CeNaC Instrument Reservation Request Form
University of Puerto Rico-Mayagüez
Center for Nanostructure Characterization (CeNaC)

Instrument availability in our website calendar will not guarantee the request will be accepted.  All requests will be evaluated upon arrival.  You will receive an email with the response within two (2) laboral days.  If your request is accepted, you must verify that the instrument has been reserved with your emailed confirmation number on the CeNaC website calendar and you must bring the SDS of all the samples the day of the experiment. For best service, samples should have to be received at least one day prior to the reservation date. Requestor must have to be present during data adquisition of its samples.
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Requestor Name *
University or Company Name *
Department *
Biology, Chemistry, Physics, Chemical Engineering, etc.
Title/Position *
Phone *
Email *
Principal Investigator (PI) Name *
PI Phone *
PI Email *
Billing Program
Billing Account No.
Project Name
Total No. of Samples *
Date and Hour Requested *
Verify instrument calendar in our website if your selection is available.
MM
/
DD
/
YYYY
Time
:
Sample #1 Name/ID *
Sample #1 Grid Box ID and Sample Position *
Sample #1 Description *
Sample #1 Technique of Analysis *
Required
Sample #1 Special Instructions for Analysis *
Experiment order, specific parameters, searching for nanoparticles form, shape, atomic resolution, material elements, etc.
Sample #1 Special Handling *
Sample #1 Safety Concerns *
Radioactive, Carcinogenic, Toxic, Flammable, etc.
Sample #1 Experiment Justification *
Experiment reason: research (PI, article, undergrad, MS, Ph.D student, commercial, etc)
Sample #2 Name/ID
Sample #2 Grid Box ID and Sample Position
Sample #2 Description
Sample #2 Technique of Analysis
Sample #2 Special Instructions for Analysis
Experiment order, specific parameters, searching for nanoparticles form, shape, atomic resolution, material elements, etc.
Sample #2 Special Handling
Sample #2 Safety Concerns
Radioactive, Carcinogenic, Toxic, Flammable, etc.
Sample #2 Experiment Justification
Experiment reason: research (PI, article, undergrad, MS, Ph.D student, commercial, etc)
Sample #3 Name/ID
Sample #3 Grid Box ID and Sample Position
Sample #3 Description
Sample #3 Technique of Analysis
Sample #3 Special Instructions for Analysis
Experiment order, specific parameters, searching for nanoparticles form, shape, atomic resolution, material elements, etc.
Sample #3 Special Handling
Sample #3 Safety Concerns
Radioactive, Carcinogenic, Toxic, Flammable, etc.
Sample #3 Experiment Justification
Experiment reason: research (PI, article, undergrad, MS, Ph.D student, commercial, etc)
Sample #4 Name/ID
Sample #4 Grid Box ID and Sample Position
Sample #4 Description
Sample #4 Technique of Analysis
Sample #4 Special Instructions for Analysis
Experiment order, specific parameters, searching for nanoparticles form, shape, atomic resolution, material elements, etc.
Sample #4 Special Handling
Sample #4 Safety Concerns
Radioactive, Carcinogenic, Toxic, Flammable, etc.
Sample #4 Experiment Justification
Experiment reason: research (PI, article, undergrad, MS, Ph.D student, commercial, etc)
Sample #5 Name/ID
Sample #5 Grid Box ID and Sample Position
Sample #5 Description
Sample #5 Technique of Analysis
Sample #5 Special Instructions for Analysis
Experiment order, specific parameters, searching for nanoparticles form, shape, atomic resolution, material elements, etc.
Sample #5 Special Handling
Sample #5 Safety Concerns
Radioactive, Carcinogenic, Toxic, Flammable, etc.
Sample #5 Experiment Justification
Experiment reason: research (PI, article, undergrad, MS, Ph.D student, commercial, etc)
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