UCI Chemistry - Supplies Request Form
The Chemistry Department has a limited supply of disposable masks, IPA, and nitrile gloves. Please complete this form to request deliveries as needed. Contactless deliveries will be made to labs as soon as possible.

Questions can be sent to Melanie Nguyen at mmnguyen@uci.edu.
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Email *
Last Name *
First Name *
PI Last Name *
Lab Building *
Lab Room Number *
Requesting (Note: We are out of Small gloves) *
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1
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Other - Specify amount in "Notes"
IPA (20L drum)
Disposable Masks (10 p/pk)
Gloves M (100 p/bx)
Gloves L (100 p/bx)
Gloves XL (100 p/bx)
Notes and/or Delivery Instructions
Submit
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