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CALS Chemical Intake Form

CALS Chemical Intake Form

Please place a barcode sticker on your chemical bottle. Fill out the following fields regarding the new chemical.

An example submission would look like this:

  • Barcode # 015962
  • Chemical Supplier: VWR
  • Chemical Name: Sodium phosphate dibasic anhydrous
  • CAS # 7558-79-4
  • Product # 0404
  • Amount: 12kg bucket
  • Location: Emerson - EM-G51
  • Faculty Name: Susheng Gan
  • Submitter Name: Kelly Hanley
  • Submitter NetID: klh54
The # on the barcode sticker.
Sigma, VWR, Fluka, etc.
Exactly as it is written on the bottle.
Please include the CAS# if it is noted on the bottle.
Catalog/Product # of the chemical. (Not the Lot #!)
How much is in the bottle? 5g? 200ml?
The room/area the chemical will be stored. Examples: BF-511; BF-511 RATED Flammables Cabinet; WING-B56 Fridge/Freezer. The Locations were defined with direct input from researchers. Any questions or changes to these designations, please contact Kelly Hanley (klh54) or 607-255-0955.
The name of the person filling out this form.
The NetID of the person filling out this form.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.