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New Research, Equipment, Relocation and Space Change Form
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Private Investigator (PI)/Lab Supervisor Contact Information
Name
Name
Email
Email
(RPI Email Preferred)
Phone
Phone
(Preferred Phone Number)
Type of Request (Select all that apply)
Relocating established research to a new space
New research and/or equipment
Space usage or layout change
New research startup at the Institute
School/Portfolio
School/Portfolio
School/Portfolio
- Select -
School of Science (SoS)
School of Engineering (SoE)
School of Architecture (SoA)
School of Humanities, Arts, and Social Sciences (HASS)
Office of Research (VPR)
Other School/Portfolio
Enter other…
Enter other…
Department/Center
Department/Center
Is there a known location for the new research?
Yes
No
Please list building name(s) and room number(s)
Please list building name(s) and room number(s)
(i.e. CBIS 2212, JEC 1105, etc.)
Date Expected to Begin Operations
Date Expected to Begin Operations
(Type in format displayed above or click calendar icon to the right of the field)
Please provide an overview of the request.
Please provide an overview of the request.
Potential Hazards (Select all that apply)
Chemicals, compressed gases and other hazardous materials
Biological hazards
Radiological (ionizing & non-ionizing) hazards
(Ionizing: x-rays, radioactive sources and source material. Non-ionizing: lasers, radiofrequency, microwaves)
U.S. Drug Enforcement Agency (DEA) controlled substances
Machines, instruments, and equipment
(Furnaces, cold rooms, welding, etc.)
Offices located at 41 Ninth Street.
Director of EHS (518) 276-6114
Staff Directory
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