SEAWATER RESEARCH LABORATORY
Seawater Laboratory Usage Request Form
Submitter:
Name
Email:
Principal Investigator(s):
Project Description:
Proposed Start Date:
Proposed End Date:
Affiliation:
VIMS
ODU
VA TECH
Other VA University
VA Government
Other US University
US Government
Foreign University
Private Industry
Other
Department:
EAAH
Biology
Fisheries
Phys Sci
RAS
Sea Grant
Other
Banner Index:
(Banner Index only Required if for VIMS Affiliation)
Special Considerations:
BSL-2
BSL-3
Toxic
Carcino
Radioisotopes
Rec DNA
Water Source(s):
Filtered River Water
Unfiltered River Water
Seawater
Domestic Fresh Water
RO or DI Water
More than one of the above.
NA
To pick several options, hold down
the Ctrl key while clicking on the desired options,
or pick "More than one ofthe above" from the list of options.
Water Flow Rate or Volume:
Gallons
gpm
L/min
Liters
Funding:
Has funding for this project been approved?
Yes
No
NA
Pending
Permits:
Is IACUC approval required for this project?
Yes
No
If yes, has approval been received?
Yes
No
Pending
NA
Are any other permits required?
Yes
No
Temperature Control Requirements:
Lighting Requirements:
On/Off Only
Dusk/Dawn Sim
Always On
Always Off
NA
Special Wavelength or Intensity:
Design Assistance:
Yes
No
Some
Don't Know
NA
Request for SRL Monitoring System (additional fees may be applied):
Temp:
DO:
Sal:
Light:
Video:
Water:
Air:
Other:
Access:
After Hours Access:
Yes
No
Occasionally
NA
Alarm:
Yes
No
NA
Alarm Contact Person:
Additional Authorized Users:
