
If any of the above are checked, submit a schematic of the
proposed interlock system and/or procedures to be followed to
jackie@slac.stanford.edu
and reference this proposal number.
Ultracentrifuge
Stereomicroscope
Spectrophotometer
Fume
Hood
Glove Box (SMB) Ultrapure
Water Bench
Space Cold
Room Anaerobic Chamber (MEIS)
Other:
Please be sure to indicate which members of your group will need
access to one of
our Sample Preparation Laboratories by clicking on the checkbox in the
collaborator section above.
What software will you use: XAScollect SUPER
Own
Do you need training on this software? YES, provide specifics below NO
Note: Access to the SSRL internal network is no longer allowed. However, we
have provided several red 10baseT cables at each beam line for users who need
an internet connection. By attaching a computer to one of these red cables,
users will automatically be assigned a temporary IP address (requires that your
PC be configured for DHCP). If you have any questions or need assistance,
please send an email to : M$network@ssrl.slac.stanfrod.edu or contact Hector
Prado at 650-926-4697.
Do you intend to attach a computer to the network?
YES (answer
question below) NO
Do you need help in configuring your computer? YES NO
Note: If you get the message "Error: Blank Fields" upon submittal of
this form, click the back button on your browser rather than the Fill Out Form
link to modify data entry instead of starting over.
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